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- Title
Stigma, self‐efficacy and late toxicities among Chinese nasopharyngeal carcinoma survivors.
- Authors
Yan, Ming‐hui; Fan, Yu‐ying; Zhang, Jun‐e
- Abstract
Objective: This study explores the level of stigma among Chinese nasopharyngeal carcinoma survivors, its influencing factors and relationship with self‐efficacy. Methods: In total, 281 nasopharyngeal carcinoma survivors were recruited from China, who completed the demographic, disease‐related and late toxicities questionnaire, as well as the General Self‐Efficacy Scale and Social Impact Scale. Results: The mean scores for stigma and self‐efficacy were 57.22 ± 9.58 and 28.06 ± 3.97, respectively, both showing a moderate level. The late toxicities with the highest incidence were xerostomia (91.8%), fatigue (78.3%) and hearing loss (63.0%). Stigma was significantly and negatively related to self‐efficacy (r = −0.295, P < 0.001). Multivariable linear regression showed that self‐efficacy, number of children, educational level, perceived support from spouse and other family members and some late toxicities (nasal obstruction and toothache) were influencing factors of stigma, accounting for 49.4% of the variance. Conclusion: Medical staff should be more aware of stigma among Chinese nasopharyngeal carcinoma survivors, especially those with more children and weaker educational backgrounds who are at a higher risk of stigma. They should take effective measures to alleviate stigma by improving patients' self‐efficacy, relieving late toxicities and encouraging spouses and family members to provide more support for them.
- Subjects
CHINA; NASOPHARYNX cancer; CANCER patient psychology; STATISTICAL significance; ANALYSIS of variance; CROSS-sectional method; MULTIPLE regression analysis; SOCIAL stigma; SELF-efficacy; T-test (Statistics); MATHEMATICAL variables; QUESTIONNAIRES; SCALE analysis (Psychology); DESCRIPTIVE statistics; RESEARCH funding; RADIOTHERAPY; STATISTICAL sampling; DATA analysis software
- Publication
European Journal of Cancer Care, 2022, Vol 31, Issue 1, p1
- ISSN
0961-5423
- Publication type
Article
- DOI
10.1111/ecc.13528