Purpose

The number of cancer survivors in the US surpassed 18.1 million in 2022 and this number continues to grow. Patient self-efficacy, a patient’s confidence in his or her ability to self-manage symptoms and healthcare concerns, has been linked to improved health outcomes. We thus set out to examine the association between a patient-centered care quality index and self-efficacy among cancer survivors.

Methods

Data from 777 survivors of breast, prostate, and colorectal cancers at 32 cancer centers nationwide were collected 6 months after an initial survivorship visit. Patients completed surveys assessing patient-centered care (36 items under seven factors) and individual self-efficacy (eight items). Multiple linear regression was used to examine the association between patient-centered care and patient self-efficacy, adjusting for demographics, cancer-related characteristics, and organizational characteristics of high-quality patient-centered survivorship care.

Results

In descriptive analyses, there were no statistically significant differences in demographic or cancer-related characteristics between cancer survivors by quality of patient-centered care. In regression models, a one-unit increase in patient-centered care was associated with a 0.23 (95% CI 0.14–0.32) increase in mean self-efficacy compared to low quality of patient-centered care when adjusting for demographics, cancer-related characteristics, and indicators of high-quality survivorship care. Individually, four of the seven factors of quality patient-centered care were statistically significantly associated with greater self-efficacy. Having a medical home was associated with the greatest increase in self-efficacy among survivors.

Conclusion

Our findings indicate that higher quality patient-centered care is associated with greater cancer survivor self-efficacy. Given that self-efficacy is correlated with improved health outcomes and quality of life, this finding further supports the importance of high-quality patient-centered survivorship care.

Implications of Cancer Survivors

High-quality patient-centered survivorship care was associated with higher patient self-efficacy. This association should further be explored among cancer survivors with diverse characteristics.

中文翻译：

---

以患者为中心的护理质量指数与癌症幸存者自我效能之间的关联

目的

2022 年，美国癌症幸存者人数超过 1810 万人，并且这一数字还在持续增长。患者自我效能，即患者对其自我管理症状和医疗保健问题的能力的信心，与健康结果的改善有关。因此，我们着手研究以患者为中心的护理质量指数与癌症幸存者自我效能之间的关联。

方法

在初次生存就诊 6 个月后，收集了全国 32 个癌症中心的 777 名乳腺癌、前列腺癌和结直肠癌幸存者的数据。患者完成了评估以患者为中心的护理（七个因素下的 36 个项目）和个人自我效能（八个项目）的调查。使用多元线性回归来检查以患者为中心的护理与患者自我效能之间的关联，并调整人口统计数据、癌症相关特征以及高质量以患者为中心的生存护理的组织特征。

结果

在描述性分析中，根据以患者为中心的护理质量，癌症幸存者之间的人口统计学或癌症相关特征没有统计学上的显着差异。在回归模型中，在调整人口统计数据、癌症相关因素后，与低质量的以患者为中心的护理相比，以患者为中心的护理每增加一个单位，平均自我效能感就会增加 0.23 (95% CI 0.14–0.32)。高质量幸存者护理的特征和指标。就个体而言，以患者为中心的优质护理的七个因素中的四个与更高的自我效能在统计上显着相关。拥有医疗之家与幸存者自我效能的最大程度提高有关。

结论

我们的研究结果表明，更高质量的以患者为中心的护理与更高的癌症幸存者自我效能相关。鉴于自我效能与健康结果和生活质量的改善相关，这一发现进一步支持了以患者为中心的高质量生存护理的重要性。

癌症幸存者的影响

以患者为中心的高质量生存护理与较高的患者自我效能相关。应在具有不同特征的癌症幸存者中进一步探讨这种关联。