Mediating effect of chronic disease self-efficacy between fatigue and social support in breast cancer patients undergoing chemotherapy
10.3760/cma.j.cn115682-20210617-02659
- VernacularTitle:慢性病自我效能感在乳腺癌术后化疗患者疲乏和社会支持间的中介作用
- Author:
Fawei QIN
1
;
Meifeng LIU
;
Fuxia LI
;
Hongling YIN
;
Yue ZHAI
;
Hongyuan CHEN
;
Lijuan YANG
Author Information
1. 山东第一医科大学附属省立医院肿瘤微创手术室，济南 250021
- Keywords:
Breast neoplasms;
Drug therapy;
Fatigue;
Chronic disease self-efficacy;
Social support
- From:
Chinese Journal of Modern Nursing
2022;28(5):596-601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of chronic disease self-efficacy between fatigue and social support in breast cancer patients undergoing chemotherapy.Methods:This study was a cross-sectional study. From July 2020 to April 2021, convenience sampling was used to select 376 patients with breast cancer undergoing chemotherapy in the Shandong Provincial Hospital Affiliated to Shandong First Medical University as the research object. The General Information Questionnaire, Fatigue Scale-14, Chronic Disease Self-Efficacy Scale and Social Support Rating Scale were used to investigate the patients. Structural equation modeling was used to test the mediating effect among variables. A total of 376 questionnaires were distributed, and 372 valid questionnaires were recovered, with a valid recovery rate of 98.94%.Results:Among 372 breast cancer patients undergoing chemotherapy, the total scores of the Fatigue Scale-14, Chronic Disease Self-Efficacy Scale and Social Support Rating Scale were (10.61±1.81) , (5.00±2.53) and (43.42±12.59) , respectively. Chronic disease self-efficacy was positively correlated with social support in breast cancer patients undergoing chemotherapy ( r=0.493-0.648, P<0.01) , and social support was negatively correlated with fatigue ( r=-0.703--0.234, P<0.01) , and self-efficacy was negatively correlated with fatigue ( r=-0.729--0.220, P<0.01) . Chronic disease self-efficacy played a partial mediating role between fatigue and social support in breast cancer patients undergoing chemotherapy (β=-0.335, P<0.01) , and the mediating effect accounted for 47.59% of the total effect. Conclusions:Social support can indirectly affect fatigue through chronic disease self-efficacy in breast cancer patients undergoing chemotherapy. Nurses should focus on improving the chronic disease self-efficacy and social support of breast cancer patients undergoing chemotherapy.
