Yingzi Zhang1, Kristine Kwekkeboom, Marcia Petrini. 1. Author Affiliations: School of Nursing, Wuhan University, Wuhan, Hubei, China (Ms Zhang and Dr Petrini); and School of Nursing, University of Wisconsin-Madison (Ms Zhang and Dr Kwekkeboom).
Abstract
BACKGROUND: Treatment for breast cancer causes uncertainty in the face of new and distressing experiences and often results in the need for self-care. Identifying how uncertainty influences self-care behavior is essential to design interventions that enhance self-care capacity and improve patient outcomes. OBJECTIVES: The aims of this study were to describe the levels of uncertainty, self-efficacy, and self-care behavior in Chinese women receiving chemotherapy for breast cancer and to determine if self-efficacy mediates the relationship between uncertainty and self-care behavior. METHODS: A cross-sectional descriptive correlational design was used. Ninety-seven participants completed the Generalized Self-efficacy Scale, the Mishel Uncertainty in Illness Scale, and the Appraisal of Self-care Agency Scale-Revised. Descriptive statistics were used to analyze the levels of uncertainty, self-efficacy, and self-care behaviors in the sample. Multiple regression was used to test the mediating effect of self-efficacy in the relationship between uncertainty and self-care behavior. RESULTS: Mean ratings of uncertainty (76.70), self-efficacy (27.15), and self-care behavior (53.96) all fell in the moderate range. Both uncertainty and self-efficacy independently predicted self-care behavior, explaining 18.2% of the variance, but self-efficacy did not mediate the relationship between uncertainty and self-care behavior. CONCLUSIONS: Research is needed to further evaluate the proposed relationships using instruments specific to/related to cancer and evaluate change over time. Self-care interventions that have been efficacious in Western populations could be revised to assist Chinese women to reduce uncertainty and enhance self-efficacy in coping with breast cancer. IMPLICATIONS FOR PRACTICE: Self-care intervention programs should include strategies to reduce uncertainty and enhance self-efficacy in coping with breast cancer treatment.
BACKGROUND: Treatment for breast cancer causes uncertainty in the face of new and distressing experiences and often results in the need for self-care. Identifying how uncertainty influences self-care behavior is essential to design interventions that enhance self-care capacity and improve patient outcomes. OBJECTIVES: The aims of this study were to describe the levels of uncertainty, self-efficacy, and self-care behavior in Chinese women receiving chemotherapy for breast cancer and to determine if self-efficacy mediates the relationship between uncertainty and self-care behavior. METHODS: A cross-sectional descriptive correlational design was used. Ninety-seven participants completed the Generalized Self-efficacy Scale, the Mishel Uncertainty in Illness Scale, and the Appraisal of Self-care Agency Scale-Revised. Descriptive statistics were used to analyze the levels of uncertainty, self-efficacy, and self-care behaviors in the sample. Multiple regression was used to test the mediating effect of self-efficacy in the relationship between uncertainty and self-care behavior. RESULTS: Mean ratings of uncertainty (76.70), self-efficacy (27.15), and self-care behavior (53.96) all fell in the moderate range. Both uncertainty and self-efficacy independently predicted self-care behavior, explaining 18.2% of the variance, but self-efficacy did not mediate the relationship between uncertainty and self-care behavior. CONCLUSIONS: Research is needed to further evaluate the proposed relationships using instruments specific to/related to cancer and evaluate change over time. Self-care interventions that have been efficacious in Western populations could be revised to assist Chinese women to reduce uncertainty and enhance self-efficacy in coping with breast cancer. IMPLICATIONS FOR PRACTICE: Self-care intervention programs should include strategies to reduce uncertainty and enhance self-efficacy in coping with breast cancer treatment.
Authors: Dena Schulman-Green; Sarah Linsky; Sangchoon Jeon; Margaret L Holland; Jennifer Kapo; Leslie Blatt; Catherine Adams; Anees B Chagpar Journal: Cancer Nurs Date: 2022-03-29 Impact factor: 2.760
Authors: Pearman D Parker; Sue P Heiney; Swann Arp Adams; Daniela B Friedman; Robin M Dawson Journal: Appl Nurs Res Date: 2020-07-23 Impact factor: 2.257
Authors: Kristin L Rising; Rhea E Powell; Kenzie A Cameron; David H Salzman; Dimitrios Papanagnou; Amanda M B Doty; Lori Latimer; Katherine Piserchia; William C McGaghie; Danielle M McCarthy Journal: Acad Med Date: 2020-07 Impact factor: 6.893