Integrated factors associated with ostomy patients’ self management behaviors and peristomal skin complications using structural equation model: a cross-sectional study in Shanghai, China

Integrated factors associated with ostomy patients’ self management behaviors and peristomal skin complications using structural equation model: a cross-sectional study in Shanghai, China | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Integrated factors associated with ostomy patients’ self management behaviors and peristomal skin complications using structural equation model: a cross-sectional study in Shanghai, China Lili Ma, Yajuan Zhang, Guifen lv, Huiren Zhuang, Weiying Zhang, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4341187/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 3 You are reading this latest preprint version Abstract Purpose Peristomal skin complications are major problems for ostomy patients. Social support, self efficacy and self management behaviors are vital for ostomy patients. The objective of this study is to explore the interrelationships of social support, self efficacy and self management behaviors among ostomy patients with peristomal skin complications. Methods A cross-sectional study was conducted with 265 ostomy patients from Shanghai, China, using a questionnaire survey including the Chronic Disease Self-Management Study Program (CDSSP), Self-efficacy for Managing Chronic Disease (SEMCD-6), and Medical Outcomes Study-Social Support Survey (MOS-SSS). Results Out of 265 ostomy patients, 184 (69.43%) did not have PSCs while 81 (30.57%) did. Significant differences (P<0.01) were observed in social support (MOS-SSS) and self-management behaviors (CDSSP) between ostomy patients with and without PSCs, with no significant difference in self-efficacy (SEMCD-6). The model fit statistics showed χ2/DF = 1.38; GFI = 0.973, CFI = 0.985, and RMSEA = 0.038. Social support positively predicted self-efficacy (β = 0.31, P<0.01), self-efficacy predicted self-management behaviors (β = 0.35, P<0.01), and social support predicted self-management behaviors (β = 0.32, P<0.01). Mediation analysis revealed that social support influences self-management behaviors through self-efficacy (mediation effect = 0.110, 95% CI = 0.019–0.250). Conclusion Social support and self-efficacy play significant roles in the self-management behaviors of ostomy patients, highlighting the importance of healthcare professionals recognizing predictors for PSCs management and providing support to vulnerable ostomy patients. ostomy PSCs social support self efficacy self-management behavior Full Text Additional Declarations No competing interests reported. Tables are available in the Supplementary Files section. Supplementary Files table.doc Cite Share Download PDF Status: Under Review Version 1 posted Editor assigned by journal 17 Jun, 2024 Submission checks completed at journal 22 May, 2024 First submitted to journal 29 Apr, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4341187","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":305355180,"identity":"3ae6332b-e707-4801-a824-000e65a42733","order_by":0,"name":"Lili 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Social support, self efficacy and self management behaviors are vital for ostomy patients. The objective of this study is to explore the interrelationships of social support, self efficacy and self management behaviors among ostomy patients with peristomal skin complications.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eA cross-sectional study was conducted with 265 ostomy patients from Shanghai, China, using a questionnaire survey including the Chronic Disease Self-Management Study Program (CDSSP), Self-efficacy for Managing Chronic Disease (SEMCD-6), and Medical Outcomes Study-Social Support Survey (MOS-SSS).\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eOut of 265 ostomy patients, 184 (69.43%) did not have PSCs while 81 (30.57%) did. Significant differences (P\u0026lt;0.01) were observed in social support (MOS-SSS) and self-management behaviors (CDSSP) between ostomy patients with and without PSCs, with no significant difference in self-efficacy (SEMCD-6). The model fit statistics showed χ2/DF\u0026thinsp;=\u0026thinsp;1.38; GFI\u0026thinsp;=\u0026thinsp;0.973, CFI\u0026thinsp;=\u0026thinsp;0.985, and RMSEA\u0026thinsp;=\u0026thinsp;0.038. Social support positively predicted self-efficacy (β\u0026thinsp;=\u0026thinsp;0.31, P\u0026lt;0.01), self-efficacy predicted self-management behaviors (β\u0026thinsp;=\u0026thinsp;0.35, P\u0026lt;0.01), and social support predicted self-management behaviors (β\u0026thinsp;=\u0026thinsp;0.32, P\u0026lt;0.01). Mediation analysis revealed that social support influences self-management behaviors through self-efficacy (mediation effect\u0026thinsp;=\u0026thinsp;0.110, 95% CI\u0026thinsp;=\u0026thinsp;0.019\u0026ndash;0.250).\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eSocial support and self-efficacy play significant roles in the self-management behaviors of ostomy patients, highlighting the importance of healthcare professionals recognizing predictors for PSCs management and providing support to vulnerable ostomy patients.\u003c/p\u003e","manuscriptTitle":"Integrated factors associated with ostomy patients’ self management behaviors and peristomal skin complications using structural equation model: a cross-sectional study in Shanghai, China","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-06-03 22:35:01","doi":"10.21203/rs.3.rs-4341187/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"editorAssigned","content":"","date":"2024-06-17T14:21:48+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-05-22T07:36:13+00:00","index":"","fulltext":""},{"type":"submitted","content":"Supportive Care in Cancer","date":"2024-04-29T07:54:26+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"supportive-care-in-cancer","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"jscc","sideBox":"Learn more about [Supportive Care in Cancer](https://www.springer.com/journal/520)","snPcode":"520","submissionUrl":"https://submission.nature.com/new-submission/520/3","title":"Supportive Care in Cancer","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Springer Hybrid","inReviewEnabled":true,"inReviewRevisionsEnabled":false}}],"origin":"","ownerIdentity":"224a0d9d-75a5-435a-bd62-ed19ef7dc203","owner":[],"postedDate":"June 3rd, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2024-06-19T13:32:45+00:00","versionOfRecord":[],"versionCreatedAt":"2024-06-03 22:35:01","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4341187","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4341187","identity":"rs-4341187","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}