KNOWLEDGE AND ATTITUDES TOWARD SELF-CARE AMONG PATIENTS WITH COLOSTOMIES AT HANOI MEDICAL UNIVERSITY HOSPITAL IN 2025
Main Article Content
Abstract
Objectives: To describe the current status of knowledge and attitudes toward ostomy self-care and to identify factors associated with knowledge and attitudes among patients with ostomies at Hanoi Medical University Hospital in 2025.
Subjects and methods: A cross-sectional descriptive study was conducted among 74 patients with ostomies who were receiving inpatient treatment or follow-up care at the Colorectal and Pelvic Floor Surgery Department, Hanoi Medical University Hospital from January to April 2025. Patients’ ostomy self-care knowledge was assessed using a 29-item multiple-choice questionnaire. Attitudes toward ostomy self-care were measured using a 6-item questionnaire. Data were processed and analyzed using SPSS version 26.0, applying descriptive statistics and Chi-square tests to examine associations between variables.
Results: The majority of patients were male (63.5%). The mean age was 61.22 ± 14.23 years. Overall, 75.7% of patients demonstrated adequate ostomy self-care knowledge. The highest knowledge scores were observed in the nutrition domain (81%), whereas other domains, including ostomy care techniques, management of complications, and lifestyle-related practices, remained limited. Regarding attitudes, only 13.5% of patients exhibited a positive attitude toward ostomy self-care; 60.8% had a neutral attitude, and 25.7% had a negative attitude. Knowledge was significantly associated with age, educational level, occupation, sources of information, and duration of living with an ostomy (p < 0.05). In addition, a statistically significant association was found between knowledge and attitudes toward ostomy self-care (p = 0.036).
Conclusion: Patients’ knowledge and attitudes toward ostomy self-care remain limited. Strengthening health education and communication activities, providing individualized counseling, and offering psychological support are necessary to improve self-care effectiveness and enhance the quality of life of patients with ostomies.
Article Details
Keywords
Knowledge, attitude, self-care, patients, ostomy, Hanoi Medical University Hospital.
References
[2] Krouse R.S et al. A chronic care ostomy self-management program for cancer survivors. Psychooncology, 2016, 25 (5): 574-581. doi: 10.1002/pon.4070
[3] Abdelmohsen S.A. Effectiveness of structured education on patient’s knowledge and practice regarding colostomy care. Asia Pacific Journal of Oncology Nursing, 2020, 7 (4): 370-374. doi: 10.4103/apjon.apjon_24_20
[4] Aluzaite K et al. Quality of life in postostomy surgery patients: a cross-sectional survey. JGH Open, 2020, 4 (5): 987-994. doi: 10.1002/jgh3.12383
[5] Ngo T.D, Hawks M et al. Self-care knowledge in patients with intestinal stomas in a selected hospital in the South of Vietnam: a descriptive cross-sectional study. Belitung Nursing Journal, 2023, 9 (4): 331-338. doi: 10.33546/bnj. 2711
[6] Võ Thị Thanh Tuyền. Đo lường kiến thức, thái độ và thực hành tự chăm sóc của người bệnh có hậu môn nhân tạo tại Bệnh viện miền Nam Việt Nam. Tạp chí Y học thành phố Hồ Chí Minh, 2019, Phụ bản tập 23 (5): 218-223.
[7] Lê Thị Hoàn. Kiến thức, thái độ và thực hành của người bệnh tự chăm sóc hậu môn nhân tạo. Tạp chí Y học thành phố Hồ Chí Minh, 2013, 4 (17): 209-216.
[8] Phạm Thị Huế và cộng sự. Đánh giá thực trạng người bệnh tự chăm sóc hậu môn nhân tạo. Tạp chí Y Dược lâm sàng 108, 2020, 15 (số đặc biệt Hội nghị khoa học Điều dưỡng Bệnh viện TWQĐ 108 năm 2020): 259-264.
[9] Trần Thị Khang Ninh. Khảo sát kiến thức, thái độ, thực hành tự chăm sóc hậu môn nhân tạo của người bệnh tại Bệnh viện Trung ương Huế. Luận văn thạc sĩ y học, Trường Đại học Y Dược, Đại học Huế, 2023.
[10] Shanmugam R.S et al. Assess the knowledge, attitude and practice on ostomy care among ostomates attending stoma clinic. Asia Pacific Journal of Research, 2016, I (XXXVIII): 201-203.