Factors and Experiences of Self‐Management in Patients With Enterostomy: A Scoping Review and Synthetic Framework

This review aims to systematically and comprehensively identify the factors and experiences of self-management in patients with enterostomy and to develop a framework for synthesizing factors and experiences. A scoping review of studies focusing on factors and experiences of self-management in patients with enterostomy was conducted. A comprehensive search was conducted in seven databases (PubMed, CINAHL, Embase, Web of Science, CNKI, Wanfang, and China Biomedical Database). Fourteen studies (10 quantitative studies, 3 qualitative studies, and 1 study of nominal group technique approach) were included. The self-management framework for patients with enterostomy encompassed three systems, which were the personal system (sociodemographic variables, stoma, diet, exercise management, psychological status, and sexual and reproductive), the interpersonal system (families, peers, healthcare professionals), and the social systems (government, hospitals, and communities). Four key elements, including information, communication, support, and decision-making, interacted between the three systems. This scoping review developed a self-management framework for patients with enterostomy on the basis of King's Conceptual System, which can be utilized to develop systematic interventions for this population.