Development and validation of a self-management behavior questionnaire for Chinese enterostomy patients.
Xiaoyan Du, Haoran Jiang, Luxia Fu and 1 others
PMID 35509691WHAT IT FOUND
A 40-item Chinese questionnaire for enterostomy patients' self-management scored consistently and covered diet, symptoms, treatment, information, and social and emotional behavior.
It was tested in 200 patients at a Chinese hospital, so use it cautiously.
Key findings
01The final questionnaire had five dimensions and 40 items: dietary behavior, psychosocial behavior, symptom management behavior, medical compliance behavior, and information management behavior.
02The total questionnaire scored consistently, with a Cronbach's alpha of 0.972, and scores from 50 patients repeated two weeks later correlated 0.867.
03Self-management scores were associated with peristomal skin scores: the questionnaire score correlated -0.800 with Ostomy Skin Tool DET scores.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited by convenience sampling from a Chinese hospital, and the authors state the sample size was limited and sources concentrated. The study included patients whose stoma had been in place for more than 6 months and who had completed radiotherapy/chemotherapy, excluding recurrence or metastasis and serious organ complications, so it may not apply to new stoma patients or those still in active treatment. The questionnaire was developed in Chinese, and the English version was translated by the author without a rigorous translation process. It reports questionnaire development and validation, not a trial of a nursing intervention.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not assume this questionnaire improves patient outcomes or has been validated outside Chinese enterostomy patients. It was tested in 200 patients at a Chinese hospital and measured self-management behavior, not clinical results.