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Mediation Effect of Self-Efficacy on the Relationship between Perceived Self-Management Support and Health-Related Quality of Life among Cancer Survivors
Bo Gyeong Lee, Tae Sook Lee, Soo Hyun Kim
J Korean Acad Nurs 2019;49(3):298-306.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.298
AbstractAbstract PDF
Abstract Purpose

This study aimed to examine the levels of perceived self-management support, self-efficacy for self-management, and health-related quality of life (HRQoL) in cancer survivors, and to identify the mediating effect of self-efficacy in the relationship between perceived self-management support and HRQoL.

Methods

This study used a descriptive correlational design. Two hundred and four cancer survivors who had completed treatment participated in the study. Measurements included the Patient Assessment of Chronic Illness Care Scale, the Korean version of the Cancer Survivors’ Self-Efficacy Scale, and the Medical Outcomes Study Short Form-36. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method for mediation.

Results

The mean score for perceived self-management support was 3.35 out of 5 points, self-efficacy was 7.26 out of 10 points, and HRQoL was 65.90 out of 100 points. Perceived self-management support was significantly positively correlated with self-efficacy (r=.29, p<.001) and HRQoL (r=.27, p<.001). Self-efficacy was also significantly correlated with HRQoL (r=.59, p<.001). Furthermore, self-efficacy (β=.55, p<.001) had a complete mediating effect on the relationship between perceived self-management support and HRQoL (Z=3.88, p<.001).

Conclusion

The impact of perceived self-management support on HRQoL in cancer survivors was mediated by self-efficacy for self-management. This suggests that strategies for enhancing self-efficacy in cancer survivors should be considered when developing self-management interventions for improving their HRQoL.

Citations

Citations to this article as recorded by  
  • Factors Associated With Quality of Life Among Posttreatment Cancer Survivors in Korea
    Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
    Cancer Nursing.2025; 48(1): E47.     CrossRef
  • Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
    Enhee Jo, Ju-Young Park, Young Jun Jang
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315.     CrossRef
  • An Integrated Review of Health Care in Child and Adolescent Cancer Survivors Based on Roy’s Adaptation Model
    Hye Jin Kim, Eunjoo Lee
    Asian Oncology Nursing.2024; 24(2): 82.     CrossRef
  • Trajectories of quality of life in breast cancer survivors during the first year after treatment: a longitudinal study
    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
    BMC Women's Health.2023;[Epub]     CrossRef
  • Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
    Eun Sil Lee, Mi Young Kim
    Journal of Korean Gerontological Nursing.2023; 25(1): 76.     CrossRef
  • Effects of Uncertainty, Appraisal of Uncertainty, and Self-Efficacy on the Quality of Life of Elderly Patients with Lung Cancer Receiving Chemotherapy: Based on Mishel’s Theory of Uncertainty
    Min-Kyung Hwang, Hee-Kyung Kim, Ki-Hyeong Lee
    Medicina.2023; 59(6): 1051.     CrossRef
  • Between Personality Traits and Postpartum Depression: The Mediated Role of Maternal Self-Efficacy
    Lingli Han, Ji Zhang, Jingxuan Yang, Xiaoyu Yang, Hua Bai
    Neuropsychiatric Disease and Treatment.2022; Volume 18: 597.     CrossRef
  • A Structural Model of Quality of Life in Patients after Colorectal Cancer Surgery
    Jeong Won Yeom, Yeon Ok Suh
    International Journal of Environmental Research and Public Health.2022; 19(5): 2564.     CrossRef
  • The influence of Digital Informatization Level, Self-efficacy, and Social Support on Digital Health Literacy in the Elderly with Cancer
    Hye Su Kim, Ji Hyun Sung
    Asian Oncology Nursing.2022; 22(4): 255.     CrossRef
  • The Correlation Between Quality of Life and Positive Psychological Resources in Cancer Patients: A Meta-Analysis
    Xinxin Zhao, Siqi Tong, Ye Yang
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • Integrated, cross-sectoral psycho-oncology (isPO): a new form of care for newly diagnosed cancer patients in Germany
    Michael Kusch, Hildegard Labouvie, Vera Schiewer, Natalie Talalaev, Jan C. Cwik, Sonja Bussmann, Lusine Vaganian, Alexander L. Gerlach, Antje Dresen, Natalia Cecon, Sandra Salm, Theresia Krieger, Holger Pfaff, Clarissa Lemmen, Lisa Derendorf, Stephanie St
    BMC Health Services Research.2022;[Epub]     CrossRef
  • Self-efficacy, post-traumatic growth, and quality of life of pediatric cancer survivors: A cross-sectional study
    Yeunhee Kwak, Yoonjung Kim, Eun Seok Choi, Ho Joon Im
    European Journal of Oncology Nursing.2021; 54: 102019.     CrossRef
  • Determinants of quality of life in women immediately following the completion of primary treatment of breast cancer: A cross-sectional study
    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae, Ka Ming Chow
    PLOS ONE.2021; 16(10): e0258447.     CrossRef
  • Psychometric evaluation of patient assessment of chronic illness care among Korean cancer survivors
    Soo Hyun Kim, Bo Gyeong Lee, Yu Hyeon Choe, Francesca Chiesi
    PLOS ONE.2021; 16(8): e0256119.     CrossRef
  • Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
    Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
    International Journal of Environmental Research and Public Health.2020; 17(20): 7532.     CrossRef
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  • 15 Web of Science
  • 15 Crossref
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Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
J Korean Acad Nurs 2012;42(7):928-935.   Published online December 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.7.928
AbstractAbstract PDF
Abstract Purpose

The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling.

Methods

Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis.

Results

Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization.

Conclusion

The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/ or promotion of community awareness.

Citations

Citations to this article as recorded by  
  • Exploring the role of social representations in micro-health insurance scheme enrolment and retainment in sub-Saharan Africa: a scoping review
    Albino Kalolo, Lara Gautier, Manuela De Allegri
    Health Policy and Planning.2022; 37(7): 915.     CrossRef
  • Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis
    Su Jung Kim, Eun Ju Lee
    International Journal of Environmental Research and Public Health.2021; 18(11): 6149.     CrossRef
  • Factors Affecting Emotional · Behavioral Problems in Early Adolescence: A Multilevel Model Study
    Hee Young Park, Yeon Hee Choi
    Journal of Korean Academy of Community Health Nursing.2017; 28(4): 482.     CrossRef
  • Equity of access under Korean national long-term care insurance: implications for long-term care reform
    Ju Moon Park
    International Journal for Equity in Health.2015;[Epub]     CrossRef
  • Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
    Won Ju Hwang, Yunhee Park
    Journal of Korean Academy of Nursing.2015; 45(6): 857.     CrossRef
  • Prevalence and Predictors of Polypharmacy among Korean Elderly
    Hong-Ah Kim, Ju-Young Shin, Mi-Hee Kim, Byung-Joo Park, Terence J. Quinn
    PLoS ONE.2014; 9(6): e98043.     CrossRef
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  • 6 Crossref
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Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries
Yang Heui Ahn, Eui Sook Kim, Ok Kyung Ham, Soo Hyun Kim, Soon Ok Kim, Myung Kyung Song
J Korean Acad Nurs 2012;42(4):549-558.   Published online August 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.4.549
AbstractAbstract PDF
Purpose

The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries.

Methods

Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha, and ICC.

Results

Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach's alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82.

Conclusion

This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.

Citations

Citations to this article as recorded by  
  • Trends of Research on the Case Management of Medicaid Beneficiaries in Korea
    Soon Ock Kim, Jeonghyun Cho
    Journal of Korean Public Health Nursing.2015; 29(3): 412.     CrossRef
  • Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
    Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim
    The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98.     CrossRef
  • 110 View
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  • 2 Crossref
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Development and Validation of Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B)
Ran Lee, Soo Hyun Kim, Keun Sook Lee, Myung Kyung Seo
J Korean Acad Nurs 2012;42(3):385-395.   Published online June 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.3.385
AbstractAbstract PDF
Abstract Purpose

This purpose of this study was to develop and validate a Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B).

Methods

The SESSM-B was developed and validated as follows: Item generation, pilot study, and tests of validity and reliability. Twenty-one items were developed through evaluation by 10 experts and 13 items were finally confirmed through item analysis and factor analysis. Psychometric testing was performed with a convenience sample of 303 women with breast cancer. Data were analyzed using factor analysis, Pearson correlation coefficients, and Cronbach’s alpha.

Results

Five factors evolved from the factor analysis, which explained 69.8% of the total variance. The first factor ‘coping with psycho-informational demand’ explained 17.2%, 2nd factor ‘maintenance of healthy lifestyle’ 14.5%. 3rd factor ‘management of side-effects' 13.3%, 4th factor ‘therapeutic compliance’ 12.8%, and 5th factor ‘sexual life’ 11.9%. SESSM-B also demonstrated a concurrent validity with health-related quality of life scale, EORTC QLQ-C30 & BR23. The internal consistency, Cronbach’s alpha, was .78, and reliability of the subscales ranged from .61 to .79.

Conclusion

The results of this study suggest that the SESSM-B is an easy, reliable, and valid instrument to measure self-efficacy for self-management of breast cancer.

Citations

Citations to this article as recorded by  
  • Effect of depression and empowerment on medication adherence in patients with breast cancer: a descriptive survey
    Sookyung Jeong, Eun Jeong Kim
    BMC Nursing.2025;[Epub]     CrossRef
  • Categorising Subjective Perceptions of Middle-Aged Breast Cancer Patients Using Q Methodology
    Min-Jeung Shim, Song-Yi Lee, Oh-Sun Ha
    Healthcare.2024; 12(18): 1873.     CrossRef
  • Factors influencing resilience among breast cancer survivors: Implications for evidence‐based practice
    Myeongshin Kim, Sohyune Sok
    Worldviews on Evidence-Based Nursing.2024; 21(1): 87.     CrossRef
  • A systematic review of qualitative research on the self‐management experience of breast cancer patients
    Xi‐Bo Sun, He‐Peng Su, He Jiang, Bing Wang, Shuai Lu, Jin‐Xiu Qu, Xiang‐Qi Li, Ben‐Qiang Rao
    The International Journal of Health Planning and Management.2024; 39(4): 1131.     CrossRef
  • Predictive Factors for Medication Adherence in Patients with Breast Cancer on Hormone Therapy
    Hee-jung Jung, Su-Jin Lim
    Asian Oncology Nursing.2023; 23(4): 216.     CrossRef
  • Trajectories of quality of life in breast cancer survivors during the first year after treatment: a longitudinal study
    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
    BMC Women's Health.2023;[Epub]     CrossRef
  • Mobile web‐based self‐management program for breast cancer patients with chemotherapy‐induced amenorrhoea: A quasi‐experimental study
    Jin‐Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
    Nursing Open.2022; 9(1): 655.     CrossRef
  • Determinants of quality of life in women immediately following the completion of primary treatment of breast cancer: A cross-sectional study
    Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae, Ka Ming Chow
    PLOS ONE.2021; 16(10): e0258447.     CrossRef
  • Psychometric Evaluation of a Korean Version of the Cancer Survivors' Self-efficacy Scale
    Soo Hyun Kim, Bo Gyeong Lee, Ji Yeon Lee, Sei Joong Kim, Min Hee Hur, Moon Hee Lee, Mi Sook Han
    Cancer Nursing.2019; 42(6): 509.     CrossRef
  • International Trends on Patient-Reported Outcome Measures for Improving Care Quality and Its Implication for South Korea: Focus on OECD PaRIS
    Ji-Suk Choi, Young-Shin Park, Jee-Ae Kim, Choon-Seon Park
    Quality Improvement in Health Care.2019; 25(1): 11.     CrossRef
  • The study on developing the self care tool for the elderly cancer patient undergoing hemotherapy : Focusing on the effect of Health Monitoring Diary
    Yeon Ok Lim, Yojin Kim, Hyunsook Yoon, Dae Young Zang, Dae Ro Choi, Kyoungwon Choi
    Korean Journal of Health Education and Promotion.2018; 35(2): 73.     CrossRef
  • Psychometric properties and performance of existing self-efficacy instruments in cancer populations: a systematic review
    Fei-Fei Huang, Qing Yang, An-ni Wang, Jing-Ping Zhang
    Health and Quality of Life Outcomes.2018;[Epub]     CrossRef
  • Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses
    Won-Oak Oh, Eun Sook Park, Min Hyun Suk, Yeo Jin Im
    Journal of Korean Academy of Nursing.2016; 46(2): 293.     CrossRef
  • Development and Validation of Nurse's Character Scale for Care in Clinical Settings
    Jeong Hye Park
    The Journal of Korean Academic Society of Nursing Education.2016; 22(2): 137.     CrossRef
  • Development of a Self-Care Performance Scale for Patients with Stomach Cancer after Gastrectomy
    Min Kyung Jeon, Geum Ja Park
    Asian Oncology Nursing.2016; 16(2): 67.     CrossRef
  • The Effects of Fatigue and Distress on Self-efficacy among Breast Cancer Survivors
    Mi Hye Seo, Kyung Hee Lim
    Korean Journal of Adult Nursing.2016; 28(4): 378.     CrossRef
  • Development and Preliminary Evaluation of Psychometric Properties of Symptom-Management Self-Efficacy Scale for Breast Cancer Related to Chemotherapy
    Shu-Yuan Liang, Wei-Wen Wu, Chiu-Ya Kuo, Yu-Ying Lu
    Asian Nursing Research.2015; 9(4): 312.     CrossRef
  • Development and Validation of the Empowerment Scale for Woman with Breast Cancer
    Sun Hwa Shin, Hyojung Park
    Journal of Korean Academy of Nursing.2015; 45(4): 613.     CrossRef
  • Changes of Self-efficacy, Depression, and Posttraumatic Growth in Survivors with Breast Cancer Participating Breast Cancer Prevention Volunteering
    Myungsun Yi, Jieun Cha, Youngmi Ryu
    The Journal of the Korea Contents Association.2014; 14(4): 256.     CrossRef
  • Development of Health Dieting Competency Scale for College Students
    Jeongsoo Kim, Yumi Lee
    Korean Journal of Adult Nursing.2014; 26(3): 300.     CrossRef
  • A Randomized Trial of Dyadic Peer Support Intervention for Newly Diagnosed Breast Cancer Patients in Korea
    Ran Lee, Keon Suk Lee, Eui-Geum Oh, Soo Hyun Kim
    Cancer Nursing.2013; 36(3): E15.     CrossRef
  • Self-care, Self-efficacy and Social Support of Patients Receiving Radioactive Iodine Therapy
    Ji-Sook Kim, Ji-Soo Kim
    The Journal of the Korea Contents Association.2013; 13(11): 261.     CrossRef
  • 257 View
  • 5 Download
  • 22 Crossref
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The Analysis of Intervention Studies for Patients with Metabolic Syndrome
Eui Geum Oh, Soo Hyun Kim, Sa Sang Hyun, Myung Sook Kang, So Youn Bang
Journal of Korean Academy of Nursing 2007;37(1):72-80.   Published online February 28, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.1.72
AbstractAbstract PDF
Purpose

This study was to analyze the trend of research on intervention for patients with metabolic syndrome.

Method

Using Pubmed, Medline, and CINAHL search engines, a randomized controlled trial(RCT) researching titles such as “metabolic syndrome”, “intervention”, “lifestyle modification”, or “community-based” were collected. A total of 16 researches were analyzed based on the guidelines of the National Cholesterol Education Program-Adult Treatment Panel(NCEP-ATP III).

Results

1) The total period of the intervention was from 12 to 24 weeks, the frequency was 3 to 5 times per week, and the duration of each session was from 45 to 60 minutes. The types of intervention included exercise, diet, and medication. Among these types, diet was performed most frequently. 2) The outcomes of the intervention was measured with physical aspects such as anthropometric measures, body composition, or biological markers. No studies have evaluated psychosocial outcomes such as quality of life. 3) In terms of effectiveness of the intervention, anthropometric indicators, body composition, or serological markers showed positive effects, whereas results on endothelial or urine indicators were inconsistent.

Conclusion

Methodological research developing comprehensive therapeutic lifestyle modification programs and intervention studies are needed for patients with metabolic syndrome. In addition, effects should be evaluated with multidimensional perspectives.

Citations

Citations to this article as recorded by  
  • Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome
    Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim, Yoonjung Han
    Journal of Korean Medical Science.2015; 30(8): 1092.     CrossRef
  • Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital
    Hyekyeong Kim, Eunhee Nah
    Korean Journal of Health Education and Promotion.2015; 32(4): 37.     CrossRef
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  • 2 Crossref
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Association of Anger Expression Patterns and Health Status in Health Care Workers
Won Hee Lee, Duck Hee Kang, Jin Hee Park, Soo Hyun Kim, Sung Gil Min, Jae Hun Nho
Journal of Korean Academy of Nursing 2006;36(5):821-828.   Published online August 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.821
AbstractAbstract PDF
Purpose

The purpose of this study was to examine anger-expression patterns and their association with state and trait anger and physical and psychological health status in health care workers.

Method

Four hundred and forty eight nurses, physicians and technicians from a large medical center completed standardized questionnaires of anger, anger-expression patterns and mood. They also had blood pressure, cholesterol, blood glucose and body mass index measured during their annual physical examinations. Data was analyzed using descriptive statistics, independent t-test, chi-square and ANOVA.

Results

Subjects showed two major clusters of anger-expression patterns: anger-control and anger-in/out. Subjects with the anger-in/out pattern reported higher state and trait anger and more anxiety, depression and fatigue than subjects with the anger-control pattern. Physical health indicators, however, were not significantly different between the two clusters of anger-expression patterns.

Conclusion

Anger-expression patterns are associated with psychological health status but not with physical health status. Anger-expression patterns, however, need to be examined over time to assess their long-term effects on the physical and psychological health status in future studies.

Citations

Citations to this article as recorded by  
  • Role of Irrational Beliefs and Anger Rumination on Nurses’ Anger Expression Styles
    Eun-Mi Ham, Mi-Jin You
    Workplace Health & Safety.2018; 66(5): 223.     CrossRef
  • The Convergence Study of Interpersonal Caring Behaviors on Anger, Job Stress and Social Support in Nurses
    Jin-Ah Han, Mi-Jin Kim
    Journal of the Korea Convergence Society.2016; 7(3): 87.     CrossRef
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