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.
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.
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