Related Experiment Video
Updated: Apr 4, 2026
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
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.
Background:
Few studies have explored the knowledge, attitudes, and practices (KAP) related to self-management among post-enterostomy patients, particularly in China. Such understanding is crucial for developing targeted interventions that improve long-term recovery, quality of life, and healthcare resource utilization. This study aimed to fill this gap by examining KAP levels and their interrelationships in this population.
Methods:
A cross-sectional survey was conducted at the China-Japan Friendship Hospital between March 15 and May 15, 2024, using a structured questionnaire with confirmed reliability (Cronbach's α = 0.825, 0.748, and 0.770, respectively) and validity.
Results:
A total of 497 valid responses were analyzed. The median scores for KAP were 12.00 (IQR: 11.00-13.00), 41.00 (IQR: 35.00-47.00), and 70.00 (IQR: 63.00-77.00), respectively. Path analysis revealed that knowledge improved attitudes, which subsequently promoted better self-management practices. Bootstrapping analysis confirmed a significant indirect effect of knowledge on practice through the mediating role of attitudes (β = 0.262, 95% CI [0.089, 0.451]).
Conclusion:
This study provides new evidence that attitudes mediate the relationship between knowledge and self-management practices among post-enterostomy patients. It highlights the scientific value of applying the KAP framework to this population and underscores the need for attitude-focused education, structured follow-up, and psychosocial support. Future research should explore longitudinal interventions to sustain long-term self-managemente improvements.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:24Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...