SELF CARE IN PATIENTS WITH COLOSTOMY: A STRUCTURAL EQUATION MODELING

Abstract

Self-care had a leading role in the perspective of recovery of the colostomy patients’ health. The aim of this study was to determine factors influencing self-care in patients with colostomy. A total of 400 participants were recruited from 4 general hospitals out of 9 district general hospitals in Yancheng city using multiple stage sampling. Data was collected by a package of questionnaires. Structural equation modeling by AMOS software was used to test the model.

The results showed the final model fit the empirical data (χ2 =578.85, p＜.001, df = 140, CMIN/ df = 2.28, GFI = .90, AGFI =.86, CFI = .95, RMSEA=.06). The final model remained eight factors, and the total variance explained 83.2%. Health-promoting behaviors, eHealths literacy, knowledge, social support, skill, self-efficacy had positive effects and disease stigma, depression had negative effects on self-care. Health-promoting behaviors, social support had positively indirect effects through self-efficacy on self-care. Disease stigma had a negatively and social support had a positively indirect effect through depression on self-care. Health-promoting behaviors and social support had positively indirect effects through skills, and had negatively indirect effects through disease stigma on self-care. Health-promoting behaviors and eHealths literacy had positively indirect effects through knowledge on self-care.

These findings suggested that nurses could help to improve self-care in patients with colostomy by prompting their levels of health-promoting behaviors, eHealths literacy, knowledge, social support, skills and self-efficacy, decreasing the levels of disease stigma and depression.

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