Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis

被引：0
作者：
Marcomini, Ilaria [1 ]
Iovino, Paolo [2 ]
Rasero, Laura [2 ]
Manara, Duilio Fiorenzo [1 ]
Vellone, Ercole [3 ,4 ]
Villa, Giulia [1 ]
机构：
[1] Univ Vita Salute San Raffaele, Ctr Nursing Res & Innovat, Fac Med & Surg, I-20132 Milan, Italy
[2] Univ Florence, Dept Hlth Sci, I-50134 Florence, Italy
[3] Univ Roma Tor Vergata, Dept Biomed & Prevent, I-00133 Rome, Italy
[4] Wroclaw Med Univ, Fac Hlth Sci, Dept Nursing & Obstet, PL-50367 Wroclaw, Poland
来源：
NURSING REPORTS | 2024年 / 14卷 / 04期
关键词：
quality of life; self-care; self-care maintenance; self-care monitoring; ostomy patients; SEM; nursing; HEART-FAILURE; COLORECTAL-CANCER; STOMA; PEOPLE; SAMPLE;
D O I：
10.3390/nursrep14040247
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Background. Previous research has shown that patients with ostomy frequently exhibit a low health-related quality of life (HRQoL). Self-care is a key element that influences their HRQoL. However, the evidence regarding the relationship between these two constructs in patients with ostomy is still not clear. Materials and Methods. This was a secondary analysis of an Italian multicenter, observational, longitudinal study. Participants were recruited from seven outpatient ostomy care clinics in central and northern Italy. The Stoma-Specific Quality of Life Questionnaire (Stoma QoL) and the Ostomy Self-Care Index (OSCI) were administered to the participants. The relationship between self-care and HRQoL was analyzed using structural equation modeling. Results. A total of 521 patients were enrolled. Our results emphasized that self-care is a predictor of HRQoL among people with ostomy. Self-care maintenance and self-care monitoring had a positive effect on HRQoL (self-care maintenance: beta = 0.506, p < 0.001; self-care monitoring: beta = 0.303, p < 0.001). The model exhibited acceptable fit indices: chi(2) (151, n= 521) = 516.447, p <= 0.001, comparative fit index (CFI) = 0.97, Tucker-Lewis index (TLI) = 0.96, root mean square error of approximation (RMSEA) = 0.068 (90% CI, 0.062-0.075), p < 0.001, and standardized root mean square residual (SRMR) = 0.038. Conclusions. The structural equation model tested the causal relationship between self-care and HRQoL in people with a stoma, demonstrating for the first time that inadequate self-care in patients with ostomy may lead to lower HRQoL. Thus, to enhance HRQoL, interventions should be designed to improve self-care behaviors. Future research should investigate potential mediating variables in the relationship between self-care and HRQoL.
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收藏
页码：3417 / 3426
页数：10
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