A Correlational Study of Self-Efficacy, Marital Status, and Quality of Life in Breast Cancer Patients in Aceh, Indonesia

Year 2024, Volume: 27 Issue: 3, 163 - 170, 27.09.2024

Riski Amalia , Miftahul Jannah , Anda Kamal , Nani Safuni , Ahyana Ahyana , Liza Wahyuni

https://doi.org/10.17049/jnursology.1433741

Abstract

Objective: To investigate the relationship between self-efficacy, marital status, and quality of life among Banda Aceh Hospital chemotherapy patients in Indonesia.

Methods: The descriptive design was correlational with a cross-sectional approach. Sampling type of the research method used purposive sampling. The sample size of 100 breast cancer patients undergoing chemotherapy met the inclusion criteria. Instruments for this research used the Questionnaire Quality of Life-Breast Cancer (QOL-BC) and the Symptom Management Breast Cancer Self-Efficacy Scale (SMSES-BC). Multiple linear regression and spearman rank correlation were used in this analysis.

Results: Self-efficacy (P<.001), marital status (P=.023), and quality of life affect breast cancer chemotherapy patients. The regression coefficient value indicated that self-efficacy (B=1.013) was the primary factor influencing the quality of life of breast cancer patients who are undergoing chemotherapy treatment.

Conclusion: Self-efficacy and marital status affect breast cancer chemotherapy patients' quality of life in Aceh, Indonesia. High-self-efficacy patients manage themselves well. They avoid treatment side effects, whereas status patients are married, stay together, and improve their husbands' lives. Research findings This suggests that breast cancer patients and their families should be brought together to boost self-efficacy and motivation for treatment.

Keywords

Breast cancer, chemotherapy, marital status, quality of life, self-efficacy

Ethical Statement

Ethics committee approval was obtained from the local ethics committee of Aceh Hospital, Indonesia (Date: 18.04.2022, Number: 066/EA/FK-RSUDZA/2022)

Supporting Institution

The present study did not get any additional financial support from either public or private funding sources.

Thanks

We would like to thank the participants of this study.

Endonezya'nın Aceh şehrindeki Meme Kanseri Hastalarında Öz Yeterlilik, Medeni Durum ve Yaşam Kalitesi Üzerine İlişkisel Bir Çalışma

Abstract

Amaç: Endonezya'daki Banda Aceh Hastanesi kemoterapi hastalarında öz yeterlilik, medeni durum ve yaşam kalitesi arasındaki ilişkiyi araştırmak.

Yöntemler: Yöntem Kesitsel yaklaşıma sahip tanımlayıcı korelasyonel araştırma tasarımıdır. Kullanılan Örneklem türü amaçlı örneklemedir. Kemoterapi gören 100 meme kanseri hastasından oluşan örneklem büyüklüğü içerik kriterlerini karşılamıştır. Araştırma araçları olarak Meme Kanseri Yaşam Kalitesi Anketi (QOL-BC) ve Meme Kanseri Semptom Yönetimi Öz Yeterlilik Ölçeği (SMSES-BC) kullanılmıştır. Analizde çoklu doğrusal regresyon ve Spearman sıra korelasyonu kullanılmıştır.

Bulgular: Öz yeterlilik (P<.001), medeni durum (P=.023) ve yaşam kalitesi meme kanseri kemoterapisi alan hastaları etkilemektedir. Regresyon katsayısı değeri, kemoterapi tedavisi gören meme kanseri hastalarının yaşam kalitesini etkileyen birincil faktörün öz yeterlilik (B=1.013) olduğunu göstermiştir.

Sonuç: Öz yeterlilik ve medeni durum Endonezya'nın Aceh kentindeki meme kanseri kemoterapi hastalarının yaşam kalitesini etkilemektedir. Öz yeterliliği yüksek hastalar kendilerini iyi yönetirler. Statü hastaları evliyken, birlikte yaşarken ve eşlerinin yaşamlarını kolaylaştırırken tedavinin yan etkilerinden kaçınırlar. Araştırma bulguları tedavi olanların öz yeterliliğini ve motivasyonu artırmak için meme kanseri hastaları ve ailelerinin bir araya getirilmesi gerektiğini göstermektedir.

Keywords

Kemoterapi, Medeni Durum, Yaşam Kalitesi, Öz-yeterlilik, Meme kanseri

References

• 1. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-249. https://doi.org/10.3322/caac.21660
• 2. Merino MJ. Breast. Gattuso’s Differential Diagnosis in Surgical Pathology. 2021;419:721-762. https://doi.org/10.1016/B978-0-323-66165-2.00013-2
• 3. World Health Organization (WHO). World Cancer Day: Closing the care gap. Who. Published online 2022:6-8. https://www.who.int/news/item/03-02-2022-world-cancer-day-closing-the-care-gap
• 4. Globocan. Cancer Incident in Indonesia. International Agency for Research on Cancer. 2020;858:1-2.
• 5. Cheng KKF, Darshini Devi R, Wong WH, Koh C. Perceived symptoms and the supportive care needs of breast cancer survivors six months to five years post-treatment period. Eur J Oncol Nurs. 2014;18(1):3-9. https://doi.org/10.1016/j.ejon.2013.10.005
• 6. Paraskevi T. Quality of life outcomes in patients with breast cancer. Oncol Rev. 2012;6(1):7-10. https://doi.org/10.4081/oncol.2012.e2
• 7. Finck C, Barradas S, Zenger M, Hinz A. Quality of life in breast cancer patients: Associations with optimism and social support. International Journal of Clinical and Health Psychology. 2018;18(1):27-34. https://doi.org/10.1016/j.ijchp.2017.11.002
• 8. Prieto-Callejero B, Rivera F, Fagundo-Rivera J, et al. Relationship between chemotherapy-induced adverse reactions and health-related quality of life in patients with breast cancer. Medicine. 2020;99(33):e21695. https://doi.org/10.1097/md.0000000000021695
• 9. Akin S, Can G, Durna Z, Aydiner A. European Journal of Oncology Nursing The quality of life and self-efficacy of Turkish breast cancer patients undergoing chemotherapy. Eur J Oncol Nurs 2008;12(5):449-456. https://doi.org/10.1016/j.ejon.2008.07.006
• 10. Chirico A, Lucidi F, Merluzzi T, et al. A meta-analytic review of the relationship of cancer coping self- efficacy with distress and quality of life. Oncotarget 2017;8(22):36800-36811. https://doi.org/10.18632/oncotarget.15758
• 11. Shen A, Qiang W, Wang Y, Chen Y. Quality of life among breast cancer survivors with triple negative breast cancer--role of hope, self-efficacy and social support. Eur J Oncol Nurs 2020;46:101771. https://doi.org/10.1016/j.ejon.2020.101771
• 12. Papadakos J, Berta W, Rowlands, et al. The association of self-efficacy and health literacy to chemotherapy self-management behaviors and health service utilization. Support Care Cancer. 2022;30(1):603–613. https://doi.org/10.1007/s00520-021-06466-5
• 13. Borjalilu S, Kaviani A, Helmi S, Karbakhsh M, Mazaheri MA. Exploring the Role of Self-Efficacy for Coping With Breast Cancer : A Systematic Review. Arch Breast Cancer 2017;4(2):42-57. https://doi.org/10.19187/abc.20174242-57
• 14.Zhang Y, Zhang X, Li N, et al. Factors associated with psychosocial adjustment in newly diagnosed young to middle-aged women with breast cancer: A cross-sectional study. Eur J Oncol Nurs 2023;65:102357. https://doi.org/10.1016/j.ejon.2023.102357
• 15. Yuan R, Zhang C, Li Q, Ji M, He N. Gynecologic Oncology The impact of marital status on stage at diagnosis and survival of female patients with breast and gynecologic cancers : A meta-analysis. Gynecol Oncol 2021;162:778-787. https://doi.org/10.1016/j.ygyno.2021.06.008
• 16. Wang X, Li X, Su S, Liu M. Marital Status and Survival in Epithelial Ovarian Cancer Patients: A SEER-Based Study.; 2017. www.impactjournals.com/oncotarget
• 17. Ferrel BR, Dow KH, Grant M. Instrument Title: Quality of Life Instrument - Breast Cancer Patient Version (QOL-BC) Instrument Author: Cite instrument as: of Life Instrument - Breast Cancer Patient Version (QOL-BC). Measurement Instrument Database for the Social Science. Retr. National Medical Center and Beckman Reserch Institute. Published online 2012:1-9. https://www.cityofhope.org/sites/www/files/2022-06/1431763591696-qol-bc.pdf
• 18. Liang SY, Wu WW, Kuo CY, Lu YY. Development and Preliminary Evaluation of Psychometric Properties of Symptom-Management Self-Efficacy Scale for Breast Cancer Related to Chemotherapy. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(4):312-317. https://doi.org/10.1016/j.anr.2015.09.001
• 19. Polit DF, Beck CT. Nursing Research Generating and Assessing Evidence for Nursing Practice. 11th ed. Wolters Kluwer; 2021.
• 20. Moradi R, Roudi MA, Kiani MM, Abdelhossein S. Investigating the relationship between self-efficacy and quality of life in breast cancer patients receiving chemical therapy. Bali Medical Journal 2017;6(1):6-11. http://dx.doi.org/10.15562/bmj.v6i1.358
• 21. Lopes JV, Bergerot CD, Barbosa LR, et al. Impact of breast cancer and quality of life of women survivors. Rev Bras Enferm. 2018;71(6):2916-2921. https://doi.org/10.1590/0034-7167-2018-0081
• 22. Zheng Z, Yabroff KR, Guy GP, et al. Annual Medical Expenditure and Productivity Loss among Colorectal, Female Breast, and Prostate Cancer Survivors in the United States. J Natl Cancer Inst. 2016;108(5):1-9. https://doi.org/10.1093/jnci/djv382
• 23. Peters M, Potter CM, Kelly L, Fitzpatrick R. Self-efficacy and health-related quality of life: A cross-sectional study of primary care patients with multi-morbidity. Health Qual Life Outcomes. 2019;17(1):1-11. https://doi.org/10.1186/s12955-019-1103-3
• 24. Choi Y, Rha SY, Park JS, Song SK, Lee J. Cancer coping self-efficacy, symptoms and their relationship with quality of life among cancer survivors. Eur J Oncol Nurs Published online 2023. https://doi.org/10.1016/j.ejon.2023.102373
• 25. Peuckmann V, Ekholm O, Rasmussen NK, et al. Health-related quality of life in long-term breast cancer survivors: Nationwide survey in Denmark. Breast Cancer Res Treat. 2007;104(1):39-46. https://doi.org/10.1007/s10549-006-9386-6
• 26. Tran TH, Trinh NL, Hoang Y, Nguyen TL, Vu TT. Health-Related Quality of Life Among Vietnamese Breast Cancer Women. Cancer Control. 2019;26(1):1-8. https://doi.org/10.1177/1073274819862787
• 27. Thomas A, Khan SA, Chrischilles EA, Schroeder MC. Initial surgery and survival in stage IV breast cancer in the United States, 1988-2011. JAMA Surg. 2016;151(5):424-431. https://doi.org/10.1001/jamasurg.2015.4539
• 28. Lee H, Yoon HG. Body change stress, sexual function, and marital intimacy in korean patients with breast cancer receiving adjuvant chemotherapy: A cross-sectional study. Asia Pac J Oncol Nurs. 2023;10(5):100228. https://doi.org/10.1016/j.apjon.2023.100228
• 29. Banaee B, Sanchooli A, Kiani F. The Effect of Couple Training on Treatment Adherence of Breast Cancer Patients Undergoing Chemotherapy. Med Surg Nurs J 2023;12(1):1-7. https://doi.org/10.5812/msnj-138874