Development and Validation of an Instrument Measuring Self-Care in Persons With a Fecal Ostomy

Collado-Boira, Eladio; Machancoses, Francisco Herrero; Temprado, María Dolores

doi:10.1097/won.0000000000000444

Cited by 5 publications

(11 citation statements)

References 24 publications

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“…Given that it is the first time that the Specific CAESPO self-care questionnaire has been used, it is not possible to compare it with other samples or to determine the exact level of self-care of the studied population. However, given that the different factors and dimensions of self-care yielded scores that exceeded, in general, the average established in the validation of the instrument [ 33 ], it can be considered that the level of acquisition of competences in self-care by the studied population was high; although, it could be improved in some aspects.…”

Section: Discussionmentioning

confidence: 99%

“…The S-QoL [ 33 ] contains 2 factors—stoma care subscale and social subscale—covered in 28 items. Respondents choose 1 of the 5 possible answers, ranging from “not at all confident” to “extremely confident”.…”

Section: Methodsmentioning

confidence: 99%

“…More specifically, the internal consistency of the CAESPO score was good (α = 0.889) and Test-retest reliability was excellent (α = 0.987); the Construct Validity indices obtained by SEM are adequate (χ 2 = 43.132, p < 0.001; RMSEA = 0.155 [0.107–0.204]; BBNFI = 0.957; CFI = 0.967; IFI = 0.968). Cronbach α values for the CAESPO subscales were: general SC (α = 0.754), development SC (α = 0.786), and specific SC (α = 0.908) [ 31 ]; and Cronbach α values for the S-QoL total score, stoma care SE, and social SE were 0.97, 0.97, and 0.89 [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study

Collado-Boira

Machancoses

Ayora

et al. 2021

IJERPH

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The current article examined stoma self-care and health-related quality of life in patients with drainage enterostomy, described clinical and sociodemographic variables and analyzed the relationship between all of them. Trained interviewers collected data using a standardized form that queried sociodemographic and clinical variables. In addition, Self-Care (SC) was measured through a specific questionnaire for Ostomized Patients (CAESPO) and Health-Related Quality of Life (HRQoL) through the Stoma Quality of Life questionnaire (S-QoL), which are not included in the electronic medical record. This was a multicenter, cross sectional study conducted in four hospitals of the province of Castellon (Spain), where 139 participants were studied. As novel findings, it was found that the level of SC of the stoma was high and was positively correlated with health-related quality of life. In relation to SC and sociodemographic variables studied in the research, women, married patients and active workers presented significantly higher scores than the rest. In relation to the clinical variables, we highlight the highest scores of the autonomous patients in the care of their stoma and those who used irrigations regularly. The lowest scores were the patients with complications in their stoma. We can highlight the validity and reliability of the CAESPO scale for biomedical and social research, and the importance of skills related to self-care of ostomy patients for a good level of HRQoL.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study

Collado-Boira

Machancoses

Ayora

et al. 2021

IJERPH

Self Cite

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“…Further research, considering a larger and more geographically diverse sample is, thus, warranted. Secondly, the sample size for the 2‐week test–retest reliability test was relatively small compared with those used for developing instruments for people living with a stoma (Collado‐Boira et al., 2018; Du, 2017). More studies are needed for further evaluation of the psychometric properties of the questionnaire.…”

Section: Discussionmentioning

confidence: 99%

“…Several instruments (Collado-Boira et al, 2018;Du, 2017;Han, 2014;Kristensen et al, 2013) have been developed to measure self-management behaviours for persons living with a stoma, including the Specific Self-Care for Ostomized Patients Questionnaire (Collado-Boira et al, 2018), the Self-management Behavior Questionnaire with Enterostomy Patients (Du, 2017), the Enterostomy Patients Self-management Questionnaire (Han, 2014), and Urostomy Education Scale (Kristensen et al, 2013). Three instruments (Collado-Boira et al, 2018;Du, 2017;Han, 2014) developed for persons with faecal ostomies contained items (such as "eats vegetables" or "controls salt in meals") which are not required for those with a urostomy (Prinz et al, 2015;WOCN, 2018). The Chinese version of Urostomy Education Scale, validated by Fu (2014), only focused on self-care behaviours related to changing the pouching system for persons with a urostomy.…”

Section: Introductionmentioning

confidence: 99%

The development of a behaviour questionnaire for stoma self‐management for persons with bladder cancer and an ileal conduit

Wang

Ding

Lü

et al. 2020

Journal of Advanced Nursing

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Aims: To develop and preliminarily test the reliability and validity of a behaviour questionnaire for stoma self-management for patients with bladder cancer after radical cystectomy and ileal conduit. Design: A psychometric instrument validation study conducted in two phases. Methods: The initial version of behaviour questionnaire was developed based on guidelines for people living with a stoma. Five experts validated the content of the preliminary 29-item questionnaire. A cross-sectional survey was then conducted in Beijing for preliminary reliability and validity tests between 4 December 2017-28 April 2018. A total of 151 participants in the survey, 147 of whom completed the study and 16 completed a 2-week test-retest reliability test. Results: The content validity indices were satisfied. A principal component analysis with direct oblimin rotation was performed. Sixteen items were retained, and three factors were identified, namely, pouching system change, emotional management, and role management. The 16-item questionnaire showed acceptable internal consistency and test-retest reliability. The mediational effect of self-management behaviour on the relationship between self-efficacy and stoma quality of life was confirmed via convergent validity testing. Conclusion: The behaviour questionnaire for stoma self-management appears to have adequate initial reliability and validity. More observational and interventional studies need to be conducted for further evaluation of its psychometric properties.

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The Quality of Life of Patients with Colorectal Cancer and a Stoma in China: A Quantitative Cross-sectional Study

Liu

Zhu

et al. 2021

Adv Skin Wound Care

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OBJECTIVE To explore quality of life (QOL) in patients with colorectal cancer and a stoma and factors associated with their QOL. METHODS A quantitative cross-sectional study was carried out in the stoma and wound care clinic of a cancer hospital in China. Participants were recruited from clinic patients. Investigators collected demographic data and clinical information; QOL was measured using a Chinese version of the stoma-QOL scale. RESULTS In total, 359 participants took part; 161 (44.8%) had an ileostomy, whereas the others had a colostomy, and about half of the participants (46.5%) had a permanent stoma. The mean age was 57.86 ± 11.92 years. The QOL scores of most participants were poor, with a median value of 49.44. Participants whose stoma was cared for by others had a significantly lower QOL score than those who cared for their own stomas (odds ratio [OR], 1.58; 95% confidence interval [CI], 1.05–2.38; P = .029). Participants with a temporary stoma had a lower QOL score than those with a permanent stoma (OR, 2.08; 95% CI, 1.275–3.40; P = .004). Further, participants with a complication had a lower QOL score than those without (OR, 1.62; 95% CI, 1.07–2.43; P = .022). CONCLUSIONS These findings suggest a need for well-developed interventions to improve the QOL of these patients. This study provides valuable insights to inform the development of future clinical practice and research in this area in China and beyond.

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Development and Validation of an Instrument Measuring Self-Care in Persons With a Fecal Ostomy

Abstract: Psychometric tests indicate that the CAESPO is a valid and reliable instrument for measuring self-care in persons living with a fecal ostomy.

Cited by 5 publications

References 24 publications

Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study

Self-Care and Health-Related Quality of Life in Patients with Drainage Enterostomy: A Multicenter, Cross Sectional Study

The development of a behaviour questionnaire for stoma self‐management for persons with bladder cancer and an ileal conduit

The Quality of Life of Patients with Colorectal Cancer and a Stoma in China: A Quantitative Cross-sectional Study

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