ArticlePloS one2024
Discharge teaching quality positively predicts quality of life in colorectal cancer patients with temporary enterostomy: The mediating role of readiness for hospital discharge and stoma self-efficacy.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
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- A post-discharge homecare journey map for patients with colorectal cancer living with a permanent stoma: A qualitative study.Asia-Pacific journal of oncology nursing · 2026Article
- Readiness for Hospital Discharge and Quality of Life Among Patients Undergoing Surgery for Type A Aortic Dissection: A Prospective Observational Cohort Study.Nursing open · 2026Observational
- A qualitative exploration of patient perspectives regarding patient education during their colorectal surgical experience.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Anxiety, Self-Efficacy, and Their Correlates Among Caregivers of Patients With Ostomy: A Cross-Sectional Study in Southeastern Iran During 2023-2024.Health science reports · 2026Article
- Chain mediating effect of social support and psychological resilience between quality of discharge teaching and readiness for hospital discharge in patients with diabetic retinopathy surgery.Frontiers in public health · 2026Article
- Effects of Intestinal Stoma Odor and Pouch Ballooning on Quality of Life and Associated Intervention Strategies.Journal of multidisciplinary healthcare · 2026Review
- The status of readiness for hospital discharge of patients with post-stroke cognitive impairment and its relationship with post-discharge social isolation.BMC public health · 2025Observational
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6 authors.
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Abstract
objectivesThis study aimed to examine the mediating role of readiness for hospital discharge (RHD) and stoma self-efficacy (SSE) in the relationship between quality of discharge teaching (QDT) and health-related quality of life (HRQOL) in colorectal cancer patients with temporary enterostomy, and the gender difference of mediating effect.
backgroundIt is not clear how RHD, QDT, SSE and HRQOL interact in colorectal cancer patients with temporary enterostomy.
methodsThis was a prospective follow-up survey. 221 colorectal cancer patients with temporary enterostomy were conveniently recruited from a general hospital in Southeast China. The Quality of Discharge Teaching Scale, Readiness for Hospital Discharge Scale, Stoma Self-Efficacy Scale, and Stoma Quality of Life Scale were used to collect data. Pearson's correlation and structural equation models were used to analyze the data. SPSS 26.0 and Amos 28.0 software were used for analysis the collected data.
resultsRegarding the relationship of QDT and HRQOL, only QDT-T had a direct effect among colorectal cancer patients with stomas (b = 0.233, P<0.001, percentile 95% CI = [0.145, 0.314]). However, both QDT-T and QDT-R can predict HRQOL indirectly through three paths: (1) the mediating role of SSE (b = 0.050, P = 0.009, percentile 95% CI = [0.013, 0.098]; b = 0.077, P = 0.008, percentile 95% CI = [0.021, 0.164]), (2) the mediating role of RHD (b = 0.044, P = 0.004, percentile 95% CI = [0.014, 0.085]; b = 0.044, P = 0.005, percentile 95% CI = [0.010, 0.102]), and (3) the chain mediating role of SSE and RHD (b = 0.030, P = 0.003, percentile 95% CI = [0.011, 0.059]; b = 0.047, P = 0.003, percentile 95% CI = [0.015, 0.103]). The similar chain mediating effect in male stoma patients was also found (b = 0.041, P = 0.002, percentile 95% CI = [0.016, 0.080]; b = 0.046, P = 0.004, percentile 95% CI = [0.011, 0.114]).
conclusionsStoma self-efficacy and readiness for hospital discharge played important intermediary roles in the relationship between quality of discharge teaching and health-related quality of life in colorectal cancer patients with stomas. Health care providers can design SSE-enhancing and RHD-enhancing discharge planning for colorectal cancer patients with temporary enterostomies.
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