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Understanding patients' self-management after enterostomy: knowledge, attitudes, and practices in a cross-sectional
Hua Yang1, Runhong Ni1, Nan Qiao1
1Department of Gastrointestinal Surgery, China-Japan Friendship Hospital, Beijing, China.
Patient knowledge positively influences attitudes, which in turn improve self-management practices after enterostomy. This highlights the importance of attitude-focused education for better patient outcomes and quality of life.
Area of Science:
- Nursing
- Patient Self-Management
- Health Psychology
Background:
- Limited research exists on knowledge, attitudes, and practices (KAP) for post-enterostomy self-management, especially in China.
- Understanding these factors is vital for effective interventions to enhance recovery, quality of life, and healthcare efficiency.
Purpose of the Study:
- To assess KAP levels among post-enterostomy patients in China.
- To investigate the interrelationships between knowledge, attitudes, and practices in this population.
Main Methods:
- A cross-sectional survey was conducted with 497 post-enterostomy patients.
- A validated and reliable questionnaire assessed knowledge, attitudes, and practices.
- Path analysis and bootstrapping were used to examine relationships.
Main Results:
- Median KAP scores were 12.00, 41.00, and 70.00, respectively.
- Knowledge positively impacted attitudes, which then improved self-management practices.
- Attitudes significantly mediated the effect of knowledge on practice (β = 0.262).
Conclusions:
- Attitudes play a crucial mediating role between knowledge and self-management practices in post-enterostomy patients.
- The KAP framework is valuable for this population, emphasizing attitude-focused education and support.
- Future research should focus on longitudinal interventions to ensure sustained self-management improvements.
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