Influencing Factors Of Self-efficacy Research Articles

Perceived Stigma and Self-Efficacy of Patients With Inflammatory Bowel Disease-Related Stoma in China: A Cross-Sectional Study.

BackgroundPatients with inflammatory bowel disease (IBD)-related stoma face physical, psychological, and social adjustment challenges. However, knowledge about stigmatization and self-management, which is important for clinical care and patient education strategies, is lacking.ObjectiveTo evaluate the level of stigma and self-management ability of Chinese patients with IBD-related stoma using an online questionnaire.MethodsParticipants were recruited from two general hospitals in mainland China and the internet platforms of the China Crohn's and Colitis Foundation (CCCF). Participants completed a questionnaire, which gathered data on sociodemographic, clinical, and experience in online groups, self-efficacy scale, and social impact scale. The influencing factors of self-efficacy and perceived stigma were assessed by stepwise multivariate regression analyses.ResultsOne hundred and seventy-six respondents were included. Most of the respondents (78/176, 44.32%) spent between 500 and 999 RMB ($77–153) on ostomy care accessories monthly. Three patients reported using homemade ostomy products. The average score on the self-efficacy scale was 75.79 ± 23.91, which reflected a moderate level of self-efficacy, and 69 (39.2%) respondents had low-level self-efficacy. The average social impact scale score was 62.76 ± 12.69, which reflected a moderate level of perceived stigma. Forty-three (24.43%) patients experienced severe levels of perceived stigma. Stepwise multivariate regression analysis revealed that self-efficacy was associated with educational level (P = 0.007), whereas stigma was associated with nursing privacy (P = 0.021) and acceptance by the closest person (P = 0.005). A total of 91% of respondents who participated in online peer support groups believed the groups were helpful for disease management.ConclusionsChinese patients with IBD-related stoma reported a moderate degree of perceived stigma; their level of self-efficacy was low to moderate. High educational level was associated with high self-efficacy. Notably, acceptance of the stoma by the closest person was an influencing factor protecting patients from perceived stigma. Interventions aimed at improving patient education, reducing economic burden, and strengthening social support should be considered to help improve the living conditions of patients with IBD-related stoma.

A multi-center cross-sectional study on midwives' self-efficacy and influencing factors.

Healthcare professionals who lack self-efficacy may fail to cope with stressful situations, which increases job burnout and turnout. Self-efficacy of midwives with high workload may affect the quality of service. However, little is known about midwives' self-efficacy and related factors. This study aimed to examine the level and influencing factors of self-efficacy among midwives, and to assess the relationships between their self-efficacy and job burnout. This was a multi-center cross-sectional study involving 700 midwives from 33 hospitals in China. Data were collected by three self-administered questionnaires, including a socio-demographic questionnaire, General Self-Efficacy Scale and Maslach Burnout Inventory. Pearson correlation was utilized to analyze the association of self-efficacy with job burnout. A multiple linear regression model was performed to identify variables associated with midwives' self-efficacy. The score of self-efficacy among Chinese midwives was 24.34 ± 5.28. The incidence of job burnout was 52.9%. The influencing factors of self-efficacy among midwives were low personal accomplishment, emotional exhaustion, length of service, interest in the midwifery field, marital status and whether they came from a one-child family or not. Chinese midwives had a moderate level of self-efficacy which easily led to job burnout. Also, several personal-related and work-related factors would affect the self-efficacy of midwives. Nursing managers are called on to attach importance to self-efficacy of midwives and provide effective interventions to improve their self-efficacy.

Social comparing tendency of patients with chronic gastric ulcer and its influence on self-efficacy

Objective To analyze the social comparison tendency of patients with chronic gastric ulcer and its influence on self-efficacy. Methods From April 2016 to June 2018, 320 patients with chronic gastric ulcer admitted to the People's Hospital of Lianshui County were selected by convenient sampling method.All patients were surveyed by the Social Comparing Tendency Scale and Self-efficacy Scale.After the questionnaire was collected, the questionnaire was sorted out by designated personnel, and the influencing factors of self-efficacy were analyzed by single and multiple factors. Results Univariate analysis showed that the factors influencing self-efficacy of patients with chronic gastric ulcer were marital status, occupational status, religious beliefs, educational level and treatment stage(t=4.285, F=3.085, t=4.121, F=5.056, t=4.376, all P<0.05). The scores of social comparison tendency and self-efficacy of 80 patients with chronic gastric ulcer were (37.42±8.56)points and (236.25±64.25)points.The results of stepwise regression analysis showed that the self-efficacy level of unmarried, low-educated and socially inclined patients was low(t=3.087、3.183、2.231, all P<0.05). Conclusion Medical staff can guide patients' family members to provide emotional support, relaxed and warm family environment, and according to their social tendency, give appropriate interventions to enhance their self-efficacy. Key words: Stomach ulcer; Self efficacy; Marital status; Occupations; Religion; Educational status; Social comparative tendency; Affect; Factor analysis, statistical

Research progress on influencing factors of self-efficacy in breast cancer patients

In recent years, the incidence of breast cancer in the global word is rising and is the highest incidence of female malignancies, seriously affecting the quality of life of patients.And the breast cancer patient's self-efficacy is of great significance to improve the quality of life.Currently, the factors affecting the self-efficacy of breast cancer patients are having more and more attention.Through the access to a large number of related literature, we summarized the factors that affect the self-efficacy of breast cancer patients to improve the quality of life of breast cancer patients and provided a reference value for breast cancer prevention, treatment and care. Key words: Breast neoplasms; Self-efficacy; Influencing factors

Study on self-efficacy model of hepatocellular carcinoma based on structural equation

Objective To explore the construction of self-efficacy model of hepatocellular carcinoma patients. Methods A total of 290 patients with hepatocellular carcinoma from Wuhan Union Hospital were selected by convenient sampling method. The patients were investigated with general information questionnaire, self-management efficacy scale, Self-rating Depression Scale and Social Support Scale. χ2 test was applied to high level self-management efficacy group and not high level self-management efficacy group. The significant factor through univariate analysis (P < 0.05) was used to investigate the influencing factors of self-efficacy in patients with hepatocellular carcinoma by Logistic regression analysis. The structural equation model of self-efficacy model of hepatocellular carcinoma patients was obtained by inputting the status survey data into Amos 23.0 software, and the correlation between the variables of the model was analyzed. Results Logistic regression analysis showed that age (P= 0.018), marital status (P= 0.030) and income (P= 0.034) were the influencing factors of self-efficacy in patients with hepatocellular carcinoma. The model of fitness model was established by χ2/df= 2.381, root mean square residual= 0.008, goodness-of-fit index= 0.945, adjusted goodness-of-fit index= 0.906, normed fit index= 0.951, incremental fit index = 0.971, comparative fit index = 0.971, root mean square error of approximation = 0.071, the model had a good fit, could reflect the relationship between the variables, social support for patients with hepatocellular carcinoma depression direct effect of -0.209, social support for patients with hepatocellular carcinoma self-efficacy direct effect of 0.241, depression on the effect of self-efficacy on patients with hepatocellular carcinoma was -0.171. The model recognizes that depression was a risk factor for self-efficacy in patients with hepatocellular carcinoma and that social support was a protective factor. Conclusions In clinical work, health care workers should pay attention to the influencing factors and protective factors of self-efficacy of patients with hepatocellular carcinoma. The self-efficacy model of hepatocellular carcinoma patients can be used to improve the quality of life of patients with hepatocellular carcinoma. Key words: Liver neoplasms; Structural equation; Self-efficacy model

The current status and influencing factors of self-efficacy in patients from rural area of Xiamen with hypertension in the model of "Three Division Co Management"

Objective To investigate the current status and influencing factors of self-efficacy in patients from rural area of Xiamen with hypertension in the model of Three Division Co Management. Methods A total of 245 patients with hypertension were recruited and investigated with general questionnaire and Self-efficacy Assessment Scale for Hypertensive. Results The mean score of self-efficacy was 29.59±3.69. Among the patients, 48.6% (119/245) of them had a higher level score on self-efficacy, 45.7% (112/245) of them had the self-efficacy score at the middle level, but 5.7% (14/245) of them were at the low level. The dimensions which index of score from top to low were drug therapy (71.92%), health behavior (68.67%), daily life (65.50%) and compliance behavior (62.33%) in sequence. Multiple stepwise regression analysis showed that gender and family income were influencing factors of self-efficacy which could explain 13.3% of the variance. Conclusions In the model of Three Division Co Management, the score of self-efficacy among the patients in rural area was at middle level, close to high level, still need to be improved. Health care workers should focus more on the patients, male and whose family income less than 50 thousand yuan per year and help them enhancing self-efficacy to control hypertension efficiently. Key words: Hypertension; Self-efficacy; Three Division Co Management; Rural area; Influencing factors

Current status of procrastination and self-efficacy of undergraduate students and the correlation between them

Objective To investigate the status quo of procrastination and self-efficacy among undergraduate students and analyze the correlation between them. Methods From June 2014 to December 2014, a total of 1986 undergraduate students from five universities of Jiangning college town were selected by convenience sampling method. All students were assessed by the general procrastination scale (GPS) and general self-efficacy scale (GSES) . The single factor analysis was used to analyze the influencing factors of self-efficacy and procrastination, in addition, the Pearson correlation analysis was used to analyze the correlation between self-efficacy and procrastination. Results The GPS score of undergraduate students was (55.73±8.14) . Factors such as gender, specialty, grade, whether the one-child, the educational level of parents, and whether accommodation influenced the procrastination of students (P<0.05) . The GSES score of undergraduate students was (26.18±4.86) . Gender, specialty, grade, whether in the key university, the educational level of parents were related with self-efficacy (P<0.05) . Self-efficacy showed a negative correlation with procrastination (r=-0.166, P<0.05) . Conclusions Procrastination is a common phenomenon among undergraduate students. Undergraduate students should begin their career planning as soon as possible, and learn time management and self-monitoring, so as to reduce their procrastination and improve self-efficacy. Key words: Questionnaires; Undergraduate students; Procrastination; Self-efficacy

The level and influencing factors of self-efficacy for peritoneal dialysis patients

Objective To investigate the level and influencing factors of self-efficacy for peritoneal dialysis patients. Methods A total of 110 peritoneal dialysis patients were recruited and investigated with a self-designed scale, Self-efficacy for managing Chronic Disease 6-Item Scale, Social Support Assessment Scale, Family APGAR Index and Hospital Anxiety and Depression Scale. Results The score of the self-efficacy was (6.87±2.06) points. Multiple regression analysis showed that anxiety and depression, social support and family function were influencing factors of the self-efficacy, which could explain 44.9% of the variance. Conclusions Improving the self-efficacy of peritoneal dialysis patients can enhance self-care agency and rehabilitation efficacy. Key words: Peritoneal dialysis; Kidney failure, chronic; Self-efficacy

A study on the self-efficacy of permanent colostomy patients at different stages

Objective The survey aimed to investigate the self-efficacy of permanent colostomy patients at different stages, and explore its impact factors. Methods A total of 267 cases of permanent colostomy patients at different stages (postoperative hospital stay, postoperative chemotherapy and home rehabilitation), coming from many domestic top three hospitals were investigated using the general information questionnaire, C-COH, the Stoma Self-Efficacy Scale, and Perceived Social Support Scale (PSSS). Results The total score of self-efficacy of 267 colostomy patients was (75.97±23.92), ranked in the middle level, and it showed a rising tendency at postoperative hospitalization, postoperative chemotherapy and home rehabilitation. The influencing factors of self-efficacy of the patients at postoperative hospitalization included psychological well-being, BMI and age the regression coefficients were 7.126, 1.512 and -0.281. the influencing factors of self-efficacy of the patients at postoperative chemotherapy included psychological well-being, age, the proportion of medical insurance, living state and caregiver, the regression coefficients were 5.182, -0.726, 0.238, 7.993 and 6.083; the influencing factors of self-efficacy of the patients at home rehabilitation included spiritual well-being, social support, self-care degree, gender and the monthly cost of ostomy supplies, the regression coefficients were 7.215, -7.820, -9.616 and -4.762. Conclusions The influencing factors of self-efficacy of permanent colostomy patients at different stages was different, the medical staff should assess and screen the high-risk factors of self-efficacy positively, according to the individual circumstance and stage, to formulate the individualized intervention measures, so as to enhance the patients' self-confidence to deal with and manage the disease, thereby increasing the level of self-efficacy. Key words: Colostomy; Questionnaire survey; Self-efficacy

Self-efficacy and relevant influencing factors for cardiac disease patients when discharged

Objective To investigate the status of self-efficacy in cardiac disease patients when discharged, and to explore the influencing factors. Methods A total of 403 patients were selected from Cardiology and Cardiothoracic Surgery Department in a three-A hospital during March to August in 2013. The chronic disease self-efficacy scale and the basic information questionnaire of cardiac disease patients (self-designed) were administered to these patients when discharged. Differences of self-efficacy between medical and surgical patients were compared, and the influencing factors were analyzed. Results The average score of self-efficacy for these patients was (6.63±1.90), which belonged to the medium level. There was a significant difference between medical and surgical patients in self-efficacy (7.27±1.83 vs 6.01±1.75; t=-7.080, P<0.01). Univariate analysis showed that the influencing factors of self-efficacy in patients including age, education background, heart function level, and the number of hospital admissions and length of hospital stay. Conclusions The self-efficacy in cardiac disease patients is in the medium level, and the self-efficacy of surgical patient is lower than that in the medical patients. Key words: Cardiac disease patients; Self-efficacy; Influencing factors

Influencing factors and nursing strategy research on self-efficacy among patient with laryngeal cancer and neck stoma

Objective To evaluate the status of self-efficacy and explore its influencing factors in patients with Laryngeal cancers and neck stoma, so as to improve their self-efficacy and their quality of life. Methods Eighty-four patients with neck stoma, who visited or followed up laryngocarcinoma in outpatient in one first-class hospital, were sampled by convenient sampling method during July 2013 to February 2014. General social-demographic questionnaire, colostomy self-efficacy scale, Social support scale and Self-Rating Depression Scale were used to investigate these patients′ general information and self-efficacy. Results The total score of self-efficacy in eighty-four Laryngeal cancers with neck stoma was (76.56±24.47) points, the main influencing factors of self-efficacy in Laryngeal cancers with neck stoma were social support, depression, the time after operation. Relevant factors of self-efficacy had been utilized by single factor correlation analysis and multiple stepwise regressions to analyze. Conclusions The self-efficacy in patients with laryngeal cancer and neck stoma is affected by many factors at different levels, and nurses should focus on main influencing factors to adopt corresponding nursing measures in order to improve self-efficacy and quality of life of these patients. Key words: Laryngeal cancer; Nursing care; Neck stoma; Self-efficacy; Influencing factors

Investigation of the status and influencing factors of self efficacy in patients with blood dialysis

Objective To explore the status and influencing factors of self efficacy in patients with blood dialysis,and provide the basis for the implementation of targeted nursing intervention.Methods Eighty-nine patients with blood dialysis were surveyed by the United States Stanford University chronic centers for Disease Education Research self-efficacy scale.Results The score of self-efficacy in hemodialysis patients was (38.51 ± 10.91),and its influencing factors were family support,occupation,cultural degree and economic burden.Conclusions Clinical workers should arouse the patient' s potential,pay attention to improve patients'self-efficacy,so as to effectively improve their levels of physical and mental health. Key words: Hemodialysis; Self-efficacy; Influencing factor

Self-efficacy and influencing factors of clinical nurses with needlestick injuries

Objective To investigate the level and influencing factors of self-efficacy among nurses with needlestick injuries and explore effective strategies to improve self-efficacy.Methods 713 clinical nurses with needlestick injuries had been enrolled by convenience and stratified sampling method to comphte the investigation using the self-designed demographic questionnaire and General Self-Efficacy Scale.Results The average score of the self-efficacy was (2.70 ±0.52) points.69.1％ of the needlestick injury nurses had the sclf-efficacy score at the middle level; only 19.1％ of them had a higher level score on self-efficacy.Gender,title,section,initiative report,work environment,and occupational safety training were identified as the influencing factors of the self-efficiency.Conclusions Even though more than half of the nurses with needlestick injuries had a middle level self-efficacy,they need further improvement.Other influencing factors should be explored in future in order to develop the corresponding management intervention which can strengthen the self-efficacy of nurses with needlestick injuries. Key words: Needlestick injuries; Nurses; Self-efficacy; Influencing factors

Influencing factors of self-efficacy among community-based patients with chronic obstructive pulmonary disease

Objective To investigate the self-efficacy levels and its influencing factors of community-based patients with chronic obstructive pulmonary diseases (COPD).Methods From October 2008 to March 2009,320 community COPD patients were recruited from a Shanghai community.They undertook questionnaires,scale survey and pulmonary function testing so as to investigate the influencing factors of self-efficacy.Results The total scale of self-efficacy was 74.24 ± 9.50 and the level of selfefficacy in 286 cases( 89.4％ )was intermediate.The knowledge of COPD,social supports,forced expiratory volume at 1 second (FEV1)/forced vital capacity (FVC) and self-management level were entered into regression equation and could explain 57.1％ of the total variance of independent variables.Conclusions The knowledge of COPD,social supports,FEV1/FVC and self-management level are the major influencing factors of self-efficacy in the COPD patients.We should improve the knowledge of disease and strengthen the psychological care and social supports so as to improve their quality of life. Key words: Pulnonary disease,chronic obstructive; Factors analysis,statistical; Selt-eflicacy