OTRNSurveyAdvances in skin & wound care2026

Knowledge, Attitude, and Practice of Bathing Care Among Patients with a Stoma and Their Correlations With Quality of Life: A Cross-sectional Study.

Haiyan Chen, Ziyi Zhou, Weizhen Li and 1 others

PMID 41925332

WHAT IT FOUND

Patients with a stoma had moderate bathing knowledge but more affected attitudes and practices.

Bathing knowledge, attitude, and practice were linked to quality of life, especially timing, products, leakage, and confidence.

Key findings

01Patients with a stoma had a mean bathing knowledge, attitude, and practice total score of 74.02±12.66 on a scale from 24 to 120, with knowledge highest and attitude lowest.

02Six variables were associated with bathing knowledge, attitude, and practice: education, marital status, self-care, time since stoma creation, complications, and primary bathing method.

03Bathing knowledge, attitude, and practice dimensions were positively correlated with corresponding quality of life dimensions, and items about bathing timing, products, frequency, methods, duration, leakage prevention, and fear or lack of confidence had stronger correlations.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for RNs

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What it does not show

The sample was from stoma outpatient clinics in 7 provinces in East China and was not randomly selected, so findings may not apply to other regions or settings. The study was cross-sectional, so it cannot show that bathing knowledge, attitude, or practice causes better quality of life. Bathing knowledge, attitude, and practice were self-reported by patients, not observed during actual bathing. The bathing questionnaire was developed by the researchers for this study, although content validity and reliability were reported. Missing values were excluded from the analysis.

Declared interests

Funding was provided by the Nursing Discipline Development Research Project of the First Affiliated Hospital, Zhejiang University School of Medicine.

The easy way to misread this

Do not conclude that improving bathing knowledge, attitude, or practice will improve quality of life. This cross-sectional survey measured bathing care and quality of life at one time point, so it shows associations, not a tested treatment effect.

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