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Self-Management Status and Influencing Factors of Patients With Breast Cancer Undergoing Endocrine Therapy: A
Xiaoge He1, Chunlei Liu1, Mengying Sun2
1College of Nursing, Hebei University, Baoding, Hebei, China (He, Liu, and Zhang).
Background:
Given that patients with breast cancer receiving endocrine therapy mainly take medication at home for a long time, they must adopt self-management strategies to deal with the multifaceted challenges associated with long-term treatment. Identifying the factors that influence self-management behaviors is crucial to developing targeted interventions.
Objective:
Based on the Individual and Family Self-management Theory, this study investigates the present status and influencing factors of self-management behaviors in breast cancer survivors receiving endocrine therapy.
Methods:
269 patients were selected at a tertiary hospital between September 2024 and May 2025. The survey was conducted using self-reported questionnaires. Structural equation modelling was employed to analyze the influencing factors.
Results:
The self-management score rate of patients was 80.4%, indicating generally favorable overall self-management behaviors. Symptom distress directly and indirectly influenced patients' self-management behaviors. Social capital and family functioning exerted only indirect effects, while self-efficacy, self-regulation, and social support had direct effects. These factors also functioned as parallel mediators in the relationships between symptom distress and self-management behaviors, as well as between social capital and self-management behaviors. Self-efficacy and social support mediated the association between family functioning and self-management behaviors.
Conclusion:
The Individual and Family Self-management Theory model proved suitable for exploring factors influencing the self-management behaviors of breast cancer survivors. Symptom distress, social capital, family functioning, self-efficacy, self-regulation, and social support were key influence factors of self-management behaviors.
Implications For Practice:
Healthcare professionals can develop targeted interventions based on symptom distress, social capital, family functioning, self-efficacy, self-regulation, and social support to enhance patients' self-management capabilities.
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