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      • Self-efficacy, Symptom, and Quality of Life in Breast Cancer Survivors

        Yunyoung Choi,Bomi Hong,Akter Jotsna,Su Kyung Song,Sun Young Rha,Jiyeon Lee 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

        Aim(s): In Korea, 5-year cancer relative survival rate of breast cancer has been increased over years, and the quality of life of those survivors is challenged by side effects of cancer treatments, psychological and social effects. Self-efficacy, one’s belief in his or her capabilities, has positive effect on quality of life in patients with breast cancer. The purpose of this study was to evaluate symptoms, self-efficacy, and quality of life (QOL), and identify factors associated with quality of life among breast cancer survivors (BCS) in Korea. Method(s): A descriptive correlational study was conducted. A total of 190 BCSs participated in this study. BCSs’ symptoms, self-efficacy, and quality of life were measured. Descriptive statistics, Pearson’s correlation, t-test, and multiple regression analysis were conducted to identify contributing factors of quality of life. Result(s): Among subscales of self-efficacy for coping, the mean value of self-efficacy for seeking information was the highest. The second highest subscales were maintaining activities and accepting/positive attitude/decision-making. The most significant symptom was fatigue (3.26±2.74), and the mean value of QOL was 69.61(±20.80). Associations between self-efficacy subscales and QOL were all significant and positive, weak to moderate in size (0.288≤r≤0.35, p<.001), and there was negative and high correlation between symptom severity and QOL (r=-0.52, p<.001). Multiple regression analysis demonstrated that symptom severity (β=-.42, p<.001), self-efficacy for seeking spiritual coping (β=.18, p<.05), and functional status (β=-.18, p<.05) significantly predicted BCSs’ QOL and explained 37.5 % of the variance. Conclusion(s): Self-efficacy for seeking spiritual coping, symptom severity, and functional status were significant contributing factors of QOL of breast cancer survivors. In addition to managing physical symptoms, it is recommended to assess self-efficacy for spiritual coping to provide holistic care to BCSs to improve QOL.

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