Ali Rodziah, Draman Nani, Mohd Yusoff Siti Suhaila, Norsa'adah Bachok
Department of Family Medicine,School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Unit Biostatistics & Research Methodology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Asian Pac J Cancer Prev. 2020 Oct 1;21(10):2971-2978. doi: 10.31557/APJCP.2020.21.10.2971.
To determine the level of self-efficacy for coping with breast cancer among Malaysian women and its association with socio-demographic and clinical variables.
This cross-sectional study involved 168 women diagnosed with breast cancer. The inclusion criteria were age >18 years old, having histologically confirmed breast cancer, and being diagnosed between January 1, 2009 to December 31, 2012. The exclusion criteria were being illiterate and having cognitive impairment. For data collection patients' medical records and the Cancer Behaviour Inventory-Brief (CBI-B) Malay version questionnaire were used. Simple and multiple logistic regression methods were used to analyse the data.
Patients' mean (SD) age was 51.4 (10.8) years old. Most of the patients were Malays, married, diagnosed at stage 2 breast cancer (41%), and completed their breast cancer treatment. The mean score for self-efficacy for coping with breast cancer was 83.67 (95% CI: 81.87, 85.47). The significant factors positively correlated with self-efficacy for coping with breast cancer were higher educational background and a higher family income. However, factors such as a family history of breast cancer and breast surgery reduced the mean score of self-efficacy for coping with breast cancer.
The mean score of self-efficacy for coping with breast cancer in this study was moderate. Self-efficacy for coping with breast cancer in Hospital Universiti Sains Malaysia was not adequate among sufferers and improvement is needed probably by providing education to these patients.
确定马来西亚女性应对乳腺癌的自我效能水平及其与社会人口统计学和临床变量的关联。
这项横断面研究纳入了168名被诊断为乳腺癌的女性。纳入标准为年龄>18岁、经组织学确诊为乳腺癌且于2009年1月1日至2012年12月31日期间确诊。排除标准为文盲和有认知障碍。数据收集使用患者病历和马来语版简易癌症行为量表(CBI-B)问卷。采用简单和多元逻辑回归方法分析数据。
患者的平均(标准差)年龄为51.4(10.8)岁。大多数患者为马来人、已婚,确诊时为乳腺癌2期(41%),并已完成乳腺癌治疗。应对乳腺癌的自我效能平均得分为83.67(95%CI:81.87,85.47)。与应对乳腺癌的自我效能呈正相关的显著因素是较高的教育背景和较高的家庭收入。然而,乳腺癌家族史和乳房手术等因素降低了应对乳腺癌的自我效能平均得分。
本研究中应对乳腺癌的自我效能平均得分中等。马来西亚理科大学医院患者应对乳腺癌的自我效能不足,可能需要通过为这些患者提供教育来加以改善。