关键词: 造口, 沐浴, 影响因素分析, 护理

Abstract:

Objective To evaluate the current status of knowledge，attitudes，and practices（KAP） regarding home bathing among ostomy patients and analyze the influencing factors，aiming to provide targeted improvement suggestions for clinical nursing practice. Methods A convenient sampling method was used to select 435 ostomy patients who were followed up at specialized ostomy care clinics in 16 tertiary hospitals across 11 prefecture-level cities in Zhejiang Province from July to October 2023. Data were collected using a general information survey and a questionnaire assessing KAP of home bathing for ostomy patients. Univariate analysis and multiple linear regression analysis were conducted to explore the influencing factors. Results A total of 418 valid questionnaires were recovered，with an effective recovery rate of 96.09%. The scores on the Ostomy Patients’ Home Bathing KAP Assessment Questionnaire ranged from 40 to 104 points（72.32±12.95），with a passing score of 72 points. 221 patients passed，achieving a pass rate of 52.87%. Multiple linear regression analysis showed that educational level，type of caregivers，postoperative time，and changes in postoperative bathing methods and frequency were significant influencing factors for the current status of home bathing among ostomy patients（P<0.05）. Conclusion Ostomy patients have a moderate level of knowledge about home bathing，a relatively negative attitude，and behaviors that need improvement. It is recommended that clinical nursing staff timely assess the bathing abilities and needs of patients，develop personalized bathing guidance and follow-up plans based on specific circumstances，promote self-care awareness，assist in the early recovery of bathing habits，and thereby enhance the knowledge，attitudes，and practices of home bathing in patients with ostomy to meet their hygiene needs.

Key words: Ostomy, Bathing, Root Cause Analysis, Nursing Care