Mediating effect of self-management efficacy between social support and self-management behavior in cancer patients treated with proton heavy ions
10.3760/cma.j.cn115682-20210909-04089
- VernacularTitle:质子重离子治疗癌症患者自我管理效能感在社会支持和自我管理行为间的中介效应
- Author:
Guangyuan CHEN
1
;
Yu ZHU
;
Ziying WANG
;
Zhonghua FU
;
Xue HAN
;
Yuanyuan WANG
;
Youqing PENG
Author Information
1. 同济大学医学院，上海 200092
- Keywords:
Neoplasms;
Proton heavy ion therapy;
Self-management efficacy;
Self-management behavior;
Social support;
Mediation effect
- From:
Chinese Journal of Modern Nursing
2022;28(15):2000-2005
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of self-management efficacy between social support and self-management behavior in cancer patients treated with proton-heavy ions.Methods:From April 2020 to April 2021, convenience sampling was used to select 674 cancer patients in Shanghai Proton and Heavy Ion Center as the research subject. The patients were investigated with the General Information Questionnaire, Chronic Disease Self-Management Study Measures (CDSMS) , Chinese-version Strategies Used by People to Promote Health (C-SUPPH) , and Medical Outcome Study Social Support Survey (MOS-SSS) . Statistical analysis was performed using SPSS 24.0 and AMOS 24.0 software. Pearson correlation was used to calculate the correlation between variables, and a structural equation model was constructed to test the relationship between variables. A total of 674 questionnaires were distributed, 610 valid questionnaires were recovered, and the valid recovery rate was 90.5% (610/674) .Results:The total scores of self-management behavior, self-management efficacy, and social support in 610 cancer patients treated with proton heavy ions were (18.38±7.64) , (94.30±22.72) and (73.97±13.94) , respectively. Pearson correlation analysis showed that except for the dimension of life support with dimension of exercise, all the other dimension scores and the total score of patients' social support were positively correlated with all the dimension scores and the total score of self-management behaviors ( P<0.05) ; the dimension scores and the total score of patients' social support were positively correlated with the dimension scores and the total score of self-management efficacy ( P<0.05) ; the dimension scores and the total score of patients' self-management efficacy were positively correlated with the dimension scores and the total score of self-management behavior ( P<0.05) . Self-management efficacy had a partial mediating effect between social support and medical staff communication behavior, with an effect value of 23.4% ( P<0.05) . Conclusions:Cancer patients treated with proton-heavy ions have poor levels of self-management behavior. Nurses can improve the patients' self-efficacy and enhance the impact of social support on the patients' self-management behavior, so as to promote the precise realization and timely completion of proton heavy ion therapy.
