Self-Advocacy Among Women With Uterine Malignancies.

IF 2.2 4区 医学 Q1 NURSING
Nursing Research Pub Date : 2025-05-01 Epub Date: 2025-02-11 DOI:10.1097/NNR.0000000000000813
Xiaojie Chen, Xiaohan Xu, Yunhong Du, Wei Liu, Xiao Zhang, Li Wang
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引用次数: 0

Abstract

Background: Self-advocacy plays a crucial role in the mental health and treatment outcomes of oncology patients, particularly those with uterine malignancies. Despite its significance, research on the self-advocacy levels and influencing factors among Chinese patients with uterine malignancies remains limited.

Objectives: To assess the self-advocacy levels among Chinese patients with uterine malignancies and identify the demographic, psychological resilience, and decision self-efficacy factors that influence self-advocacy.

Methods: This cross-sectional study was conducted from March 1 to September 1, 2023, involving 220 inpatients with uterine malignancies from three tertiary hospitals in Shandong Province, China. Participants were recruited using convenience sampling and completed the General Information Questionnaire, Female Cancer Survivorship Self-advocacy Scale, Connor-Davidson Resilience Scale, and Decision Self-efficacy Scale.

Results: The average self-advocacy score among participants was 59.44 ± 10.14. Significant positive correlations were found between self-advocacy, psychological resilience, and decision self-efficacy. The random forest algorithm identified decision self-efficacy, psychological resilience, family average income, type of medical insurance, educational level, and residence as the six most important influencing factors, with the optimal model performance observed when lambda (λ) = 1.191. Multiple linear regression analysis further confirmed that decision self-efficacy, psychologic resilience, family average income, educational level, and residence were significant predictors of self-advocacy.

Discussion: The self-advocacy levels of Chinese patients with uterine malignancies were relatively low, with decision self-efficacy, psychological resilience, and socioeconomic factors significantly influencing their self-advocacy abilities. Future targeted interventions should focus on enhancing patients' decision self-efficacy and psychological resilience, thereby guiding them to actively respond and participate in decision-making, ultimately improving self-advocacy among patients with uterine malignancies.

子宫恶性肿瘤妇女的自我宣传。
摘要:背景:自我倡导在肿瘤患者,特别是子宫恶性肿瘤患者的心理健康和治疗效果中起着至关重要的作用。尽管具有重要意义,但对我国子宫恶性肿瘤患者自我倡导水平及其影响因素的研究仍然有限。目的:评估中国子宫恶性肿瘤患者的自我倡导水平,确定影响自我倡导的人口学、心理弹性和决策自我效能等因素。方法:本研究于2023年3月1日至9月1日对山东省三所三级医院的220例住院子宫恶性肿瘤患者进行横断面研究。采用方便抽样法,对被试进行一般信息问卷、女性癌症生存自我倡导量表、康诺-戴维森韧性量表和决策自我效能量表的问卷调查。结果:参与者自我倡导得分平均为59.44±10.14分。自我倡导、心理弹性与决策自我效能之间存在显著正相关。随机森林算法将决策自我效能、心理弹性、家庭平均收入、医疗保险类型、教育程度和居住地作为6个最重要的影响因素,当lambda (λ) = 1.191时,模型表现最优。多元线性回归分析进一步证实,决策自我效能、心理弹性、家庭平均收入、受教育程度和居住地是自我倡导的显著预测因子。讨论:我国子宫恶性肿瘤患者自我倡导水平相对较低,决策自我效能、心理弹性和社会经济因素显著影响其自我倡导能力。未来有针对性的干预应侧重于提高患者的决策自我效能感和心理弹性,从而引导患者积极响应和参与决策,最终提高子宫恶性肿瘤患者的自我倡导能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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