Analysis of factors influencing bone health literacy in middle-aged and older female breast cancer patients undergoing chemotherapy based on structural equation modeling
10.3760/cma.j.cn115682-20250331-01604
- VernacularTitle:基于结构方程模型的中老年女性乳腺癌化疗患者骨健康素养影响因素分析
- Author:
Ziyue GAI
1
;
Sijin GUO
;
Xiaoli MA
;
Shan ZHANG
;
Nannan WANG
;
Lin LIU
;
Yawen ZHENG
;
Baohua CAO
Author Information
1. 空军军医大学护理系临床护理学教研室，西安 710032
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Bone health literacy;
Perceived social support;
Self-efficacy;
Structural equation modeling
- From:
Chinese Journal of Modern Nursing
2025;31(31):4275-4280
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the status of bone health literacy in middle-aged and older female breast cancer patients undergoing chemotherapy and analyze its influencing factors using structural equation modeling.Methods:A convenience sampling method was used to select 250 middle-aged and older breast cancer patients undergoing chemotherapy in two tertiary hospitals in Xi'an from May to October 2024. Patients were surveyed using a general information questionnaire, the Bone Health Literacy Scale for Middle-Aged and Older Women, the Perceived Social Support Scale, and the General Self-Efficacy Scale. Pearson correlation analysis was used to examine the correlations among bone health literacy, perceived social support, and self-efficacy.Results:A total of 250 questionnaires were distributed, and 239 valid questionnaires were recovered, yielding an effective response rate of 95.6% (239/250). The mean score of the Bone Health Literacy Scale among the 239 patients was (39.71±8.16). Bone health literacy was positively correlated with perceived social support and self-efficacy ( P<0.01). Perceived social support directly affected bone health literacy and could also indirectly influence it through general self-efficacy, with an indirect effect value of 0.367, accounting for 45.2% of the total effect (0.367/0.812) . Conclusions:Healthcare professionals should implement effective interventions to enhance patients' perceived social support and strengthen their self-efficacy, thereby improving bone health literacy.
