Enhancing Self-efficacy for Optimized Patient Outcomes Through the Theory of Symptom Self-management

Hoffman, Amy J.

doi:10.1097/ncc.0b013e31824a730a

Cited by 157 publications

(140 citation statements)

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“…Karakteristik pasien (umur, kondisi penyakit kronis, seks, dan stadium kanker) secara fisiologis dipengaruhi oleh gejala. Karakteristik ini berhubungan dengan tingkat keparahan dan kelelahan pasien (Hoffman, 2013).…”

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“…Selain itu, penilaian berkelanjutan efikasi diri membantu perawat dan pasien memahami dampak intervensi terhadap pencapaian kontrol gejala dan peningkatan hasil kesehatan (Hoffman, 2013;Peterson & Bredow, 2009). personal, dan integritas sosial).…”

Section: Pembahasanunclassified

“…Respon pasien terhadap tindakan yang diberikan selalu dievaluasi dan memperhatikan nilai-nilai perempuan sebagai individu pasien dengan penyakit kronis yang unik berdasarkan pengalaman masing-masing individu (Alligood, 2014;Hoffman, 2013;Schaefer, 1996;Resnick, 2005).…”

Section: Pembahasanunclassified

“…Seorang perawat harus mempertimbangkan berbagai faktor yang berkontribusi terhadap kemampuan pasien untuk mengelola gejala. Faktorfaktor ini termasuk fisiologis, psikologis, dan kontekstual karakteristik pasien ketika memilih intervensi yang bermanfaat untuk meningkatkan pengaruh yang terbaik dari efikasi diri pasien untuk beradaptasi dan melakukan pengelolaan terhadap gejala secara mandiri (Resnick, 2005;Schaefer, 1996;Hoffman, 2013). Kemandirian pasien berpengaruh positif terhadap gejala pada pasien kanker serviks dengan perdarahan.…”

Section: Pembahasanunclassified

“…Model ini juga melibatkan partisipasi secara aktif dari pasien dalam menyusun rencana keperawatan dan menentukan program perawatan kesehatan yang disesuaikan dengan tujuan akhir yang ingin dicapai (Schaefer, 1996;Hoffman, 2013).…”

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Portrait of Self Efficacy and Conservationmaternity Nursing Care on Patient With Cervical Cancer

Wuriningsih

2016

Nurscope

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ABSTRAKKanker serviks merupakan salahsatu penyakit kronik pada perempuan dengan berbagai gejala sepanjang hidup pasien. Proses adaptasi terhadap gejala merupakan bagian penting yang menjadi tanggung jawab pasien dengan penyakit kronis seperti kanker serviks. Model konservasi dan efikasi diri membantu perawat melalui kerangka kerja berdasarkan keempat prinsip konservasi yang diintegrasikan dengan keempat komponen efikasi diri. Integrasi kedua model ini dapat mewakili pandangan individu secara holistik, aktif, dan mandiri, serta melibatkan partisipasi secara aktif dari pasien dalam menyusun rencana keperawatan. Hal ini dapat membantu pasien untuk mengelola kehidupannya secara normal agar dapat bertahan dan meningkatkan status kesehatannya.Kata kunci: kanker serviks, integrasi teori konservasi dan efikasi diri. PORTRAIT OF SELF EFFICACY AND CONSERVATIONMATERNITY NURSING CARE ON PATIENT WITH CERVICAL CANCER ABSTRACTCervical cancer is one of the main chronic diseases in women with a variety of symptoms throughout the patient's life. The adaptation process of the symptoms is an important part which is the responsibility of patients with chronic diseases such as cervical cancer. Conservation and self-efficacy models can assist nurses through a framework based on four principles of conservation that are integrated with all four components of self-efficacy. The integration of these two models can represent the views of individual holistically, active, and independent, and involves the active participation of the patient in the nursing plan. This can help patients to manage a normal life in order to survive and improve their health status.Keywords: cervical cancer, the integration of conservation and self-efficacy theory. PENDAHULUANPreinvasive kanker serviks biasanya tanpa gejala dan sudah diderita selama ±10-15 tahun. Pada tahap awal, kanker dapat terdeteksi selama prosedur skrining, namun sebagian besar perempuan memiliki kesadaran yang rendah untuk melakukan pemeriksaan baik melalui test paps smear maupun inspeksi visual dengan asam asetat (IVA) (Miller, Waters, Mody, & Tams, 2015). Hasil penelitian Gupta, Sitimani, & Gupta (2015) menunjukkan bahwa dari 171 perempuan yang mengetahui tentang kanker serviks, hanya 24,5 % (42 perempuan) yang melakukan prosedur skrining.

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Portrait of Self Efficacy and Conservationmaternity Nursing Care on Patient With Cervical Cancer

Wuriningsih

2016

Nurscope

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Enhancing Outpatient Symptom Management in Patients With Head and Neck Cancer

Noel

Baran

et al. 2022

JAMA Otolaryngol Head Neck Surg

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IMPORTANCEPatients with head and neck cancer manage a variety of symptoms at home on an outpatient basis. Clinician review alone often leaves patient symptoms undetected and untreated. Standardized symptom assessment using patient-reported outcomes (PROs) has been shown in randomized clinical trials to improve symptom detection and overall survival, although translation into real-world settings remains a challenge. OBJECTIVE To better understand how patients with head and neck cancer cope with cancer-related symptoms and to examine their perspectives on standardized symptom assessment. DESIGN, PARTICIPANTS, AND SETTINGThis was a qualitative analysis using semistructured interviews of patients with head and neck cancer and their caregivers from November 2, 2020, to April 16, 2021, at a regional tertiary center in Canada. Purposive sampling was used to recruit a varied group of participants (cancer subsite, treatment received, sociodemographic factors). Drawing on the Supportive Care Framework, a thematic approach was used to analyze the data. Data analysis was performed from November 2, 2020, to August 2, 2021. MAIN OUTCOMES AND MEASURESPatient perception of ambulatory symptom management and standardized symptom assessment. RESULTS Among 20 participants (median [range] age, 59.5 [33-74] years; 9 [45%] female; 13 [65%] White individuals), 4 themes were identified: (1) timely physical symptom management, (2) information as a tool for symptom management, (3) barriers to psychosocial support, and (4) external factors magnifying symptom burden. Participants' perceptions of standardized symptom assessment varied. Some individuals described the symptom monitoring process as facilitating self-reflection and symptom detection. Others felt disempowered by the process, particularly when symptom scores were inconsistently reviewed or acted on. CONCLUSIONS AND RELEVANCEThis qualitative analysis provides a novel description of head and neck cancer symptom management from the patient perspective. The 4 identified themes and accompanying recommendations serve as guides for enhanced symptom monitoring.

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How should we “empower” cancer patients?

Kaur

2014

Cancer

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"Empowerment" is a hot topic in health research these days. A quick Medline search using the phrase "patient empowerment" elicits over 500 recent articles. In this edition of Cancer, our Canadian colleagues provide us with 2 articles that analyze a simple, validated instrument to assess how we empower cancer patients. 1,2 Their definition of empowerment is a sense of control over one's life and, thus, better coping. Empowerment should occur throughout the cancer continuum of care. Maunsell and colleagues used 2 populations-a population-based cancer registry and the Canadian Cancer Society's information and peer-support programs. Five (of 8) components of the Health Education Impact Questionnaire (heiQ) correlated strongly with the construct of "empowerment"-social integration and support, health service navigation, constructive attitudes and approaches, skill and technique acquisition, and emotional distress. Lauzier's group then used these indicators to evaluate cancer organizations' support services. The stated goal of support services is to empower patients so they can become partners with their providers in optimizing care. These 2 articles provide important steps in understanding what works in the realm of patient support rather than assuming a priori that the services provided are effective.Recent efforts in research on quality of life, patient navigation, 3-6 and the use of support groups have had various impacts, likely because different scales were measuring different but related dimensions of empowerment. The effectiveness of patient navigation in overcoming barriers to cancer screening has been well documented. 7,8 Clinical practice guidelines are being proposed for everything from psychosocial to spiritual care of the cancer survivor, all with the intent to "empower" our patients. 9,10 New research is focusing on patient-reported outcomes in clinical trials with the development of reporting standards. 11,12 Oncology research has evolved in recent years beyond studying the drugs, side effects, and years of survival to understanding the totality of the cancer experience. Indeed, oncology is now following the pattern of other chronic diseases to investigate how management of the patient changes over the course of disease. An accumulating body of evidence indicates that chronic illness self-management programs worldwide are improving health outcomes. 13 More and more, cancer patients are included in the chronic disease category, and almost all support and management occurs outside the clinic and hospital settings. Studies have investigated specific diseases, such as chronic myeloid leukemia and other cancers, using oncology nurses to assess patient self-management of symptoms. 14,15 Others have assessed the impact of patient navigation on compliance with treatment such as radiation therapy. 1 Cancer survivorship plans have now being analyzed to help patients and families navigate post-treatment long-term needs. 16,17 There will continue to be increased need for patients and families to self-manage during...

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Enhancing Self-efficacy for Optimized Patient Outcomes Through the Theory of Symptom Self-management

Cited by 157 publications

References 50 publications

Portrait of Self Efficacy and Conservationmaternity Nursing Care on Patient With Cervical Cancer

Portrait of Self Efficacy and Conservationmaternity Nursing Care on Patient With Cervical Cancer

Enhancing Outpatient Symptom Management in Patients With Head and Neck Cancer

How should we “empower” cancer patients?

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