Physical Activity: A Systematic Review to Inform Nurse Recommendations During Treatment for Colorectal Cancer

Hirschey, Rachel; Nance, Jennifer; Hoover, Rebecca; Triglianos, Tammy; Coffman, Erin; Horrell, Lindsey N.; Walker, Jennifer; Bryant, Ashley Leak; Valle, Carmina G.

doi:10.1188/21.cjon.697-705

Cited by 5 publications

(1 citation statement)

References 37 publications

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“…Many ostomates lack the necessary knowledge and skills for exercising with a stoma, including knowing the appropriate methods, timing, and frequency. Physical activity has been shown to be beneficial in promoting the recovery of cancer patients, improving their quality of life, and reducing the risk of cancer recurrence and mortality [51]. However, surveys indicate that ostomates engage in low levels of physical activity, with walking being the primary form of exercise and limited understanding of other exercise options [52].…”

Section: Self-management Behaviors Of Ostomates Needs To Be Improvedmentioning

confidence: 99%

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

Ma,

Zhang,

et al. 2024

Preprint

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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.

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Section: Self-management Behaviors Of Ostomates Needs To Be Improvedmentioning

confidence: 99%