Purpose: To explore the correlations among the status of stigma, medical coping, and general self-efficacy in young patients with lung cancer. Methods: The convenience sampling method (selecting 123 cases of young patients with lung cancer in our hospital), general questionnaire, Cataldo Lung Cancer Stigma Scale, Medical Coping Modes Questionnaire, and General Self-efficacy Scale. Results: In the young patients with lung cancer, the total scores of stigma, medical coping modes, and general self-efficacy are (74.49 ± 6.75), (48.94 ± 4.80), and (18.73 ± 5.43) respectively. According to the multiple linear regression analysis, the education level, monthly personal income, and smoking history are the main factors influencing their stigma. The stigma score is negatively correlated with envisaging, one of the medical coping modes, and general self-efficacy, and positively correlated with dodging and submission. These differences are statistically significant (p < 0.05). Conclusion: Young patients with lung cancer had moderately high levels of stigma, with education level, monthly personal income, and smoking history being the main influencing factors. Besides, more severe stigma results in worse envisaging and general self-efficacy of the medical coping modes, thus the young patients with lung cancer tended to adopt the coping modes of dodging and submission. Therefore, clinical nurses should strengthen the nursing intervention based on the information-motivation-behavioral skills model in the management of young patients with lung cancer, and provide timely psychological guidance to reduce their stigma and improve their positive coping modes and self-efficacy.
References
[1]
Abubakari, G., Smith, R., Boyd, T., Ramos, S. et al. (2022). Assessing Different Types of HIV Communication and Sociocultural Factors on Perceived HIV Stigma and Testing among a National Sample of Youth and Young Adults. International Journal of Environmental Research and Public Health, 19, 1003. https://doi.org/10.3390/ijerph19021003
[2]
Bandura, A. (2012). On the Functional Properties of Perceived Self-Efficacy Revisited. Journal of Management, 38, 9-44. https://doi.org/10.1177/0149206311410606
[3]
Cataldo, J. K., Slaughter, R., Jahan, T. M. et al. (2011). Measuring Stigma in People with Lung Cancer: Psychometric Testing of the Cataldo Lung Cancer Stigma Scale. Oncology Nursing Forum, 38, E46-E54. https://doi.org/10.1188/11.ONF.E46-E54
[4]
Chen, L., Chen, Y. G., Lin, Z. et al. (2014). Study on the Relationship between Quality of Life and Self-Efficacy of Patients with Depressive Disorder. Practical Clinical Medicine, 18, 15-18.
[5]
Feifel, H., Strack, S., & Nagy, V. T. (1987). Coping Strategies and Associated Features of Medically Ill Patients. Psychosomatic Medicine, 49, 616-625. https://doi.org/10.1097/00006842-198711000-00007
[6]
He, C. X., Hao, G. R., Zhang, H. J. et al. (2015). Medical Coping in Elderly T2DM Patients and Its Influencing Factors. Chinese General Medicine, 18, 525-529, 539.
[7]
Hu, M., Tan, J., Liu, Z. et al. (2022). Comprehensive Comparative Molecular Characterization of Young and Old Lung Cancer Patients. Frontiers in Oncology, 11, Article ID: 806845. https://doi.org/10.3389/fonc.2021.806845
[8]
IARC (2021). Global Cancer Observatory 2020. https://gco.iarc.fr
[9]
Li, M. (2015). The Relationships among Resilience, Affect and General Self-Efficacy and Medical Coping-Style in Hospitalized Patients with Coronary Heart Disease. Shihezi University.
[10]
Liu, X. H., Zhou, Q., & Cheng, S. Z. (2019). The Interpretation of Evaluation Essentials of Nursing Thesis in a Cross-Sectional Study (I). Modern Clinical Nursing, 18, 85-90.
[11]
Magno, L., Silva, L., Veras, M. A. et al. (2019). Stigma and Discrimination Related to Gender Identity and Vulnerability to HIV/AIDS among Transgender Women: A Systematic Review. Cadernos De Saude Publica, 35, e112718. https://doi.org/10.1590/0102-311x00112718
[12]
Moscibrodzki, P., Enane, A., Hoddinott, G. et al. (2021). The Impact of Tuberculosis on the Well-Being of Adolescents and Young Adults. Pathogens, 10, 1591. https://doi.org/10.3390/pathogens10121591
[13]
Qu, L., Qin, H., Liu, X. et al. (2013). Clinic Characteristics and Prognosis in 102 Non-Small Cell Lung Cancer Patients Less than 40 Years Old. Chinese Journal of Lung Cancer, 16, 73-77.
[14]
Ren, Z. L. (2019). Correlation and Path Analysis of Symptoms of Pulmonary Cancer with Coping Style, Social Support and Quality of Life. Guangxi Medical University.
[15]
Shen, X. H., & Jiang, Q. J. (2000). Report on Application of Chinese Version of MCMQ in 701 Patients. Chinese Journal of Behavioral Medical Science, 9, 18-20.
[16]
Stergiou-Kita, M., Grigorovich, A., Damianakis, T. et al. (2017). The Big Sell: Managing Stigma and Workplace Discrimination Following Moderate to Severe Brain Injury. Work—A Journal of Prevention Assessment & Rehabilitation, 57, 245-258. https://doi.org/10.3233/WOR-172556
[17]
Suwankhong, D., & Liamputtong, P. (2016). Breast Cancer Treatment Experiences of Changes and Social Stigma among Thai Women in Southern Thailand. Cancer Nursing, 39, 213-220. https://doi.org/10.1097/NCC.0000000000000255
[18]
Wang, C. K., Hu, Z. F., & Liu, Y. (2001). Appliance of General Self-Efficacy Scale Reliability and Validity. Journal of Applied Psychology, 7, 37-40.
[19]
Yang, Q. Q., Liu, H. X., Yang, C. L. et al. (2014). Reliability and Validity of Chinese Version of Cataldo Lung Cancer Stigma Scale. Journal of Nursing Science, 29, 17-19.
[20]
Yang, Q. Q. (2015). Quantitative and Qualitative Research on Stigma among Patients with Lung Cancer. Taishan Medical College.
[21]
Zeng, Q. J. (2019). Effect of Narrative Nursing on Psychological Distress, Coping Style and Quality of Life of Malignant Tumor Chemotherapy Patients. Henan University.
[22]
Zou, X. N., Jia, M. M., Wang, X. et al. (2017). Changing Epidemic of Lung Cancer & Tobacco and Situation of Tobacco Control in China. Chinese Journal of Lung Cancer, 20, 505-510.
