위암수술 환자의 건강정보이해능력과 자가간호행위 간의 관계: 주관적 건강상태와 구체적 자기효능감의 매개효과

Abstract

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.