ArticleScandinavian journal of caring sciences2026
The Role of Family Care on the Quality of Life of Patients With Permanent Enterostomies: A Chain-Mediated Effect of Inner Strength and Patient Activation.
Article in Scandinavian journal of caring sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundPermanent enterostomy significantly affects patients' lives, making their postoperative quality of life (QoL) a critical concern in clinical practice. Understanding the psychosocial mechanisms that improve QoL is essential for developing effective interventions.
objectiveGrounded in the conservation of resources (COR) theory, this study aimed to investigate the mechanism through which family care influences the QoL of patients with permanent enterostomies, specifically by testing the chain-mediating roles of inner strength (as a psychological resource) and patient activation (as a behavioural resource).
methodsA cross-sectional survey was conducted among 315 patients with permanent enterostomies from a tertiary hospital. Data were collected using a general information questionnaire, the Family APGAR Index, the Inner Strength Scale (ISS), the Patient Activation Measure (PAM), and the Stoma Quality of Life Scale (Stoma-QoL). The hypothesized chain mediation model was examined using SPSS PROCESS Macro (Model 6), controlling for key demographic variables.
resultsFamily care was significantly positively correlated with inner strength, patient activation, and QoL (all p < 0.01). Inner strength and patient activation were also significantly correlated with each other and with QoL (all p < 0.01). The chain mediation analysis revealed that family care not only directly predicted QoL but also exerted its influence through three significant indirect pathways: the independent mediation of inner strength, the independent mediation of patient activation, and the chain mediation from inner strength to patient activation. The total indirect effect was significant.
conclusionFamily care, as an external resource, may enhance QoL by fostering patients' inner strength, which in turn promotes proactive health behaviours. These findings support a "resource-psychology-behaviour" transformation pathway. They highlight the potential importance of moving beyond purely physiological care. To optimize long-term outcomes, healthcare professionals could consider developing interventions that integrate family support, psychological empowerment, and behavioural skills training.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.