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KMID : 0367020210330030259
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Journal of Korean Academic of Adult Nursing
2021 Volume.33 No. 3 p.259 ~ p.268
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Relationship between Health Literacy and Self-care Behavior in Patients with Stomach Cancer after Gastrectomy: Mediating Effects of Subjective Health Status and Specific Self-efficacy
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Kim Min-Jung
Shin Yong-Soon
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Abstract
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Purpose: This study aimed to identify subjective health status and specific self-efficacy, and their mediating effects on the relationship between health literacy and self-care behavior in stomach cancer patients following gastrectomy.
Methods: A descriptive survey design was used. Data were collected from 131 gastric cancer patients between 17 February and 10 September, 2020 at a cancer center in Gyeonggi-Do. The participants responded to a self-reporting questionnaire. Data were analyzed using descriptive statistics and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results: The mean score for self-care behavior was 66.78±8.36. Self-care behavior was significantly associated with health literacy, subjective health status, and specific self-efficacy. The mediating effect of specific self-efficacy on the impact of health literacy on self-care behavior was confirmed.
Conclusion: The impact of health literacy on self-care behavior was mediated by specific self-efficacy in stomach cancer patients following gastrectomy. Further, the results suggest that specific self-efficacy needs to be considered in developing nursing interventions to enhance health literacy and improve self-care behavior for stomach cancer patients after gastrectomy.
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KEYWORD
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Health literacy, Diagnostic self-evaluation, Self efficacy, Self care
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