Uncertainty, Self-efficacy, and Self-care Behavior in Patients With Breast Cancer Undergoing Chemotherapy in China

Lennerling

Journal of Clinical Nursing

et al. 2017

“…, Zhang et al . ). It is of vital importance to help the patient express uncertainty, as it is a factor with the potential to undermine self‐efficacy.…”

Section: Discussionmentioning

confidence: 97%

Self‐efficacy in the context of heart transplantation – a new perspective

Lennerling

Journal of Clinical Nursing

et al. 2017

“…Uncertainty, defined as the inability to determine the meaning of illness-related events [1], characterizes the chronic illness experience [2,3]. Uncertainty is important because it relates to self-management behaviors among those with chronic conditions [4]. For example, higher levels of uncertainty have been associated with worse self-management behaviors, resulting in poorer outcomes [4].…”

Section: Introductionmentioning

confidence: 99%

“…Uncertainty is important because it relates to self-management behaviors among those with chronic conditions [4]. For example, higher levels of uncertainty have been associated with worse self-management behaviors, resulting in poorer outcomes [4].…”

Section: Introductionmentioning

confidence: 99%

Uncertainty and the Duration of Disease in Adults with Type 1 Diabetes

Acuff

Jabson²

2016

PLAID

Objective: The purpose of this study was to investigate the relationship between type 1 diabetes duration and uncertainty. According to the Reconceptualized Uncertainty in Illness Theory, it was hypothesized that longer duration would be associated with less uncertainty. Research Design and Method: A sample of 379 people with type 1 diabetes recruited from the T1D Exchange completed an online survey. The online survey measured disease duration, uncertainty, and demographic characteristics. Multiple variable linear regression was calculated to test for an association between diabetes duration (in years) and uncertainty in diabetes self-management. Post hoc one-way analysis of variance with Tukey's HSD test was calculated to investigate uncertainty at five and ten-year disease duration intervals. Results: With adjustment for age, gender, and education, diabetes duration was negatively associated with uncertainty (b =-0.15, p = .03; 95% CI =-0.28,-0.01). Uncertainty was lowest among the 64 participants with a duration equal to or greater than 40 years (M=63.53, SD=15.04). In Tukey's HSD post hoc test, the mean difference on the uncertainty scores for 5 to < 10 years diabetes duration (n=38, M=72.66, SD=14.51) and 40 or more years diabetes duration was significant (p = 0.02, 95% CI = 0.81, 17.44). Conclusions: Individuals with longer disease duration reported less uncertainty related to self-management, and uncertainty varied by duration interval. These findings provide preliminary information about where to place behavioral interventions designed to reduce uncertainty among individuals with type 1 diabetes.

“…자기효능감은 바람직한 효과를 산출하는 행동을 성공적 으로 수행할 수 있다는 개인의 믿음으로 [5], 유방암 환자의 적 극적인 적응 과정에 가장 강력한 영향요인이며 [6], 자가간호행 위에 매우 중요한 요인으로 보고되고 있다 [7]. 유방암 생존자 에서 자기효능감은 투병의지, 희망, 신체적 ․ 정서적 ․ 사회적 기 능과 유의한 상관관계를 나타내고 있으며 [6], 일부 선행연구에 서는 자기효능감과 피로, 디스트레스와의 유의한 관련성이 있 는 것으로 보고되고 있다 [8][9][10].…”

unclassified

The Effects of Fatigue and Distress on Self-efficacy among Breast Cancer Survivors

Seo

Lim

2016

Korean J Adult Nurs

Purpose:The purpose of this study was to describe the impact of fatigue and distress on self-efficacy among breast cancer survivors and to provide a base for development of nursing intervention strategy to improve self-efficacy. Methods: A descriptive research design was used. The subjects were 158 patients who were either being treated or were receiving follow-up care at a university breast center in D City from May 30 to August 30, 2014. Structured questionnaires, Revised Piper Fatigue Scale, Distress Thermometer, and Self-Efficacy Scale for Self-Management of Breast Cancer were used to measure fatigue, distress, and self-efficacy. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regressions. Results: The mean scores of fatigue, distress, and self-efficacy were 3.83, 4.31, and 3.77, respectively. There were significant differences among participants in terms of educational background, current treatment methods, perceived health status, economic burden for fatigue and perceived health status for distress. Self-efficacy was impacted by age, educational background, marital status, average monthly income, perceived health status, and medical expenses. Fatigue, age, and the burden on medical expense had the most impact on self-efficacy, accounting for 17% of the variance. Conclusion: Fatigue should be managed to improve self-efficacy of breast cancer survivors. Therefore, nursing programs designed to decrease fatigue may be helpful.