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  4. Vol 5, Issue 2, 2025

The Effect of Family Function on Fear of Cancer Recurrence in Patients after Liver Cancer Surgery: The Mediating Effect of Self-Efficacy

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DOI: 10.23977/phpm.2025.050207 | Downloads: 4 | Views: 158

Author(s)

Suling Huang 1, Yanhong Li 1, Danping Huang 1, Linmei Zhang 1

Affiliation(s)

1 First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, 341000, China

Corresponding Author

Linmei Zhang

ABSTRACT

Our study aims to explore the mediating effect of self-efficacy between family function and fear of cancer recurrence in patients after liver cancer surgery. A convenience sampling method was used to select 128 patients who underwent liver cancer surgery at a grade A level III hospital in Ganzhou City from February 2024 to December 2024 as the research subjects. The Chinese version of the Self-Management Efficacy Scale for Cancer Patients (SUP-PH), the Family Care Index Questionnaire (APGAR), and the Simplified Fear of Progression Questionnaire (Fop-Q-SF) were employed for the survey, and the mediating effect analysis was conducted. RESULTS: The self-management efficacy score of patients after liver cancer surgery was (72.64±11.04) points, the family care index score was (7.00±1.00) points, and the fear of progression score was (36.51±5.40) points. The family function and self-efficacy of patients after liver cancer surgery were negatively correlated with fear of cancer recurrence (P<0.01), and self-efficacy was positively correlated with family function (P<0.01). The results showed that the total effect value was -0.766, the direct effect of family function on fear of cancer recurrence was significant (β=-0.416, 95%CI: -0.256~-0.124, P<0.01), and self-efficacy played a partial mediating role between family function and fear of cancer recurrence (β=-0.350, 95%CI: -0.312~-0.119); the mediating effect accounted for 45.69% of the total effect. There is a correlation among self-efficacy of liver cancer patients, patient family function, and fear of cancer recurrence. Self-efficacy can partially mediate the influence of family function on fear of cancer recurrence, and improving the level of patients' self-efficacy is conducive to alleviating their fear of cancer recurrence.

KEYWORDS

Self-Efficacy, Family Functioning, Fear, Mediating Effect, Hepatocellular Carcinoma

CITE THIS PAPER

Suling Huang, Yanhong Li, Danping Huang, Linmei Zhang, The Effect of Family Function on Fear of Cancer Recurrence in Patients after Liver Cancer Surgery: The Mediating Effect of Self-Efficacy. MEDS Public Health and Preventive Medicine (2025) Vol. 5: 41-50. DOI: http://dx.doi.org/10.23977/phpm.2025.050207.

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