Delay in seeking medical evaluations and predictors of self-efficacy among women with newly diagnosed breast cancer: A longitudinal study
| Autor: | Wen Xiang Chen, Mei Feng Lin, Esther Ching-lan Lin, Susan J. Fetzer, Yuk Ying Tung, Hsiu Ju Chang |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Longitudinal study media_common.quotation_subject Taiwan Psychological intervention Breast Neoplasms Breast cancer Surveys and Questionnaires Internal medicine medicine Humans Personality Longitudinal Studies General Nursing media_common Self-efficacy business.industry Cancer Middle Aged Patient Acceptance of Health Care medicine.disease Neuroticism Self Efficacy Anxiety Female medicine.symptom business Clinical psychology |
| Zdroj: | International Journal of Nursing Studies. 51:1036-1047 |
| ISSN: | 0020-7489 |
| DOI: | 10.1016/j.ijnurstu.2013.10.024 |
| Popis: | Delaying a diagnosis of breast cancer directly and positively impacts survival. Self-efficacy has been shown to be a causal mechanism in a wide range of health behaviors, a measurable trait that predicts behavior across domains, which is strong associated with psychological variables. However, factors predicting self-efficacy of women with suspected breast cancer who delayed or did not delay seeking a breast cancer diagnosis over time have not been identified.To examine the differences between women who delay and women who did not delay seeking a cancer diagnosis, and key factors predicting self-efficacy over time among women with newly-diagnosed breast cancer.Descriptive, longitudinal design over 2 months following breast cancer diagnostic evaluation.A medical center is located in southern Taiwan.Eighty women with suspected breast cancer were approached and 67 subjects with a positive diagnosis of breast cancer were recruited.Subjects were categorized into women who delayed their diagnosis and women who did not delay their diagnosis. A battery of 5 standardized questionnaires including self-efficacy, anxiety and depression, personality, spiritual support and hope was completed at the first three clinic visits.Stage of cancer, trait extroversion/neuroticism and spiritual support were significantly different between groups (p0.05). Subjects who did not delay (β=-1.613, p0.05), and time that histology results were provided (β=-2.4333, p0.001) had a significantly predicted negative change in self-efficacy compared to the group that delayed. Hope at the first clinic visit contributed to the change in self-efficacy over time (β=0.391, p0.001).Personal factors affecting a woman's delay in obtaining medical assessment of breast cancer confirmation. Hope impacts self-efficacy of women with suspected breast cancer and interventions to enhance hope during the early stages of breast cancer evaluation require further study. |
| Databáze: | OpenAIRE |
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