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Perceived control, self-management efficacy, and quality of life in patients treated with radiation therapy for breast cancer: a longitudinal study

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Abstract

Objective

This longitudinal study aims to examine the present state of perceived control, self-management efficacy, and overall quality of life (QoL) in patients with breast cancer undergoing radiotherapy, and gain insight into the dynamic trends and factors that influence the quality of life experienced by patients during the course of radiotherapy.

Methods

Participants completed the Cancer Experience and Efficacy Scale (CEES), Strategies Used by People to Promote Health (SUPPH), and Functional Assessment of Cancer Therapy- Breast (FACT-B). The data was analyzed using the software SPSS26.0. Repeated measures analysis of variance (ANOVA) and mixed-effects linear models were used to analyze trends in perceived control, self-management efficacy, and QoL at three-time points, as well as factors affecting QoL during radiotherapy.

Results

Perceived control and self-management efficacy were associated with QoL over the course of the radiotherapy. Self-management efficacy (β = 0.30, P < 0.001), presence of chemotherapy (β = 18.33, P = 0.024), and duration of illness (β = 2.25, P = 0.028) had a positive effect on the change in QoL, while time (β =  − 2.95, P < 0.001), cancer experience (β =  − 0.46, P < 0.001), and type of medical insurance (β =  − 2.77, P = 0.021) had the negative effect on the change in QoL.

Conclusion

The QoL, perceived control, and self-efficacy of patients with breast cancer show dynamic changes during radiotherapy. The higher the self-efficacy, the better the QoL, and the worse the QoL when the sense of disease control is poor. At the same time, more attention should be paid to the QoL of breast cancer radiotherapy patients with a long course of the disease, receiving chemotherapy, and different medical payment methods.

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Data availability

No datasets were generated or analysed during the current study.

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Acknowledgements

The authors are grateful to all the participants in the study.

Funding

The study was supported by the Sichuan Provincial Nursing Association (Grants H21012). The funding was not involved in any process of this study including design of the study, collection, analysis, interpretation of data, and writing the manuscript.

Author information

Authors and Affiliations

  1. School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China

    Hai-mei Qu, Hong-yue Zhong, Tian Xiao, Yan-jun Li, Pan Ren & Xiao-ju Chen

  2. Department of Nursing, Xuanhan County People’s Hospital, Dazhou, Sichuan, China

    Hai-mei Qu

  3. Department of Nursing, Suining Central Hospital, Suining, Sichuan, China

    Yan-jun Li

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Contributions

Conceptualization and methodology: HM Q, HY Z, T X; data curation: YJ L; formal analysis: R P; data interpretation: Yj L, R P; funding acquisition: XJ C; writing—original draft: HM Q; writing—review and editing: HM Q, HY Z, T X. All the authors reviewed and approved the final version of this manuscript.

Corresponding author

Correspondence to Xiao-ju Chen.

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Ethics approval

Approval was obtained from the ethics committee of the First Affiliated Hospital of Chengdu Medical College (2021CYFYIRB-BA-62–01). The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

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The authors declare no competing interests.

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Hai-mei Qu, Hong-yue Zhong, and Tian Xiao contributed to the work equally and should be regarded as co-first authors.

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Qu, Hm., Zhong, Hy., Xiao, T. et al. Perceived control, self-management efficacy, and quality of life in patients treated with radiation therapy for breast cancer: a longitudinal study. Support Care Cancer 32, 284 (2024). https://doi.org/10.1007/s00520-024-08485-4

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