{"title":"Factors related to stigma among patients with cervical cancer having chemotherapy after surgery in China: A cross-sectional study.","authors":"Fanglin Wang, Pornpat Hengudomsub, Chutima Chantamit-O-Pas","doi":"10.33546/bnj.3706","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Stigma is a significant issue among patients with cervical cancer undergoing postoperative chemotherapy, yet the factors contributing to stigma are not well understood. While research has explored the relationships between self-efficacy, illness perception, self-esteem, social support, and stigma, fewer studies have focused on Chinese patients, and even fewer have specifically examined stigma within this population.</p><p><strong>Objective: </strong>This study aimed to describe stigma and assess its association with self-efficacy, self-esteem, illness perception, and social support in postoperative chemotherapy patients diagnosed with cervical cancer.</p><p><strong>Methods: </strong>A total of 132 participants were recruited from the gynecology department of Wenzhou Medical University's First Affiliated Hospital using a random sampling technique. Data were collected between December 2023 and April 2024 using validated instruments. Descriptive statistics and Spearman's rank correlation were used for data analysis.</p><p><strong>Results: </strong>The average stigma score was 76.3 (SD = 10.84), indicating a high level of stigma. Self-efficacy, self-esteem, illness perception, and social support were negatively correlated with stigma (<i>r</i> = -0.085, <i>r</i> = -0.158, <i>r</i> = -0.254, <i>r</i> = -0.238, all <i>p</i> <0.05).</p><p><strong>Conclusion: </strong>All participants experienced significant stigma. The negative correlations found between stigma and self-efficacy, self-esteem, illness perception, and social support offer a theoretical basis for developing nursing interventions to reduce stigma in these patients.</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 2","pages":"194-204"},"PeriodicalIF":1.1000,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006815/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Belitung Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33546/bnj.3706","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Stigma is a significant issue among patients with cervical cancer undergoing postoperative chemotherapy, yet the factors contributing to stigma are not well understood. While research has explored the relationships between self-efficacy, illness perception, self-esteem, social support, and stigma, fewer studies have focused on Chinese patients, and even fewer have specifically examined stigma within this population.
Objective: This study aimed to describe stigma and assess its association with self-efficacy, self-esteem, illness perception, and social support in postoperative chemotherapy patients diagnosed with cervical cancer.
Methods: A total of 132 participants were recruited from the gynecology department of Wenzhou Medical University's First Affiliated Hospital using a random sampling technique. Data were collected between December 2023 and April 2024 using validated instruments. Descriptive statistics and Spearman's rank correlation were used for data analysis.
Results: The average stigma score was 76.3 (SD = 10.84), indicating a high level of stigma. Self-efficacy, self-esteem, illness perception, and social support were negatively correlated with stigma (r = -0.085, r = -0.158, r = -0.254, r = -0.238, all p <0.05).
Conclusion: All participants experienced significant stigma. The negative correlations found between stigma and self-efficacy, self-esteem, illness perception, and social support offer a theoretical basis for developing nursing interventions to reduce stigma in these patients.
背景:耻辱感是宫颈癌术后化疗患者的一个重要问题,但导致耻辱感的因素尚不清楚。虽然有研究探讨了自我效能感、疾病感知、自尊、社会支持和耻辱感之间的关系,但很少有研究关注中国患者,甚至更少有人专门研究这一人群的耻辱感。目的:本研究旨在描述宫颈癌化疗后患者的病耻感,并评估其与自我效能、自尊、疾病感知和社会支持的关系。方法:采用随机抽样方法,从温州医科大学第一附属医院妇科抽取132名受试者。数据是在2023年12月至2024年4月期间使用经过验证的仪器收集的。采用描述性统计和Spearman秩相关进行数据分析。结果:平均柱头得分为76.3分(SD = 10.84),柱头程度较高。自我效能、自尊、疾病知觉和社会支持与病耻感呈负相关(r = -0.085, r = -0.158, r = -0.254, r = -0.238,均为p)。羞耻感与自我效能、自尊、疾病感知和社会支持之间的负相关关系为制定护理干预措施以减少这些患者的羞耻感提供了理论基础。