Impact of health literacy on self-management in postoperative chemotherapy patients with colorectal cancer: the chain-mediated effects of coping style and fear of progression
10.3760/cma.j.cn211501-20240714-01853
- VernacularTitle:结直肠癌术后化疗患者健康素养对自我管理的影响：应对方式和恐惧疾病进展的链式中介效应
- Author:
Yue SUN
1
;
Dequan WU
;
Wenqian CAI
;
Bo LIU
;
Jiao CHEN
Author Information
1. 安徽医科大学护理学院，合肥 230601
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Health literacy;
Self-management;
Coping style;
Fear of progression
- From:
Chinese Journal of Practical Nursing
2025;41(15):1129-1136
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of coping style and fear of disease progression between health literacy and self-management in postoperative chemotherapy patients with colorectal cancer. It provided a theoretical basis for improving the self-management ability of postoperative chemotherapy patients with colorectal cancer.Methods:Convenience sampling method was used to select postoperative chemotherapy patients with colorectal cancer admitted to the Second Affiliated Hospital of Anhui Medical University from October 2023 to May 2024, and a cross-sectional survey was conducted using Health Literacy Management Scale, Medical Coping Modes Scale, Fear of Progression Questionnaire-Short Form, and Cancer Patient Self-Management Assessment Scale.Results:A total of 229 questionnaires were distributed, of which 220 were returned as valid questionnaires, including 142 males and 78 females, aged (60.05 ± 10.14) years. The total health literacy score was (85.30 ± 9.45) points and self-management score was (150.36 ± 14.10) points among patients undergoing postoperative chemotherapy for colorectal cancer. Self-management was positively correlated with health literacy and facing ( r=0.576, 0.525, both P<0.01), while negatively correlated with avoidance, yielding, and fear of disease progression ( r=-0.660, -0.616, -0.566, all P<0.01). The mediation model showed that facing coping style and fear of disease progression had a chained mediation effect of 0.050 between health literacy and self-management, accounting for 8.36% of the total effect. Conclusions:Self-management in patients with postoperative chemotherapy for colorectal cancer was moderately low. The chain mediating role of coping style and fear of disease progression between health literacy and self-management in postoperative chemotherapy patients with colorectal cancer was established. Nursing staff should strengthen health education for postoperative chemotherapy patients with colorectal cancer, guide patients to face the disease positively, reduce fear, and promote patient self-management.
