routine hospital care

receive educational intervention

Educational intervention will be implemented to urostomy patients in multiple sessions, which will be divided into theoretical and practical sessions as following:

Theoretical session:

This part will include knowledge about anatomy and physiology of urinary system, pre and post operative care, complication and life style modifications…etc.

Practical session:

This session will cover care of urostomy including pouch system, changing of pouch, empty of pouch, self- catheterization and irrigation of urostomy.

measured by a questionnaire designed in the form of multiple-choice questions. Each answer receives one degree, with the exception of unknown and missed answers, which receive zero points. The scores obtained for each question were summed up to get the total score for the patients' knowledge.

Standardized, numerical, validated, and evidence-based measures are used to assess the stoma self-care abilities of patients undergoing UD. It comprises seven skills required to change a urostomy pouch system. Each ability was graded on a four-point scale, with values ranging from 0 to 3.

It is designed to assess a general sense of perceived self-efficacy, aiming to predict how individuals cope with daily hassles and adapt after experiencing various stressful life events, in addition to the challenges posed by the disease. Patients' responses will be categorized as follows: 1 = not being confident at all, 2 = slightly confident, 3 = fairly confident, 4 = highly confident, and 5 = extremely confident. High scores refer to positive self-efficacy, i.e., the subjective presence of ability. So the total score is 100, whereas less than 50 = low (-ve) self-efficacy and more than 50 = high (+ve) self-efficacy.

The urinary diversion quality of life questionnaire designed to assess quality of life for urinary diversion patients. It consists of questions that explored general condition and physical condition, reconstruction-related symptoms, psychological status, sexual life, social status, and satisfaction with the treatment. Patients' responses were categorized as follows: 1- not at all, 2- a little, 3- much, 4- very much.