| Peer-Reviewed

A Study on the Intervention Model of Gastrointestinal Reactions Based on Self-efficacy Theory in Lung Cancer Patients During Chemotherapy

Received: 5 December 2020     Accepted: 19 December 2020     Published: 12 January 2021
Views:       Downloads:
Abstract

Background: Although there are many studies on clinical intervention of gastrointestinal reactions induced by chemotherapy, the methods and means of intervention are inconsistent and the results differ greatly. More importantly, there are fewer relatively uniform intervention models with theoretical support. Therefore, based on the self-efficacy theory and its framework, the aim of this study was to construct an intervention model of gastrointestinal reactions in patients with lung cancer undergoing chemotherapy and evaluate its effects of clinical application. Methods: Based on self-efficacy theory, a intervention model of gastrointestinal reactions was constructed and applied to 30 patients with lung cancer who had gastrointestinal reactions during chemotherapy for three consecutive chemotherapy cycles. Results: After three cycles of intervention, the analysis of repeated measurement data showed that there was decreased in the total score of gastrointestinal reactions induced by chemotherapy, as well as in yield and psychological distress, and at the same time, increased in the scores of self-efficacy, objective support, support utilization and internal control (P<0.05). Conclusion: The intervention model based on the self-efficacy theory is feasible to intervene in the gastrointestinal reactions of patients with lung cancer during chemotherapy. It can improve their self-efficacy and effectively reduce the gastrointestinal reactions.

Published in International Journal of Clinical Oncology and Cancer Research (Volume 6, Issue 1)
DOI 10.11648/j.ijcocr.20210601.11
Page(s) 1-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Self-efficacy, Chemotherapy, Lung Cancer, Gastrointestinal Reactions

References
[1] Sparla A, Flach-Vorgang S, Villalobos M, et al. Reflection of illness and strategies for handling advanced lung cancer - a qualitative analysis in patients and their relatives [J]. BMC Health Serv Res, 2017, 17 (1): 173. DOI: 10.1186/s12913-017-2110-x.
[2] Gu W, Xu YM, Zhong BL. Health-related quality of life in Chinese inpatients with lung cancer treatedin large general hospitals: across-sectional study [J]. BMJ Open, 2018, 8 (4): e019873. DOI: 10.1136/bmjopen-2017-019873.
[3] Wang D, Fu J. Symptom clusters and quality of life in China patients with lung cancer undergoing chemotherapy [J]. Afr Health Sci, 2014, 14 (1): 49-55. DOI: 10.4314/ahs.v14i1.8.
[4] Koshiyama M, Matsumura N, Imai S, et al. Combination of Aprepitant, Azasetron, and Dexamethasone as Antiemetic Prophylaxis in Women with Gynecologic Cancers Receiving Paclitaxel/Carboplatin Therapy [J]. Med Sci Monit, 2017, 23: 826-833. DOI: 10.12659/msm.899741.
[5] Wahlang JB, Laishram PD, Brahma DK, et al. Adverse drug reactions due to cancer chemotherapy in a tertiary care teaching hospital [J]. Ther Adv Drug Saf, 2017, 8 (2): 61-66. DOI: 10.1177/2042098616672572.
[6] Xie J, Chen LH, Ning ZY, et al. Effect of transcutaneous electrical acupoint stimulation combined with palonosetron on chemotherapy-induced nausea and vomiting: a single-blind, randomized, controlled trial [J]. Chin J Cancer, 2017, 36 (1): 6. DOI: 10.1186/s40880-016-0176-1.
[7] Grimmett C, Haviland J, Winter J, et al. Colorectal cancer patient's self-efficacy for managing illness-related problems in the first 2 years after diagnosis, results from the ColoREctal Well-being (CREW) study [J]. J Cancer Surviv, 2017, 11 (5): 634-642. DOI: 10.1007/s11764-017-0636-x.
[8] Omran S, Mcmillan S. Symptom Severity, Anxiety, Depression, Self- Efficacy and Quality of Life in Patients with Cancer [J]. Asian Pac J Cancer Prev, 2018, 19 (2): 365-374. DOI: 10.22034/APJCP.2018.19.2.365.
[9] Atienza AA, Serrano KJ, Riley WT, et al. Advancing Cancer Prevention and Behavior Theory in the Era of Big Data [J]. J Cancer Prev, 2016, 21 (3).
[10] Cai JK. On the self-efficacy of young nursing teachers [J]. Teacher, 2020, (5): 127-128.
[11] Ma J, Jia HZ (2019). Construction of Triadic Reciprocal Reading Promotion Model from the Perspective of Self-efficacy [J]. Library & Information, 2019, (2): 46-56. DOI: 10.11968/tsyqb.1003-6938.2019024.
[12] Bandura A. The self system in reciprocal determinism [J]. American Psychologist, 1978, 33 (4): 344-358.
[13] Peterson AM, Harper FW, Albrecht TL, et al. Parent caregiver self-efficacy and child reactions to pediatric cancer treatment procedures [J]. J Pediatr Oncol Nurs, 2014, 31 (1): 18-27. DOI: 10.1177/1043454213514792.
[14] Bandura A. Self-efficacy. The exercise of control [M]. New York: Freeman, 1997, pp. 116.
[15] Zhang Lei. A Study on the Intervention of Class Group Tutoring on Self-efficacy of Higher Vocational Students [J]. Journal of Shanxi Institute of Economic Management, 2018, 26 (002): 10-15.
[16] Baskin AS, Kwan L, Connor SE, et al. Low self-efficacy is associated with decreased emergency department use in underserved men with prostate cancer. Urologic Oncology Seminars & Original Investigations, 2016, 34: 3. e15-21.
[17] LI DJ, XING FM, DONG CY, et al. Long-term effects of nursing intervention based on self-efficacy theory on dietary self-management behavior of elderly diabetic patientss [J]. Chinese Nursing Research, 2020, 34 (5): 897-899. DOI: 10.12102/j.issn.1009-6493.2020.05.036.
[18] Huang FF, Yang Q, Wang AN, et al. Psychometric properties and performance of existing self-efficacy instruments in cancer populations: a systematic review [J]. Health Qual Life Outcomes, 2018, 16 (1): 241. DOI: 10.1186/s12955-018-1066-9.
[19] Huang L, Li XL, Luo X, et al. Analysis of the levels of psychological distress and its influence factors in patients with lung cancer [J]. Chinese Journal of Practical Nursing, 2015, (35): 2704-2707. DOI: 10.3760/cma.j.issn.1672-7088.2015.35.018.
[20] Liu GX, Zhang XQ. Study on the relationship between social support and gastrointestinal reaction in patients with lungcancer during chemotherapy [J]. Chin J Prac Nurs, 2016, 32 (30): 2335-2339. DOI: 10.3760/cma.j.issn.1672-7088.2016.30.004.
[21] Liu GX, Zhang H, Meng Y, et al. A path analysis of impacts of psychological control source, psychological distress and psychosomatic status on the gastrointestinal symptoms of lung cancer patients undergoing chemotherapy [J]. Journal of Nurses Training, 2018, 33 (4): 305-309. DOI: 10.16821/j.cnki.hsjx.2018.04.005.
[22] He HY. The Construction of Assessment Tools and Clinical Research on Chemotherapy-Related Gastrointestinal Symptoms Burden [D]. Army Medical University, 2011.
[23] Wu J, Zhou J. The mediating effect of self-efficacy between social support and benefit finding among caregivers of hospitalized patients with cancer [J]. Nursing of Integrated Traditional Chinese and Western Medicine, 2020, 6 (1): 5-9. DOI: 10.11997/nitcwm.202001002.
[24] Shen XH, Jiang QJ. Report on application of Chinese version MCMQ in 701 patients [J]. Chinese Journal of Behavioral Medicine and Brain Science, 2000, 9 (1): 18. DOI: 10.3760/cma.j.issn.1674-6554.2000.01.008.
[25] ZHU TT, LIU DL, ZHANG J, et al. Progress of Measurement Tools on Locus of Control [J]. Chinese General Practice, 2019, 22 (20): 2476-2481. DOI: 10.12114/j.issn.1007-9572.2018.00.384.
[26] Zhang YNg, Zhang HW, Song LL, et al. Application of the NCCN Distress Thermometer in Chinese cancer patients [J]. Chinese Mental Health Journal, 2010, 24 (12): 897-902.
[27] WANG CK, HU ZF, LIU Y. Evidences for Reliability and Validity of the Chinese Version of General Self-Efficacy Scale [J]. Chinese Journal of Applied Psychology, 2001, 7 (1): 37-40.
[28] Zhao QQ, Yang ZH, Mi X, et al. Structural equation model of self-efficacy, social support, coping style and psychological resilience in lung cancer patients [J]. Chongqing Medical Journal, 2017, 46 (30): 4310-4312. DOI: 10.3969/j.issn.1671-8348.2017.30.048.
[29] Lee YS, Suchday S, Wylie-Rosett J. Perceived social support, coping styles, and Chinese immigrants' cardiovascular responses to stress [J]. Int J Behav Med2012, 19 (2): 174-185. DOI: 10.1007/s12529-011-9156-7.
[30] Huang FF, Yang Q, Zhang J, et al. The structural equation model on self-efficacy during post-op rehabilitation among non-small cell lung cancer patients [J]. PLoS One, 2018, 13 (9): e0204213. DOI: 10.1371/journal.pone.0204213.
[31] Liu XX, Liu SYi, Zhu Y, et al. Study on status quo of psychological control source, coping styles and psychological distress of lung cancer patients [J]. Chinese Nursing Research, 2015, (3): 324-326. DOI: 10.3969/j.issn.10096493.2015.03.024.
[32] Liu LL, Lin P, Zhao ZJ. A path analysis of impacts of self-efficacy, social support and coping style on resilience in acute myocardial infarction patients [J]. Chinese Journal of Nursing, 2016, 51 (1): 21-25. DOI: 10.3761/j.issn.0254-1769.2016.01.004.
[33] Hamilton JG, Lobel M. Psychosocial Factors Associated With Risk Perceptions for Chronic Diseases in Younger and Middle-Aged Women [J]. Women Health, 2015, 55 (8): 921-942. DOI: 10.1080/03630242.2015.1061094.
[34] Perenc L, Radochonski M. Psychological Predictors of Seeking Help from Mental Health Practitioners among a Large Sample of Polish Young Adults [J]. Int J Environ Res Public Health, 2016, 13 (11): 1-9. DOI: 10.3390/ijerph13111049.
[35] Lambert SD, Girgis A, Turner J, et al. A pilot randomized controlled trial of the feasibility of a self-directed coping skills intervention for couples facing prostate cancer: rationale and design [J]. Health Qual Life Outcomes, 2012, 10: 119. DOI: 10.1186/1477-7525-10-119.
[36] Qian D, Xu XJ, Fan LL, et al. Research Progress in the Relationship of Self-efficacy and the Quality of Cancer Patients' Lives in Foreign Countries [J]. Chinese General Practice, 2014, (36): 4286-4290. DOI: 10.3969/j.issn.1007-9572.2014.36.005.
[37] Lev EL, Daley KM, Conner NE, et al. An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patients [J]. Sch Inq Nurs Pract, 2001, 15 (3): 277-294.
[38] Phillips SM, McAuley E. Social cognitive influences on physical activity participation in long-term breast cancer survivors [J]. Psychooncology, 2013, 22 (4): 783-791. DOI: 10.1002/pon.3074.
[39] Moon JA, Yoo CH, Kim MH, et al. Knowledge, Self-Efficacy, and Perceived Barriers on the Low-Iodine Diet among Thyroid Cancer Patients Preparing for Radioactive Iodine Therapy [J]. Clin Nutr Res, 2012, 1 (1): 13-22. DOI: 10.7762/cnr.2012.1.1.13.
[40] Ke YX, Liang ZQ, Huang FQ. Effect of self-efficacy training on quality of life of cancer patients undergoing chemotherapy [J]. Journal of Qiqihar Medical University, 2012, 33 (6): 791-792. DOI: 10.3969/j.issn.1002-1256.2012.06.063.
[41] Wang Li, Du YL, Jiang ZY, et al. Effect of self-efficacy intervention combined with medication on chemotherapy induced vomiting [J]. Journal of Nursing Science, 2015, 30 (13): 41-43. DOI: 10.3870/hlxzz.2015.13.041.
Cite This Article
  • APA Style

    Liu Guixia, Wu Caiyun, Sun Shenghong, Zhang Hui, Meng Yun. (2021). A Study on the Intervention Model of Gastrointestinal Reactions Based on Self-efficacy Theory in Lung Cancer Patients During Chemotherapy. International Journal of Clinical Oncology and Cancer Research, 6(1), 1-9. https://doi.org/10.11648/j.ijcocr.20210601.11

    Copy | Download

    ACS Style

    Liu Guixia; Wu Caiyun; Sun Shenghong; Zhang Hui; Meng Yun. A Study on the Intervention Model of Gastrointestinal Reactions Based on Self-efficacy Theory in Lung Cancer Patients During Chemotherapy. Int. J. Clin. Oncol. Cancer Res. 2021, 6(1), 1-9. doi: 10.11648/j.ijcocr.20210601.11

    Copy | Download

    AMA Style

    Liu Guixia, Wu Caiyun, Sun Shenghong, Zhang Hui, Meng Yun. A Study on the Intervention Model of Gastrointestinal Reactions Based on Self-efficacy Theory in Lung Cancer Patients During Chemotherapy. Int J Clin Oncol Cancer Res. 2021;6(1):1-9. doi: 10.11648/j.ijcocr.20210601.11

    Copy | Download

  • @article{10.11648/j.ijcocr.20210601.11,
      author = {Liu Guixia and Wu Caiyun and Sun Shenghong and Zhang Hui and Meng Yun},
      title = {A Study on the Intervention Model of Gastrointestinal Reactions Based on Self-efficacy Theory in Lung Cancer Patients During Chemotherapy},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {6},
      number = {1},
      pages = {1-9},
      doi = {10.11648/j.ijcocr.20210601.11},
      url = {https://doi.org/10.11648/j.ijcocr.20210601.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20210601.11},
      abstract = {Background: Although there are many studies on clinical intervention of gastrointestinal reactions induced by chemotherapy, the methods and means of intervention are inconsistent and the results differ greatly. More importantly, there are fewer relatively uniform intervention models with theoretical support. Therefore, based on the self-efficacy theory and its framework, the aim of this study was to construct an intervention model of gastrointestinal reactions in patients with lung cancer undergoing chemotherapy and evaluate its effects of clinical application. Methods: Based on self-efficacy theory, a intervention model of gastrointestinal reactions was constructed and applied to 30 patients with lung cancer who had gastrointestinal reactions during chemotherapy for three consecutive chemotherapy cycles. Results: After three cycles of intervention, the analysis of repeated measurement data showed that there was decreased in the total score of gastrointestinal reactions induced by chemotherapy, as well as in yield and psychological distress, and at the same time, increased in the scores of self-efficacy, objective support, support utilization and internal control (P<0.05). Conclusion: The intervention model based on the self-efficacy theory is feasible to intervene in the gastrointestinal reactions of patients with lung cancer during chemotherapy. It can improve their self-efficacy and effectively reduce the gastrointestinal reactions.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - A Study on the Intervention Model of Gastrointestinal Reactions Based on Self-efficacy Theory in Lung Cancer Patients During Chemotherapy
    AU  - Liu Guixia
    AU  - Wu Caiyun
    AU  - Sun Shenghong
    AU  - Zhang Hui
    AU  - Meng Yun
    Y1  - 2021/01/12
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijcocr.20210601.11
    DO  - 10.11648/j.ijcocr.20210601.11
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
    SP  - 1
    EP  - 9
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/j.ijcocr.20210601.11
    AB  - Background: Although there are many studies on clinical intervention of gastrointestinal reactions induced by chemotherapy, the methods and means of intervention are inconsistent and the results differ greatly. More importantly, there are fewer relatively uniform intervention models with theoretical support. Therefore, based on the self-efficacy theory and its framework, the aim of this study was to construct an intervention model of gastrointestinal reactions in patients with lung cancer undergoing chemotherapy and evaluate its effects of clinical application. Methods: Based on self-efficacy theory, a intervention model of gastrointestinal reactions was constructed and applied to 30 patients with lung cancer who had gastrointestinal reactions during chemotherapy for three consecutive chemotherapy cycles. Results: After three cycles of intervention, the analysis of repeated measurement data showed that there was decreased in the total score of gastrointestinal reactions induced by chemotherapy, as well as in yield and psychological distress, and at the same time, increased in the scores of self-efficacy, objective support, support utilization and internal control (P<0.05). Conclusion: The intervention model based on the self-efficacy theory is feasible to intervene in the gastrointestinal reactions of patients with lung cancer during chemotherapy. It can improve their self-efficacy and effectively reduce the gastrointestinal reactions.
    VL  - 6
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Anhui Medical University, Hefei, China

  • Department of Hemodialysis, First Affiliated Hospital of Anhui Medical University, Hefei, China

  • Organ Transplantation Center, First Affiliated Hospital of Anhui Medical University, Hefei, China

  • Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Anhui Medical University, Hefei, China

  • Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Anhui Medical University, Hefei, China

  • Sections