Purpose
This study aimed to identify subjective health status and specific self-efficacy, and their mediating effects on the relationship between health literacy and self-care behavior in stomach cancer patients following gastrectomy.
Methods
A descriptive survey design was used. Data were collected from 131 gastric cancer patients between 17 February and 10 September, 2020 at a cancer center in Gyeonggi-Do. The participants responded to a self-reporting questionnaire. Data were analyzed using descriptive statistics and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results
The mean score for self-care behavior was 66.78±8.36. Self-care behavior was significantly associated with health literacy, subjective health status, and specific self-efficacy. The mediating effect of specific self-efficacy on the impact of health literacy on self-care behavior was confirmed.
Conclusion
The impact of health literacy on self-care behavior was mediated by specific self-efficacy in stomach cancer patients following gastrectomy. Further, the results suggest that specific self-efficacy needs to be considered in developing nursing interventions to enhance health literacy and improve self-care behavior for stomach cancer patients after gastrectomy.

Citations

• Health Information Seeking Pathways and Factors Influencing Health Literacy Among Cancer Patients: Based on Data from the 2nd Korean Health Panel 2021
  Yun-La Hur, Eun-Jeong Hong
  Asian Oncology Nursing.2024; 24(3): 155.     CrossRef
• Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
  Boyeon Lee, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216.     CrossRef
• The impact of peripheral neuropathy symptoms, self-care ability, and disturbances to daily life on quality of life among gynecological cancer patients undergoing chemotherapy: a cross-sectional survey
  Sohee Mun, Hyojung Park
  Korean Journal of Women Health Nursing.2022; 28(4): 296.     CrossRef
• Effect of Self-Care Education using a QR-Code on Self-Efficacy, Self-Care Performance, and Education Satisfaction among Discharged Pneumothorax Patients
  Dae Hwan Moon, Kye-Ha Kim
  Korean Journal of Adult Nursing.2022; 34(5): 512.     CrossRef