ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Self-efficacy and symptom distress in sphincter-preserving rectal cancer patients: the mediating role of intestinal symptoms self-management.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aims to identify factors associated with symptom distress and investigate the mediating roles of intestinal symptoms self-management behavior in rectal cancer patients after sphincter-preserving surgery between self-efficacy and symptom distress by structural equation model.
methodsThis study involved 177 rectal cancer patients after sphincter-preserving surgery from June 2022 to December 2022. Data were collected using a general information questionnaire, the Intestinal Symptoms Self-Management Behavior Questionnaire, the Strategies Used by People to Promote Health Scale, and the Anderson Symptom Inventory for Colorectal Cancer. Data analyses included descriptive statistics, independent t-test, correlation analysis, and multiple linear regression analysis. Additionally, a structural equation model was utilized to explore the mediating role of intestinal symptoms self-management behavior.
resultsParticipants reported a medium level of symptom distress (46.78 ± 27.74). Symptom distress was negatively correlated with self-efficacy and intestinal symptoms self-management behavior. Multiple linear regression analysis revealed that gender, family monthly income, course of disease, self-efficacy, and intestinal symptoms self-management behavior were significant predictors of symptom distress. Mediation analysis indicated that intestinal symptoms self-management behavior partially mediated the relationship between self-efficacy and symptom distress, with a mediation effect size of -0.140 and a total effect proportion of 33.3%.
conclusionsIntestinal symptoms self-management behavior plays a partial mediating role between self-efficacy and symptom distress, which should be considered in future intervention research.
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