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Self-care as a mediator between symptom-management self-efficacy and quality of life in women with breast cancer.


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 (? = 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.

SUBMITTER: Chin CH 

PROVIDER: S-EPMC7861359 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

Self-care as a mediator between symptom-management self-efficacy and quality of life in women with breast cancer.

Chin Chia-Hui CH   Tseng Ling-Ming LM   Chao Ta-Chung TC   Wang Tsae-Jyy TJ   Wu Shu-Fang SF   Liang Shu-Yuan SY  

PloS one 20210204 2


<h4>Background</h4>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.<h4>Objective</h4>The purpose of this study was to examine the relationship between symptom-management self-efficacy and qual  ...[more]

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