Zhu Yalin, Shi Linlin, Jiang Yuanyuan, Fan Yuyan, Zhang Huixian, Chai Shouxia, Li Yan
Department of Rehabilitation, Renmin Hospital, Hubei University of Medicine, Shiyan, 442000, Hubei, P. R. China.
Wuchang University of Technology, Wuhan, 430223, Hubei, China.
J Cancer Educ. 2025 Jun 11. doi: 10.1007/s13187-025-02661-8.
The purpose of this study is to explore the role of cancer patient self-efficacy in linking self-perceived burden to end-of-life communication difficulties. The participants and setting are conveniently selected cancer patients from three hospitals in Shiyan City, Hubei Province, from December 2022 to May 2023 as the study subjects. Questionnaires were administered using the General Information Questionnaire, Self-Perceived Burden (SPBS), Self-Efficacy Scale (SUPPH), and Difficulties in End-of-Life Discussions-Family Inventory (DEOLD-FI). The PROCESS 3.4 program was used to analyze the mediating effect of self-efficacy between self-perceived burdens and end-of-life communication disorders. In cancer patients, self-feeling burden was negatively correlated with self-efficacy (r = - 0.439, P < 0.01) and positively correlated with end-of-life communication difficulties (r = 0.600, P < 0.01). Self-efficacy was negatively correlated with end-of-life communication difficulties (r = - 0.608, P < 0.01). Self-efficacy partially mediated the relationship between self-perceived burden and end-of-life communication difficulties, accounting for 31.19% of the total effect. Cancer patients' self-perceived burden, communication difficulties, and self-efficacy are all moderate. It is recommended to improve self-efficacy to reduce burden and communication barriers. It is recommended that medical staff reduce self-perception burden and end-of-life communication barriers by improving patient self-efficacy.
本研究旨在探讨癌症患者自我效能感在自我感知负担与临终沟通困难之间的联系中所起的作用。研究对象和研究环境为2022年12月至2023年5月从湖北省十堰市三家医院方便选取的癌症患者。使用一般信息问卷、自我感知负担量表（SPBS）、自我效能量表（SUPPH）和临终讨论困难-家庭量表（DEOLD-FI）进行问卷调查。采用PROCESS 3.4程序分析自我效能感在自我感知负担与临终沟通障碍之间的中介作用。在癌症患者中，自我感知负担与自我效能感呈负相关（r = -0.439，P < 0.01），与临终沟通困难呈正相关（r = 0.600，P < 0.01）。自我效能感与临终沟通困难呈负相关（r = -0.608，P < 0.01）。自我效能感部分中介了自我感知负担与临终沟通困难之间的关系，占总效应的31.19%。癌症患者的自我感知负担、沟通困难和自我效能感均处于中等水平。建议提高自我效能感以减轻负担和沟通障碍。建议医护人员通过提高患者自我效能感来减轻自我感知负担和临终沟通障碍。
