Objective To evaluate the level of benefit finding in cervical cancer patients, and to explore associations of self-efficacy, family adaptability, and cohesion with benefit finding and mediating effect of self-efficacy on correlation between family adaptability, cohesion and benefit finding among cervical cancer patients.
Methods Totally 239 pathologically diagnosed cervical cancer patients were recruited at a tumor hospital in Herbin, Heilongjiang province between January 2016 and June 2016 for a self-administered questionnaire survey. The survey was conducted during postoperative reexamination at outpatient clinics three months after hospital discharge with Benefit Finding Scale (BFS), Family Adaptability and Cohesion Evaluation Scale-Ⅱ-CV (FACES Ⅱ-CV), General Self-Efficacy Scale (GSES), and a self-designed questionnaire on demography information.
Results For all the participants, the mean overall score of BFS, FACES Ⅱ-CV, and GSES were 65.82 ± 12.12, 122.08 ± 17.37, and 31.57 ± 5.94, respectively. The overall score and all domain scores of FACES Ⅱ-CV were positively correlated with overall score of GSES and overall score of BFS (P < 0.01 for all). The results of hierarchical regression analysis revealed a practical mediating effect of self-efficacy on the correlation between family adaptability, cohesion and benefit finding among the participants, with a effect magnitude of 0.182 and a relative effect ratio of 43.6 %. The self-efficacy was an important protective factor for benefit finding.
Conclusion Family adaptability and cohesion has a direct influence and an indirect influence mediated by self-efficacy on benefit finding among postoperative cervical cancer patients; in addition, self-efficacy mediates positive effect of family adaptability and cohesion on benefit finding and promotes benefit finding among the patients.
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