Mediating Effect of Self-Efficacy on the Relationships Among Patient-Provider Partnership, Pain, and Quality of Life in Individuals With Cancer

自我效能在癌症患者医患伙伴关系、疼痛和生活质量关系中的中介作用

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Abstract

OBJECTIVES: To investigate the mediating effect of self-efficacy (SE) on the relationships among patient-provider partnership (PPP), pain, and quality of life (QOL) in individuals with cancer. SAMPLE & SETTING: Individuals with cancer were recruited online through cancer organizations and social media support groups in 2023. METHODS & VARIABLES: This cross-sectional survey collected data on demographic/clinical characteristics, cancer pain outcomes, PPP, SE for cancer pain management, and QOL. Mediation analyses assessed the role of SE in the relationships among PPP, pain, and QOL. RESULTS: Most participants were female, White, and aged 18-60 years. SE mediated the relationships between PPP and pain severity, pain interference, QOL function, and QOL symptoms. Greater PPP was associated with higher SE. IMPLICATIONS FOR NURSING: A supportive PPP is essential for improving pain outcomes and QOL in individuals with cancer by strengthening their SE.

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