Work

Self-care and associated factors of patients with permanent colostomies: A structural equation model

Year: 2025

Type: article

Abstract: Objective: To investigate the structural relationships between eHealth literacy, health-promoting behaviors, depression, disease stigma, self-efficacy and self-care in Chinese patients with permanent colostomies. Methods: A cross-sectional multi-stage random sampling study was conducted between October 2022 and July 2023. The study involved 280 participants with permanent colostomies recruited from four general hospitals in Yancheng City, China. Data were collected using a questionnaire package to assess model variables, including health-promoting behaviors, eHealth literacy, depression, disease stigma, self-efficacy and self-care. Structural equation modeling was employed to analyze the data. Results: < 0.001) inﬂuenced self-care directly. On the other hand, health-promoting behaviors, depression and disease stigma inﬂuenced self-care indirectly through self-efficacy mediation. The total, direct, and indirect effects of health-promoting behaviors and depression on self-care were 0.53 and -0.26, 0.41 and -0.17, and 0.12 and 0.09, respectively, in patients with colostomies. Conclusions: This study highlights the importance of improving health-promoting behaviors, eHealth literacy, and self-efficacy in patients with colostomies. The study also suggests that reducing depression and disease stigma could enhance patients' self-care. Health care professionals can leverage these findings to develop appropriate programs to improve patients' self-care.

Source: Asia-Pacific Journal of Oncology Nursing

DOI: 10.1016/j.apjon.2025.100666

Authors: Longyan Bian, Pornchai Jullamate, Chanandchidadussadee Toonsiri, Poonpong Suksawang

Institution: Burapha University

Language: English

Topic: Stoma care and complications

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,980