title: Applying the Chronic Care Model to Support Ostomy Self-Management: Implications for Oncology Nursing Practice.
abstract: BACKGROUND
  Living with an ostomy requires daily site and equipment care, lifestyle changes, emotional management, and social role adjustments. The Chronic Care Ostomy Self-Management Training Program (CCOSMTP) offers an ostomy self-management curriculum, emphasizing problem solving, self-efficacy, cognitive reframing, and goal setting.
  
  
  OBJECTIVE
  The qualitative method of content analysis was employed to categorize self-reported goals of ostomates identified during a nurse-led feasibility trial testing the CCOSMTP.
  
  
  METHODS
  Thirty-eight ostomates identified goals at three CCOSMTP sessions. The goals were classified according to the City of Hope Health-Related Qualify of Life Model, a validated multidimensional framework, describing physical, psychological, social, and spiritual ostomy-related effects. Nurse experts coded the goals independently and then collaborated to reach 100% consensus on the goals' classification.
  
  
  RESULTS
  A total of 118 goals were identified by 38 participants. Eighty-seven goals were physical, related to the care of the skin, placement of the pouch or bag, and management of leaks; 26 were social goals, which addressed engagement in social or recreational roles and daily activities; and 5 were psychological goals, which were related to confidence and controlling negative thinking. Although the goals of survivors of cancer with an ostomy are variable, physical goals are most common in self-management training.
authors.affiliation: Yale University.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Ercolano
authors.forename: Marcia
authors.initials: M
authors.lastname: Grant
authors.affiliation: Yale University.
authors.forename: Ruth
authors.initials: R
authors.lastname: McCorkle
authors.forename: Nancy J
authors.initials: NJ
authors.lastname: Tallman
authors.forename: Martha D
authors.initials: MD
authors.lastname: Cobb
authors.forename: Christopher
authors.initials: C
authors.lastname: Wendel
authors.forename: Robert
authors.initials: R
authors.lastname: Krouse
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000451:nursing / Q000523:psychology; D003479:Curriculum; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000451:nursing*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009859:Oncology Nursing / Q000193:education / Q000379:methods*; D010030:Ostomy / Q000193:education* / Q000451:nursing*; D010353:Patient Education as Topic; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012648:Self Care / Q000523:psychology*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*
keywords: gastrointestinal malignancies; quality of life