The Predictors of Self-Efficacy for Diagnosis-Seeking Among Women with Breast Cancer

Tuesday, 31 July 2012: 1:55 PM

Mei-Feng Lin, PhD, RN
Department of Nursing, National Cheng Kung University, Tainan, Taiwan
Wen-Xiang Chen, MSN, RN
Department of Nursing, St. Mary's Medicine, Nursing and Management College, Yilan, Taiwan
Chieh Cheng, RN
National Cheng Kung University, Department of Nursing, Tainan, Taiwan

Learning Objective 1: The learner will be able to understand the change and predictors of self-efficacy for diagnosis-seeking in women with breast cancer.

Learning Objective 2: The learner will be able to be aware of the difference between diagnosis-seeking delay and non-delay in women with breast cancer.

Purpose: The purpose of this study was to determine the relationship between self-efficacy and delay evaluation, and the predictors of self-efficacy in delay and non-delay women with breast cancer.

Methods: Of the 80 women with breast cancer were recruited from an outpatient clinic in southern Taiwan. 67 with positive diagnosis of breast cancer completed 4 research instruments during three clinic visits. Measurement included the Health Self-Efficacy Scale, Hospital Anxiety and Depression Scale, Spiritual Support Scale and Herth Hope Index. Subjects were categorized into delayed diagnosis and non-delayed groups based on timing of breast abnormality identification. 

Results:  Hope, anxiety, depression and self-efficacy showed significant change over time within the delay and non-delay groups. Only anxiety had a significant between-group difference over time. Hope, depression and anxiety predicted self-efficacy with a range of 62% to 74% over time. 

Conclusion: Hope is a key factor that predicts self-efficacy of breast cancer women undergoing diagnoses and treatment periods. Anxiety and depression negatively impact self-efficacy after surgery.  The high relative anxiety found in non-delay women requires interventions to reduce anxiety.