Authors: Lev, Elise L.¹; Daley, Karen M.¹; Conner, Norma E.¹; Reith, Margaret¹; Fernandez, Cristina¹; Owen, Steven V.²

Source: Research and Theory for Nursing Practice, Volume 15, Number 3, 2001 , pp. 277-294(18)

Publisher: Springer Publishing Company

Abstract:

This study tested effects of a nurse-administered self-efficacy intervention given on five monthly occasions and designed to enhance patients' self-care self-efficacy. The hypotheses were that at four months and eight months after beginning chemotherapy the efficacy-enhancing experimental group would have significantly higher scores on quality of life and self-care self-efficacy than the control group and significantly less symptom distress. Fifty-six women receiving chemotherapy for breast cancer were randomized to the experimental and control groups. Outcome variables were quality of life, measured by the Functional Assessment of Cancer Treatment-Breast (FACT-B), symptom distress, measured by the Symptom Distress Scale (SDS), and factors of self-care self-efficacy, measured by Strategies Used by Patients to Promote Health (SUPPH). The interaction effects for the FACT-B ranged from small for functional concerns (eta square = .03) to large for social concerns (eta square = .110); effects for the SDS were large (eta square = .140), and for factors on the SUPPH effect sizes ranged from small (eta square = .01) for Enjoying Life and Stress Reduction to medium (eta square = .089) for Coping, and large (eta square = .141) for Making Decisions. Interventions to promote self-efficacy may increase quality of life and decrease symptom distress for women diagnosed with breast cancer.

Document Type: Journal article

Affiliations: 1: Rutgers, College of Nursing, Newark, NJ 2: University of Texas, Galveston, TX

Publication date: 2001-01-01

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• Research and Theory for Nursing Practice focuses on research and theory issues relevant to improving nursing practice and patient care.
  
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