Caregiver contribution to self-care and its associated variables among caregivers of ostomy patients : Results of a cross-sectional study

Journal article


Giordano, Vittoria, Iovino, Paolo, Corvese, Francesco, Vellone, Ercole, Alvaro, Rosaria and Villa, Giulia. (2022). Caregiver contribution to self-care and its associated variables among caregivers of ostomy patients : Results of a cross-sectional study. Journal of Clinical Nursing. 31(1-2), pp. 99-110. https://doi.org/10.1111/jocn.15851
AuthorsGiordano, Vittoria, Iovino, Paolo, Corvese, Francesco, Vellone, Ercole, Alvaro, Rosaria and Villa, Giulia
Abstract

Aims and objectives
To describe caregiver contribution (CC) to ostomy self-care and identify its associated variables among caregivers of ostomy patients.

Background
Self-care is essential for ostomy patients, but it can be difficult to perform. In these cases, caregivers play a key role in promoting self-care behaviours. So far, the CC to ostomy self-care has not been investigated thoroughly.

Design
This is a cross-sectional and multicentre study conducted at seven outpatient clinics of two Italian regions.

Methods
We recruited 252 caregivers between February 2017–May 2018. The Caregiver Contribution to Ostomy Self-Care Index (CC-OSCI) was used to measure CC to ostomy self-care. Three multivariable linear regression models were fitted to identify variables associated with CC dimensions (maintenance, monitoring and management). The STROBE checklist was used to report the present study.

Results
The sample (mean age = 58.73, SD = 13.98) was mostly female (80.60%), unemployed (58.70%) and resided with the patient (81.00%). Caregivers being employed and those declaring more hours of contribution per week were associated with a significantly lower contribution to self-care maintenance. Caregivers with lower levels of education and those residing with the patient were less likely to contribute to CC to self-care monitoring. Spousal caregivers and those with higher preparedness contributed significantly lower to CC to self-care management.

Conclusions
We found a variety of sociodemographic factors associated with CC to ostomy self-care.

Relevance to clinical practice
Sociodemographic variables associated with CC to ostomy self-care can help clinicians develop more tailored educational interventions for caregivers who find their contribution challenging.

Keywordsassociated variables; caregivers; contribution; cross-sectional study; nursing; ostomy; self-care
Year2022
JournalJournal of Clinical Nursing
Journal citation31 (1-2), pp. 99-110
PublisherJohn Wiley & Sons Ltd
ISSN0962-1067
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.15851
PubMed ID34121255
Scopus EID2-s2.0-85107729850
Page range99-110
FunderCentre of Excellence for Nursing Scholarship (CECRI)
Lega Italiana Lotta contro i Tumori (LILT)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online13 Jun 2021
Publication process dates
Accepted23 Apr 2021
Deposited03 Nov 2023
Grant ID2.16.22
2016/U0114
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