| Objective To analyze the trajectory and influencing factors of self-efficacy changes in cervical cancer patients after radical surgery based on the latent category growth model(LCGM). Method A total of 164 cervical cancer patients who underwent radical hysterectomy in the First Affiliated Hospital of Wenzhou Medical University from June 2023 to June 2024 were selected as the study subjects. Within 24 hours of admission(T0), the patient was surveyed using a general information questionnaire, Hospital Anxiety and Depression Scale(HADS), and Social Support Rating Scale(SSRS). Afterwards, patients' self-efficacy at different time points was evaluated using the General Self Efficacy Scale(GSES) at 1 week(T1), 1 month(T2), 3 months(T3), and 6 months(T4) after surgery. Mplus 8.0 software was used for LCGM analysis, and the influencing factors for the trajectory of self-efficacy changes in patients undergoing cervical cancer radical surgery were explored. Result The LCGM analysis showed that the three potential category models were the optimal models, and the trajectory of patient selfefficacy changes could be divided into a high initial stable group, a low initial rising group, and a fluctuating falling group. The results of disorder multi-class logistic regression analysis showed that clinical stage, postoperative radiotherapy and chemotherapy, HADS score and SSRS score were the influencing factors for self-efficacy change in patients with cervical cancer after radical hysterectomy(P< 0.05). Conclusion The trajectory of self-efficacy changes in cervical cancer patients after radical surgery can be mainly divided into three categories, and clinical stage, postoperative radiotherapy and chemotherapy, SSRS score, and HADS score are all influencing factors for patient self-efficacy changes. |
