{
  "abstract": "Background\n\nSelf-care is vital for patients with hematological malignancies (HMs) to manage the severe side effects of chemotherapy. While social support is a traditional focus of care, internal psychological resources may be more critical for sustaining treatment adherence in isolated therapeutic settings.Objective\n\nTo determine the prevalence of self-care behaviors and evaluate the extent to which health literacy and self-efficacy predict these behaviors among patients with HMs in northeastern Thailand.Methods\n\nThis multicenter, cross-sectional study, conducted from August to December 2025, utilized convenience sampling to recruit 350 patients with HMs from three tertiary hospitals in northeastern Thailand. Data were collected via self-administered questionnaires and analyzed using descriptive statistics and binary logistic regression. The predictive model's performance was evaluated using the Area Under the Curve (AUC), with significance set at p < 0.05.Results\n\nThe prevalence of high self-care behaviors was 61.2% (95% CI = 55.8-66.3). Bivariable analysis showed that social support was initially associated with higher self-care. However, binary logistic regression identified only health literacy (AOR = 18.05, 95% CI = 14.40-20.10) and self-efficacy (AOR = 10.79, 95% CI = 5.70-11.40) as significant independent predictors. Social support did not remain a significant predictor in the final model. The model exhibited excellent discriminant ability with an AUC of 0.86 (95% CI = 0.78-0.91, p < 0.001).Conclusion\n\nHigh self-care behaviors are common among patients with HMs in northeastern Thailand. Our results show that internal factors, specifically health literacy and self-efficacy, are stronger predictors of self-care than external social support in this treatment-intensive context. These findings underscore the need for oncology nurses to screen for both health literacy and self-efficacy during clinical assessments, enabling early identification of at-risk patients and delivery of targeted interventions to promote effective self-management.",
  "abstract_shown": true,
  "affiliations": [
    "Faculty of Nursing, Roi Et Rajabhat University, Roi Et, Thailand.",
    "Faculty of Nursing, Udon Thani Rajabhat University, Udon Thani, Thailand.",
    "Ubon Ratchathani Cancer Hospital, Ubon Ratchathani, Thailand."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ueamporn Summart",
      "orcid": "0000-0001-9557-2199"
    },
    {
      "affs": [
        1
      ],
      "name": "Monthida Sangruangake"
    },
    {
      "affs": [
        2
      ],
      "name": "Chanathip Halak"
    },
    {
      "affs": [
        1
      ],
      "name": "Phawadee Thongnopkhun Toyn"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b49gvvy8npd70.bib",
  "cited_by": 0,
  "doi": "10.33546/bnj.4641",
  "fulltext_url": "https://europepmc.org/articles/PMC13684827",
  "id": "b49gvvy8npd70",
  "issns": [
    "2528-181X",
    "2477-4073"
  ],
  "landing_url": "https://europepmc.org/article/MED/42909282",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2730|Cancer survivorship and care"
    ]
  ],
  "openalex": "W7223147706",
  "pdf_url": "https://europepmc.org/articles/PMC13684827?pdf=render",
  "pmcid": "PMC13684827",
  "pmid": "42909282",
  "published": "2026-10-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/b49gvvy8npd70.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42909282",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42909282"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Cancer survivorship and care",
      "subfield": "oncology"
    }
  ],
  "title": "Health literacy and self-efficacy as predictors of self-care behaviors in patients with hematological malignancies: A multicenter cross-sectional study in northeastern Thailand.",
  "title_text": "Health literacy and self-efficacy as predictors of self-care behaviors in patients with hematological malignancies: A multicenter cross-sectional study in northeastern Thailand.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/b49gvvy8npd70",
  "venue": "Belitung nursing journal",
  "versions": []
}