Chia-Hui Chin1, Ling-Ming Tseng2, Ta-Chung Chao2, Tsae-Jyy Wang3, Shu-Fang Wu3, Shu-Yuan Liang3. 1. Department of Nursing, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. 2. Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. 3. College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Abstract
BACKGROUND: The important role of self-efficacy in facilitating health behavior and, in turn, promoting health outcomes has been widely presumed in the theoretical literature. However, little research has focused on the mechanism by which self-care mediates the relationship between symptom-management self-efficacy and quality of life (QOL) in breast cancer patients. OBJECTIVE: The purpose of this study was to examine the relationship between symptom-management self-efficacy and quality of life in Taiwanese oncology outpatients with breast cancer and then proposes self-care as a mediator between these two factors. METHODS: This cross-sectional study enrolled 201 oncology outpatients at one teaching hospital in metropolitan Taipei City, Taiwan. The research instruments included the Symptom-Management Self-Efficacy Scale-Cancer (SMSES-Breast Ca.), the Self-Care Scale, and the European Organization for Research & Treatment of Cancer Quality of Life Group Questionnaire (EORTC-QLQ-C30). RESULTS: Symptom-management self-efficacy (SMSE) was directly associated with the QOL of the participants (β = 5.94, p < .001). Moreover, SMSE was indirectly associated with QOL through self-care. Self-care was found to mediate the relationship between symptom-management self-efficacy and global QOL (indirect effect = 0.54, 95% CI 0.12 to 1.18). The level of 95% CI was significant. CONCLUSIONS: The present study supports that self-efficacy beliefs and self-care both significantly and positively influence the quality of life of patients.
BACKGROUND: The important role of self-efficacy in facilitating health behavior and, in turn, promoting health outcomes has been widely presumed in the theoretical literature. However, little research has focused on the mechanism by which self-care mediates the relationship between symptom-management self-efficacy and quality of life (QOL) in breast cancerpatients. OBJECTIVE: The purpose of this study was to examine the relationship between symptom-management self-efficacy and quality of life in Taiwanese oncology outpatients with breast cancer and then proposes self-care as a mediator between these two factors. METHODS: This cross-sectional study enrolled 201 oncology outpatients at one teaching hospital in metropolitan Taipei City, Taiwan. The research instruments included the Symptom-Management Self-Efficacy Scale-Cancer (SMSES-Breast Ca.), the Self-Care Scale, and the European Organization for Research & Treatment of Cancer Quality of Life Group Questionnaire (EORTC-QLQ-C30). RESULTS: Symptom-management self-efficacy (SMSE) was directly associated with the QOL of the participants (β = 5.94, p < .001). Moreover, SMSE was indirectly associated with QOL through self-care. Self-care was found to mediate the relationship between symptom-management self-efficacy and global QOL (indirect effect = 0.54, 95% CI 0.12 to 1.18). The level of 95% CI was significant. CONCLUSIONS: The present study supports that self-efficacy beliefs and self-care both significantly and positively influence the quality of life of patients.
Authors: Jennifer E Heckman; Karim Chamie; Sally L Maliski; Arlene Fink; Lorna Kwan; Sarah E Connor; Mark S Litwin Journal: J Urol Date: 2011-09-25 Impact factor: 7.450
Authors: N K Aaronson; S Ahmedzai; B Bergman; M Bullinger; A Cull; N J Duez; A Filiberti; H Flechtner; S B Fleishman; J C de Haes Journal: J Natl Cancer Inst Date: 1993-03-03 Impact factor: 13.506
Authors: Ulla-Sisko Lehto; Markku Ojanen; Anna Väkevä; Tadeusz Dyba; Arpo Aromaa; Pirkko Kellokumpu-Lehtinen Journal: Qual Life Res Date: 2018-12-03 Impact factor: 4.147