ArticleFrontiers in public health2026
Understanding patients' self-management after enterostomy: knowledge, attitudes, and practices in a cross-sectional study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Few studies have explored the knowledge, attitudes, and practices (KAP) related to self-management among post-enterostomy patients, particularly in China. Such understanding is crucial for developing targeted interventions that improve long-term recovery, quality of life, and healthcare resource utilization. This study aimed to fill this gap by examining KAP levels and their interrelationships in this population. Methods: A cross-sectional survey was conducted at the China-Japan Friendship Hospital between March 15 and May 15, 2024, using a structured questionnaire with confirmed reliability (Cronbach's α = 0.825, 0.748, and 0.770, respectively) and validity. Results: A total of 497 valid responses were analyzed. The median scores for KAP were 12.00 (IQR: 11.00-13.00), 41.00 (IQR: 35.00-47.00), and 70.00 (IQR: 63.00-77.00), respectively. Path analysis revealed that knowledge improved attitudes, which subsequently promoted better self-management practices. Bootstrapping analysis confirmed a significant indirect effect of knowledge on practice through the mediating role of attitudes (β = 0.262, 95% CI [0.089, 0.451]). Conclusion: This study provides new evidence that attitudes mediate the relationship between knowledge and self-management practices among post-enterostomy patients. It highlights the scientific value of applying the KAP framework to this population and underscores the need for attitude-focused education, structured follow-up, and psychosocial support. Future research should explore longitudinal interventions to sustain long-term self-managemente improvements.
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