Original Article

Effect of Self-Efficacy Intervention Combined with Humanistic Nursing on Self-Care Ability and Quality of Life in Patients Receiving Chemotherapy for Malignant Tumors

Abstract

Background: We aimed to explore the effect of self-efficacy intervention combined with humanistic nursing on self-care ability and quality of life in patients receiving chemotherapy for malignant tumors.

Methods: A total of 410 patients were enrolled, who received chemotherapy for malignant tumors in Fuyang People’s Hospital from June 2019 to June 2021. They were equally divided into the experimental group and the control group by a random number table. The former was given routine nursing, while self-efficacy intervention combined with humanistic nursing on the bases of routine care was introduced for the latter. Baseline information was collected from all patients. The psychological status of patients before and after intervention was assessed by self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Visual analogue scale (VAS), while self-efficacy score and self-care ability scale for evaluating self-care ability of patients. Additionally, there was an evaluation of quality of life and nursing satisfaction in each group.

Results: Before intervention, no significant difference was identified in psychological status, self-care ability and quality of life between the two groups. After the intervention, the above three indexes in the experimental group were significantly better than those of the control group were. The experimental group had higher nursing satisfaction than the control group.

Conclusion: In patients with malignant tumor undergoing chemotherapy, self-efficacy intervention combined with humanistic nursing can significantly improve the self-care ability, quality of life and nursing satisfaction of patients, which is therefore worthy of promotion in clinical.

1. Feng RM, Zong YN, Cao SM, et al (2019). Current cancer situation in China: good or bad news from the 2018 Global Cancer Statistics? Cancer Commun (Lond), 39(1):22.
2. Merluzzi TV, Pustejovsky JE, Philip EJ, et al (2019). Interventions to enhance self-efficacy in cancer patients: A meta-analysis of randomized controlled trials. Psychooncology, 28(9):1781-1790.
3. Harrington CB, Hansen JA, Moskowitz M, et al (2010). It is not over when it is over: long-term symptoms in cancer survivors--a systematic review. Int J Psychiatry Med, 40(2):163-181.
4. Grassi L (2020). Psychiatric and psychosocial implications in cancer care: the agenda of psycho-oncology. Epidemiol Psychiatr Sci, 29:e89.
5. van den Beuken-van Everdingen MHJ, Hochstenbach LMJ, Joosten EAJ, et al (2016). Update on Prevalence of Pain in Patients With Cancer: Systematic Review and Meta-Analysis. J Pain Symptom Manage, 51(6):1070-1090.e9.
6. Bandura A (2019). Applying Theory for Human Betterment. Perspect Psychol Sci, 14(1):12-15.
7. White LL, Cohen MZ, Berger AM, et al (2019). Self-Efficacy for Management of Symptoms and Symptom Distress in Adults with Cancer: An Integrative Review. Oncol Nurs Forum, 46(1):113-128.
8. Chen HL, Liu K, You QS (2018). Self-efficacy, cancer-related fatigue, and quality of life in patients with resected lung cancer. Eur J Cancer Care (Engl), 27(6):e12934.
9. Khademi M, Mohammadi E, Vanaki Z (2017). A grounded theory of humanistic nursing in acute care work environments. Nurs Ethics, 24(8):908-921.
10. Gao M, Zhang L, Wang Y, et al (2021). Influence of humanistic care based on Carolina care model for ovarian cancer patients on postoperative recovery and quality of life. Am J Transl Res, 13(4):3390-3399.
11. Yue T, Li Q, Wang R, et al (2020). Comparison of Hospital Anxiety and Depression Scale (HADS) and Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in Evaluating Anxiety and Depression in Patients with Psoriatic Arthritis. Dermatology, 236(2):170-178.
12. Chiarotto A, Maxwell LJ, Ostelo RW, et al (2019). Measurement Properties of Visual Analogue Scale, Numeric Rating Scale, and Pain Severity Subscale of the Brief Pain Inventory in Patients With Low Back Pain: A Systematic Review. J Pain, 20(3):245-263.
13. Zawawi F, Shapiro AJ, Dell S, et al (2021). Otolaryngology Manifestations of Primary Ciliary Dyskinesia: A Multicenter Study. Otolaryngol Head Neck Surg, 2021:1945998211019320.
14. Chen W, Zheng R, Baade PD, et al (2016). Cancer statistics in China, 2015. CA Cancer J Clin, 66(2):115-132.
15. Wei W, Zeng H, Zheng R, et al (2020). Cancer registration in China and its role in cancer prevention and control. Lancet Oncol, 21(7):e342-e349.
16. Yi JC, Syrjala KL (2017). Anxiety and Depression in Cancer Survivors. Med Clin North Am, 101(6):1099-1113.
17. Deng G (2019). Integrative Medicine Therapies for Pain Management in Cancer Patients. Cancer J, 25(5):343-348.
18. Li WH, Lv CX (2017). Effect of self-efficacy intervention on self-care ability and psychological status of patients with permanent enterostomy for rectal cancer. Laboratory Medicine and Clinic, 14(013):1979-1980.
19. Moreno PI, Ramirez AG, San Miguel-Majors SL, et al (2018). Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. Cancer, 124(8):1770-1779.
Files
IssueVol 51 No 2 (2022) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v51i2.8687
Keywords
Self-efficacy intervention Humanistic nursing Chemotherapy for malignant tumor
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Lv L, Liu Y, Tian T, Li J. Effect of Self-Efficacy Intervention Combined with Humanistic Nursing on Self-Care Ability and Quality of Life in Patients Receiving Chemotherapy for Malignant Tumors. Iran J Public Health. 2022;51(2):345-354.