Effect of self-efficacy on self-management ability for colorectal cancer patients with stoma: a path analysis.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2024-10-12 DOI:10.1007/s00520-024-08883-8

Mengya Xu, Huanyun Wang, Wenting Wang, Zhaowei Xing, Fei Lu, Ruonan Yi, Wenyuan Ma, Emerson Galang Aliswag, Jianghua Wu

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Abstract

Purpose: Colorectal cancer threatens health and causes heavy social burdens. The purpose of this study is to analyze the pathway model for the effect of self-efficacy on self-management ability in colorectal cancer patients with stoma.

Methods: A cross-sectional study was conducted from December 2022 to April 2023, with a convenience sample of 422 colorectal cancer patients with stoma at six tertiary grade A hospitals in Shandong Province, China. Statistical analysis was undertaken using SPSS 26.0 and Amos 24.0 software. A pathway model based on individual and family self-management theories was developed and analyzed by collecting data through onsite survey and online survey.

Results: Chinese colorectal cancer patient's self-management ability score is 105.19 (17.19), which shows medium-level self-management ability. The self-efficacy of colorectal cancer patients with a stoma is influenced by social support, which ultimately leads to changes in their self-management ability.

Conclusion: The findings may help healthcare professionals to identify the factors that influence self-management skills of colorectal cancer patients with stoma and provide a basis for developing interventions.

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造口大肠癌患者自我效能感对自我管理能力的影响：路径分析。

目的：大肠癌威胁健康并造成沉重的社会负担。本研究旨在分析造口大肠癌患者自我效能感对自我管理能力影响的路径模型：方法：本研究于 2022 年 12 月至 2023 年 4 月在山东省 6 家三级甲等医院进行了一项横断面研究，方便抽样调查了 422 名带造口的结直肠癌患者。统计分析采用 SPSS 26.0 和 Amos 24.0 软件进行。通过现场调查和在线调查收集数据，建立并分析了基于个人和家庭自我管理理论的路径模型：中国结直肠癌患者的自我管理能力得分为 105.19 分（17.19），自我管理能力处于中等水平。造口大肠癌患者的自我效能受社会支持的影响，最终导致其自我管理能力的变化：研究结果有助于医护人员识别影响造口大肠癌患者自我管理能力的因素，并为制定干预措施提供依据。

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.