Describing self-care and its associated variables in ostomy patients
© 2020 John Wiley & Sons Ltd..
AIMS: To describe self-care in ostomy patients, to identify socio-demographic and clinical variables associated with self-care and to identify the association between self-care self-efficacy and self-care over and above the variables associated with self-care.
DESIGN: Longitudinal and multicentre study. Data were collected between February 2017-May 2018.
METHODS: In this study, 523 ostomy patients were enrolled at baseline (T0) and 362 were followed-up after 6 months (T1). The Ostomy Self-Care Index was used to measure self-care maintenance, monitoring, management, and self-efficacy. Correlations between self-care dimensions and patient socio-demographic and clinical characteristics were performed with Pearson's or Spearman's correlations. Three separate two-step hierarchical regression analyses were performed to identify variables associated with self-care maintenance, monitoring, and management.
RESULTS: Participants' mean age was 69 years (SD 12.4); 63.9% were male and most had enterostomies (38.8% colostomies, 29.3% ileostomies) and permanent ostomies (72.5%). Patients had adequate self-care maintenance and monitoring at T0 and T1, while they had lower self-care management and self-efficacy at baseline. Significant variables associated with better self-care maintenance and self-care monitoring were female gender, more information received during hospitalization and better autonomy in stoma management, while a better level of education was an additional variable associated with self-care monitoring. Self-care self-efficacy produced a significant increase in the explained variance of self-care maintenance and self-care monitoring. None of the selected variables were significantly associated with self-care management.
CONCLUSION: Middle-high levels of self-care maintenance, monitoring, management, and self-efficacy were found. The variables associated with ostomy self-care and the role of self-care self-efficacy identified in this study can help in developing tailored nursing interventions.
IMPACT: This study found specific variables associated with ostomy self-care which could contribute to guiding future interventions aimed at improving self-care in ostomy patients.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:76 |
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Enthalten in: |
Journal of advanced nursing - 76(2020), 11 vom: 11. Nov., Seite 2982-2992 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Giordano, Vittoria [VerfasserIn] |
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Links: |
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Themen: |
Clinical variables |
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Anmerkungen: |
Date Completed 18.06.2021 Date Revised 18.06.2021 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1111/jan.14499 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM314178163 |
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520 | |a AIMS: To describe self-care in ostomy patients, to identify socio-demographic and clinical variables associated with self-care and to identify the association between self-care self-efficacy and self-care over and above the variables associated with self-care | ||
520 | |a DESIGN: Longitudinal and multicentre study. Data were collected between February 2017-May 2018 | ||
520 | |a METHODS: In this study, 523 ostomy patients were enrolled at baseline (T0) and 362 were followed-up after 6 months (T1). The Ostomy Self-Care Index was used to measure self-care maintenance, monitoring, management, and self-efficacy. Correlations between self-care dimensions and patient socio-demographic and clinical characteristics were performed with Pearson's or Spearman's correlations. Three separate two-step hierarchical regression analyses were performed to identify variables associated with self-care maintenance, monitoring, and management | ||
520 | |a RESULTS: Participants' mean age was 69 years (SD 12.4); 63.9% were male and most had enterostomies (38.8% colostomies, 29.3% ileostomies) and permanent ostomies (72.5%). Patients had adequate self-care maintenance and monitoring at T0 and T1, while they had lower self-care management and self-efficacy at baseline. Significant variables associated with better self-care maintenance and self-care monitoring were female gender, more information received during hospitalization and better autonomy in stoma management, while a better level of education was an additional variable associated with self-care monitoring. Self-care self-efficacy produced a significant increase in the explained variance of self-care maintenance and self-care monitoring. None of the selected variables were significantly associated with self-care management | ||
520 | |a CONCLUSION: Middle-high levels of self-care maintenance, monitoring, management, and self-efficacy were found. The variables associated with ostomy self-care and the role of self-care self-efficacy identified in this study can help in developing tailored nursing interventions | ||
520 | |a IMPACT: This study found specific variables associated with ostomy self-care which could contribute to guiding future interventions aimed at improving self-care in ostomy patients | ||
650 | 4 | |a Journal Article | |
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650 | 4 | |a clinical variables | |
650 | 4 | |a nursing | |
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700 | 1 | |a Alvaro, Rosaria |e verfasserin |4 aut | |
700 | 1 | |a Villa, Giulia |e verfasserin |4 aut | |
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