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Identification of user personas for self-management in patients with permanent enterostomy to improve personalized nursing practice: a descriptive qualitative study

Year: 2026
Type: article
Abstract: BACKGROUND: This study constructs a user persona coding framework for self-management among patients with permanent enterostomy, identifying behavioral characteristics, and nursing needs to develop targeted interventions. METHODS: A total of 18 patients (n = 18) were recruited via purposive sampling. Semi-structured in-depth interviews were performed, and Colaizzi’s method was applied to analyze the resulting data; this involved extracting factual labels, integrating common characteristics, and summarizing labeling dimensions, with the ultimate goal of developing patient personas. RESULTS: A five-dimensional coding framework was established, covering disease-related medical information, daily life, medical resource accessibility, social support, psychological state. Four self-management types were identified, including proactive (younger, high education, active learning, strong self-efficacy), dependent-regressive (elderly, low education, passive dependence), Fragmented Knowledge-Guided Practice(middle-aged, fragmented knowledge, improper operations), and Avoidant Coping (elderly, low acceptance, avoidant behaviors). CONCLUSIONS: This study identifies the multi-dimensional characteristics and typological differences of self-management behaviors in patients with permanent enterostomy, providing a reference for personalized nursing interventions to enhance self-management efficacy and improve patients’ quality of life. CLINICAL TRIAL NUMBER: Not applicable.
Source: BMC Nursing
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,090
OpenAlex ID: W7140193085
FWCI:
Cites: 39
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