Published date: Feb 10 2023

Journal Title: KnE Medicine

Issue title: 5th Riau International Nursing Conference (RINC)

Pages: 39–49

DOI: 10.18502/kme.v3i1.12696

Tuti Nurainitutinfik@ui.ac.idFaculty of Nursing Universitas Indonesia, Jl. Prof. Dr. Bahder Djohan, Depok, Jawa Barat – 16424

Justitia IntanDharmais Cancer Center Hospital, Jl. Letjen. S. Parman, No. 84-86, Jakarta Pusat

Dewi GayatriFaculty of Nursing Universitas Indonesia, Jl. Prof. Dr. Bahder Djohan, Depok, Jawa Barat – 16424

Tuti AfriyaniFaculty of Nursing Universitas Indonesia, Jl. Prof. Dr. Bahder Djohan, Depok, Jawa Barat – 16424

Self-efficacy is needed as a basis for action and is defined as a person’s ability to take care of himself in order to achieve the expected results. Breast cancer patients need good self-efficacy to undergo treatment, especially during the COVID-19 pandemic. This study aims to describe the characteristics of breast cancer patients and their relationship with self-efficacy during treatment at the Dharmais Cancer Hospital. The study design used was cross-sectional, involving 107 cancer patients through consecutive sampling. Self-efficacy was assessed using the Cancer Behavior Inventory (CBI) instrument. Data were analyzed using the Chi-square test. The results showed that as many as 69 respondents (64%) had low self-efficacy during the COVID-19 pandemic. The results showed that age (p = 0.008), employment status (p = 0.026), monthly income (p = 0.000), and ward (p = 0.031) had significant relationship to self-efficacy. Self-efficacy describes the optimistic perception of cancer patients being able to overcome their cancer-related stressors. In probable or confirmed cases of COVID-19, most patients will fall into a state of psychological crisis, unstable emotions, rejection, anger, and non-compliance with treatment. Education and counseling regarding self-efficacy are needed in an effort to increase the self-efficacy of breast cancer patients undergoing treatment during the COVID-19 pandemic at Dharmais Cancer Hospital Jakarta.

Keywords: self-efficacy, breast cancer, COVID-19

[1] Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer statistics. CA Cancer J Clin. 2022;72(1):7–33.

[2] American Cancer Society. American Cancer Society. Cancer Facts & Figures 2020 [Internet]. 2020. p. 1–52. Available from: org/acs/groups/content/@nho/documents/document/caff2007pwsecuredpdf.pdf

[3] World Health Organization. Coronavirus disease (COVID-2019) situation reports. 2020.

[4] Baik SH, Oswald LB, Buitrago D, Buscemi J, Iacobelli F, Perez-tamayo A, et al. Cancer-relevant self-efficacy is related to better health-related quality of life and lower cancer-specific distress and symptom burden among Latina breast cancer survivors. 2020;357–365.

[5] Calip GS, Kidd J, Bernhisel R, Cox HC, Saam J, Rauscher GH, et al. Family history of breast cancer in men with non-BRCA male breast cancer: implications for cancer risk counseling. Breast Cancer Res Treat [Internet]. 2021;185(1):195–204. Available from: https://doi.org/10.1007/s10549-020-05922-w

[6] Alinejad Mofrad S, Nasiri A, Mahmoudi Rad GH, Homaei Shandiz F. Spousal sexual life issues after gynecological cancer: A qualitative study. Support Care Cancer. 2021;29(7):3857–3864.

[7] Herts KL, Khaled MM, Stanton AL. Correlates of Self-Efficacy for Disease Management in adolescent / young adult cancer survivors: A systematic review. Health Psychol. 2017;36(3):192–205.

[8] Deshields TL, Asvat Y, Tippey AR, Vanderlan JR. Distress , depression , anxiety , and resilience in patients with cancer and caregivers. Health Psychol. 2022;41(4):246– 255.

[9] Zhang X, Ma L, Feng L. Web-based self- management intervention for patients with cancer: A meta-analysis and systematic review. J Nurs Scholarsh. 2022 ( June 2021); 54(5):598–606.

[10] Khorsandi B, Khakbazan Z, Mahmoodzadeh HA, Haghani H, Farnam F. Self-efficacy of the first-degree relatives of patients with breast cancer in the prevention of cancer : Using the health belief model. J Cancer Educ. 2020 Oct;35(5):977–982.

[11] Solikhah S, Matahari R, Utami FP, Handayani L, Marwati TA. Breast cancer stigma among Indonesian women: A case study of breast cancer patients. BMC Womens Health. 2020;20(1):1–6.

[12] Pauge S, Surmann B, Mehlis K, Zueger A, Richter L, Menold N, et al. Patient-reported financial distress in cancer: A systematic review of risk factors in universal healthcare systems. Cancers (Basel). 2021;13(19):1–20.

[13] Durr-e-Samin Tahir, Wasima Tauseef, Bareah Madiha, Tahira Urooj. Efficacy of linking Breast Awareness Clinics in Gynecology and Obstetrics departments: A pilot project in Zubaida Bani Wing, Fazle-Omar Hospital, Chenab Nagar, Pakistan. Pak J Med Sci. 2022;38(4):1021–1026.

[14] Fischer KA, Walling A, Wenger N, Glaspy J. Cost health literacy as a physician skillset: The relationship between oncologist reported knowledge and engagement with patients on financial toxicity. Support Care Cancer. 2020;28(12):5709–5715.

[15] Mccloskey EV. Global impact of COVID-19 on non-communicable disease management: Descriptive analysis of access to FRAX fracture risk online tool for prevention of osteoporotic fractures. Osteoporos Int. 2021;32:39–46.

[16] Id AK, Sobczyk-kruszelnicka M. Interaction effect of coping self-efficacy and received support in daily life of hematopoietic cell transplant patient-caregiver dyads. PLoS One. 2021;1–16. Available from: http://dx.doi.org/10.1371/journal.pone.0260128

[17] Wang G, Li Z, Luo X, Ru MSN, Hui W, Yang J, et al. Effects of nurse- led supportiveexpressive group intervention for post- traumatic growth among breast cancer survivors : A randomized clinical trial. J Nurs Scholarsh. 2022;(April 2021);54(4):434– 444.

[18] Wang R, Li L, Xu J, Ding ZT, Qiao J, Redding SR. Effects of structured expressive writing on quality of life and perceived self-care self-efficacy of breast cancer patients undergoing chemotherapy in Central China: A randomized controlled trial. Healthcare 2022;10(9):1762.

[19] Chin C, Tseng L, Chao T, Wang T, Wu S, Id SL. Self-care as a mediator between symptom- management self-efficacy and quality of life in women with breast cancer. PLoS One. 2021;1–11. Available from: http://dx.doi.org/10.1371/journal.pone.0246430

[20] Park KU, Selby L, Chen P, Cochran A, Harzman A, Shen C, et al. Society of Asian Academic Surgeons: Development of residents ’ self-efficacy in multidisciplinary management of breast cancer survey. J Surg Res [Internet]. 2020;251:275–280. Available from: https://doi.org/10.1016/j.jss.2020.02.014

[21] Bandura A. Social cognitive theory: An agentic perspective. Rev Psychol [Internet]. 2001;52:1–26. Available from: https://doi.org/ 10.1146/annurev.psych.52.1.1 Bergkvist,

[22] White LL, Cohen MZ, Berger AM, Kupzyk KA, Bierman PJ. Self-efficacy for management of symptoms and symptom distress in adults with cancer: An integrative review. Oncol Nurs Forum. 2019;46(1):113–129.