Mediating and modulating effects of self-efficacy between health literacy and quality of life in patients with esophagus cancer receiving chemotherapy
10.3760/cma.j.issn.1674-2907.2019.08.019
- VernacularTitle:自我效能在食管癌化疗患者健康素养与生活质量间的中介效应及调节效应
- Author:
Hongping CHENG
1
;
Qingpu LU
;
Hongmei YANG
Author Information
1. 长治医学院附属和平医院护理部
- Keywords:
Esophagus neoplasms;
Quality of Life;
Self-efficacy;
Health literacy;
Mediating effect;
Modulating effect;
Chemotherapy
- From:
Chinese Journal of Modern Nursing
2019;25(8):1004-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To analyze the mediating and modulating effects of self-efficacy between health literacy and quality of life in patients with esophagus cancer receiving chemotherapy. Methods? Totally 105 patients receiving chemotherapy for esophagus cancer in Heping Hospital Affiliated to Changzhi Medical University from January 2015 to December 2017 were selected by convenient sampling and investigated with General Self Efficacy Scale (GSES), Health Literacy Management Scale (HeLMS) and Spitzer Quality of Life Index (SQLI). Pearson correlation analysis was used to analyze the correlation between the patients' self-efficacy, health literacy and quality of life, and regression analysis was used to mediating and modulating effects between the variables. Results? The average self-efficacy score, health literacy score and quality of life score of the 105 patients were (2.38±0.47), (86.65±12.29) and (4.94±0.55), respectively. Pearson correlation analysis showed that self-efficacy was positively correlated with health literacy and quality of life (r=0.517, 0.462; P＜0.05). Self-efficacy showed mediating effects between health literacy and quality of life in the patients with esophagus cancer, which accounted for 34.82% in the total effect. Regression analysis showed that the regression coefficient of the interacting "health literacy×self-efficacy" was statistically significant (β'=0.015,t=2.718;P＜ 0.01), whose mediating effect was significant (ΔR2=0.018, P＜ 0.01). Conclusions? Self-efficacy has mediating and modulating effects between health literacy and quality of life in patients receiving chemotherapy for esophagus cancer.
