Faculty of Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-Ro, Dongjack-Gu, Seoul, 156-756, South Korea.
Division of Pediatric Hematology/Oncology, Department of Pediatrics, Asan Medical Center Children's Hospital, South Korea.
Eur J Oncol Nurs. 2021 Oct;54:102019. doi: 10.1016/j.ejon.2021.102019. Epub 2021 Aug 26.
This study explored the relationships among self-efficacy, post-traumatic growth, and quality of life in a sample of pediatric cancer survivors and analyzed the factors associated with quality of life in pediatric cancer survivors.
A questionnaire assessed self-efficacy, post-traumatic growth, and health-related quality of life. Data were collected from December 2017 to December 2018 at a hospital in Seoul, South Korea from 115 pediatric cancer survivors.
Health-related quality of life showed significant positive correlations with general self-efficacy and social self-efficacy, but did not significantly correlate with post-traumatic growth. Factors that significantly influenced health-related quality of life were current age (β = 0.24, p = .007), currently not attending school (β = -0.19, p = .029), having many uncomfortable symptoms (β = -0.26, p = .006), some daily life difficulties (β = -0.23, p = .015), general self-efficacy (β = 0.17, p = .043), and social self-efficacy (β = 0.32, p = .001). This model explained 50% of the variance in self-reported health-related quality of life.
Health-related quality of life in pediatric cancer survivors was not associated with post-traumatic growth. However, high health-related quality of life was related to being older, attending school, lacking uncomfortable symptoms and difficulties in daily life, and having high self-efficacy. Interventions may improve health-related quality of life in pediatric cancer survivors if they increase self-efficacy, reduce uncomfortable symptoms and difficulties in daily life and for children who are survivors of cancer, and encourage maintaining school life.
本研究探讨了自我效能感、创伤后成长与儿童癌症幸存者生活质量之间的关系，并分析了与儿童癌症幸存者生活质量相关的因素。
采用问卷评估自我效能感、创伤后成长和健康相关生活质量。本研究的数据于 2017 年 12 月至 2018 年 12 月期间在韩国首尔的一家医院收集，共纳入 115 名儿童癌症幸存者。
健康相关生活质量与一般自我效能感和社会自我效能感呈显著正相关，但与创伤后成长无显著相关性。显著影响健康相关生活质量的因素有当前年龄（β=0.24，p=0.007）、当前未上学（β=-0.19，p=0.029）、存在较多不适症状（β=-0.26，p=0.006）、存在较多日常生活困难（β=-0.23，p=0.015）、一般自我效能感（β=0.17，p=0.043）和社会自我效能感（β=0.32，p=0.001）。该模型解释了自我报告的健康相关生活质量 50%的方差。
儿童癌症幸存者的健康相关生活质量与创伤后成长无关。然而，较高的健康相关生活质量与年龄较大、上学、无不适症状和日常生活困难以及自我效能感较高有关。如果干预措施能够提高自我效能感、减少不适症状和日常生活困难，对于正在接受癌症治疗的儿童来说，鼓励他们维持学校生活，可能会改善儿童癌症幸存者的健康相关生活质量。
