Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis
<b>Background.</b> 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...
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MDPI AG
2024-11-01
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| author | Ilaria Marcomini Paolo Iovino Laura Rasero Duilio Fiorenzo Manara Ercole Vellone Giulia Villa |
| author_facet | Ilaria Marcomini Paolo Iovino Laura Rasero Duilio Fiorenzo Manara Ercole Vellone Giulia Villa |
| author_sort | Ilaria Marcomini |
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| description | <b>Background.</b> 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. <b>Materials and Methods.</b> 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. <b>Results.</b> 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: β = 0.506, <i>p</i> < 0.001; self-care monitoring: β = 0.303, <i>p</i> < 0.001). The model exhibited acceptable fit indices: χ<sup>2</sup> (151, <i>n</i>= 521) = 516.447, <i>p</i> ≤ 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), <i>p</i> < 0.001, and standardized root mean square residual (SRMR) = 0.038. <b>Conclusions.</b> 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. |
| format | Article |
| id | doaj-art-f1dc804e97e947fca3c1d39d4a3a1f90 |
| institution | Kabale University |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
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| series | Nursing Reports |
| spelling | doaj-art-f1dc804e97e947fca3c1d39d4a3a1f902024-12-27T14:44:14ZengMDPI AGNursing Reports2039-439X2039-44032024-11-011443417342610.3390/nursrep14040247Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling AnalysisIlaria Marcomini0Paolo Iovino1Laura Rasero2Duilio Fiorenzo Manara3Ercole Vellone4Giulia Villa5Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, ItalyDepartment of Health Sciences, University of Florence, 50134 Florence, ItalyDepartment of Health Sciences, University of Florence, 50134 Florence, ItalyCenter for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyCenter for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy<b>Background.</b> 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. <b>Materials and Methods.</b> 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. <b>Results.</b> 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: β = 0.506, <i>p</i> < 0.001; self-care monitoring: β = 0.303, <i>p</i> < 0.001). The model exhibited acceptable fit indices: χ<sup>2</sup> (151, <i>n</i>= 521) = 516.447, <i>p</i> ≤ 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), <i>p</i> < 0.001, and standardized root mean square residual (SRMR) = 0.038. <b>Conclusions.</b> 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.https://www.mdpi.com/2039-4403/14/4/247quality of lifeself-careself-care maintenanceself-care monitoringostomy patientsSEM |
| spellingShingle | Ilaria Marcomini Paolo Iovino Laura Rasero Duilio Fiorenzo Manara Ercole Vellone Giulia Villa Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis Nursing Reports quality of life self-care self-care maintenance self-care monitoring ostomy patients SEM |
| title | Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis |
| title_full | Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis |
| title_fullStr | Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis |
| title_full_unstemmed | Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis |
| title_short | Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis |
| title_sort | self care and quality of life of ostomy patients a structural equation modeling analysis |
| topic | quality of life self-care self-care maintenance self-care monitoring ostomy patients SEM |
| url | https://www.mdpi.com/2039-4403/14/4/247 |
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