Current status of self-management efficacy and its correlation with post-traumatic growth、resilience in nasopharyngeal carcinoma patients treated with radiotherapy:A cross-sectional study

Objective: To investigate the status of self-management efficacy and its correlation with Post-traumatic Growth and resilience in patients with NasoPharyngeal Carcinoma treated with radiotherapy, and to explore the influencing factors. Methods: In March to December 2022, NasoPharyngeal Carcinoma radiotherapy patients in a Class ⅲ Grade a hospital in Nanjing were selected as the research objects by convenience sampling. The general information Questionnaire, Cancer Self-Management Efficacy Scale, Post-traumatic Growth Rating Scale and 10-item Psychological Resilience Scale were used to investigate the patients. Pearson、Spearman correlation analysis and Hierarchical regression analysis were used to analyze the influencing factors of self-management efficacy of NasoPharyngeal Carcinoma radiotherapy patients. Results: In this study, the current score of self-management efficacy of NasoPharyngeal Carcinoma radiotherapy patients was (93.80±24.13). Pearson correlation analysis showed a positive correlation between self-management efficacy and post-traumatic growth in nasopharyngeal carcinoma radiotherapy patients (r=0.630, P < 0.01), and Spearman correlation analysis showed a positive correlation between self-management efficacy and mental toughness (r=0.509, P < 0.01).The results of hierarchical regression analysis showed that post-traumatic growth and resilience could positively predict the subjects' self-management efficacy after controlling individual characteristics variables, DR 2 =0.348, and the two could explain 34.8% of the total variables, and the cumulative could explain 47.4% of the total variables. Conclusions: In this study, the self-management efficacy of NasoPharyngeal Carcinoma patients undergoing radiotherapy is at a medium level, and Post-traumatic Growth and psychological resilience are the influencing factors. Medical staff should pay more attention to the negative emotions of patients and adopt reasonable intervention methods to enhance their self-management efficacy.