Related Factors of Self-Efficacy in Cancer Outpatients Receiving Chemotherapy Akiko Hayashi 1 , Shoko Ando 2 1Konan Kosei Hospital 2School of Health Science, Nagoya University Keyword: 自己効力感 , がん , 化学療法 , 外来患者 , self-efficacy , cancer , chemotherapy , outpatients pp.2-11
Published Date 2010/12/25
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 The purpose of this study was to identify by a survey questionnaire the factors related to selfefficacy in cancer outpatients receiving chemotherapy, and to discuss the appropriate nursing care for them.

 The sample consisted of 169 cancer outpatients receiving chemotherapy at a chemotherapy center. The questionnaire covered the patient's background, patient needs in terms of home care, a Screening Questionnaire(physical symptoms, a Severity Distress Thermometer, overall quality of life)and a Self-Efficacy Scale for Advanced Cancer(SEAC).

 As the result of analyses, factors related to self-efficacy in cancer outpatients were clarified. First, the SEAC score was significantly lower among patients with the following backgrounds: under 40 years old, jobless, solitary life, performance status 1 or more, no hobby, no adviser, and difficulty in consulting doctors or nurses. These results suggest that such outpatients need selective support.

 Second, the SEAC score was significantly lower in patients with the following needs: managing adverse effects / physical symptoms, going out / eating, and consulting. These results suggest that self-efficacy is enhanced by satisfying these needs.

 Third, the severity of the following physical symptoms significantly affected the SEAC score: insomnia, inappetence, dyspnea, and fatigue. These symptoms are frequent and distressing for cancer patients. So a nursing system to improve symptom management and self-caring behavior should be established.

 Finally, the SEAC score significantly affected the levels of overall quality of life and psychological distress. Nursing care that provides comprehensive support for outpatients enhances self-efficacy and is essential for cancer outpatients.

Copyright © 2010, Japanese Society of Cancer Nursing All rights reserved.


電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会