Validity and Reliability of the Stoma Self-Efficacy Scale in Patients With Intestinal Stoma: A Descriptive, Cross-Sectional and Validation Study.
Lenka Machálková, Eva Reiterová, Karolína Křenková and 1 others
PMID 41318950WHAT IT FOUND
A Czech questionnaire can be used to check how confident colostomy and ileostomy patients feel about managing their stoma.
Most reported moderate confidence, but 32.38% with colostomy had low confidence, so nurses can identify patients who may need targeted education.
Key findings
01The scale's item scores were consistent (Cronbach's alpha 0.94), and scores were stable over 14 days in 27 patients.
02Low self-efficacy was reported by 32.38% of colostomy patients, and high self-efficacy by 11.93%.
03Older age was associated with lower total self-efficacy (r = -0.18), and longer time since stoma insertion was associated with higher self-efficacy (r = 0.25).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included only patients with colostomy or ileostomy, so it does not address other stoma types. Participants had lived with a stoma for more than 1 year, so it does not describe confidence in the immediate postoperative period. The sample was 290 patients from Moravia, so the findings may not apply to all patients with stomas. The test-retest sample was only 27 patients. Self-efficacy was measured by patient report and was assessed at one time, so scores may change over time. The same sample was used for exploratory and confirmatory factor analysis, which may inflate model fit. Several fit indices did not reach desired values for ileostomy patients. Complications that may affect self-efficacy were not included. This was a validation study, not a test of whether using the scale changes nurse education or patient outcomes.
Declared interests
The authors reported nothing to declare regarding funding or conflicts.
The easy way to misread this
Do not read the scale's validation scores as proof that using it improves stoma care. The study was cross-sectional and did not test a nurse-led intervention.