Cancer survivors' self-efficacy to self-manage in the year following primary treatment
Cancer survivors' self-efficacy to self-manage in the year following primary treatment
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DOI：
10.1007/s11764-014-0384-0
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发表时间：
2015-03-01
影响因子：
3.7
通讯作者：
Smith, P. W.
中科院分区：
文献类型：
--
作者：
Foster, C.;Breckons, M.;Smith, P. W.
人们越来越期望癌症幸存者自己管理癌症的后果及其治疗。有证据表明，自我效能感对成功的自我管理很重要，并且可以通过支持来增强。本研究的目的是评估自我效能在初次治疗后处理问题的能力。这项横断面在线调查包括在过去12个月内完成治疗的癌症幸存者。对自我效能感进行了评估，并使用有效的量表测量了与自我效能感相关的变量，包括生活质量、幸福感、疾病感知、抑郁和社会支持。182名受访者（平均年龄50岁，81%为女性）完成了调查。他们接受了一系列癌症的治疗；最常见的是乳房（45%）。自我效能感的得分在个体之间和要处理的与疾病相关的任务中有所不同。受访者对控制疲劳最不自信，对获取有关癌症的信息最自信。最有可能报告低自我效能感的个体是女性，那些经历较高程度的疼痛和/或抑郁、较低的幸福评分、较低的社会经济地位、较低的社会支持水平或对癌症有更消极看法的人。自我效能，自我管理问题所面临的后果，癌症及其治疗，可以在治疗后的一年有很大的不同。疲劳可能特别难以控制。自我效能感的变化突出了评估所面临的具体问题和人们管理这些问题的信心的重要性，以便量身定制适当的自我管理支持。
Cancer survivors are increasingly expected to manage the consequences of cancer and its treatment for themselves. There is evidence that self-efficacy is important for successful self-management and that this can be enhanced with support. The purpose of this study was to assess self-efficacy to manage problems in the year following primary treatment.This cross-sectional online survey included cancer survivors who had completed their treatment within the past 12 months. Self-efficacy was assessed and variables expected to be associated with self-efficacy were measured using validated scales including quality of life, well-being, illness perceptions, depression and social support.One hundred eighty-two respondents (mean age 50; 81 % female) completed the survey. They had been treated for a range of cancers; most commonly breast (45 %). Self-efficacy scores varied between individuals and according to the illness-related task to be managed. Respondents were least confident in managing fatigue and most confident in accessing information about their cancer. Individuals most likely to report low self-efficacy were women, those experiencing higher levels of pain and/or depression, lower well-being scores, lower socio-economic status, low levels of social support, or a more negative perception of cancer.Self-efficacy to self-manage problems faced as a consequence of cancer and its treatment can vary widely in the year following treatment. Fatigue may be particularly difficult to manage.Variations in self-efficacy highlight the importance of assessing specific problems faced and people's confidence to manage them in order to tailor appropriate self-management support.