癌痛自我效能感影响因素的研究

Study on factors influencing self-efficacy of cancer patients with pain

[目的]了解影响癌痛自我效能感的主要因素,为制订护理干预措施提供理论依据。[方法]用一般资料调查表收集病人一般人口学特征、疼痛及健康状况、社会心理方面的资料,用汉化版慢性疼痛自我效能感量表评估170例癌痛病人,然后进行多元逐步回归分析筛选出癌痛自我效能感中疼痛管理自我效能感、躯体功能自我效能感、症状应对自我效能感3方面以及癌痛自我效能感总得分的影响因素。[结果]影响疼痛管理自我效能感得分的有ECOG体能状态评分、现阶段最痛评分、工作情况、口服阿片类止痛药情况、病后活动情况5个因素;影响躯体功能自我效能感得分的有ECOG体能状态评分、现阶段最痛评分、病后活动情况、性格类型、年龄5个因素;影响症状应对自我效能感得分的有ECOG体能状态评分、现阶段最痛评分、性格类型、健康教育情况、病后活动情况、年龄、口服阿片类止痛药情况7个因素;影响癌痛自我效能感总得分的有ECOG体能状态评分、现阶段最痛评分、性格类型、病后活动情况、年龄、健康教育情况、口服阿片类止痛药情况、工作情况8个因素。[结论]体能状态、现阶段最痛评分、工作情况、口服阿片类止痛药情况、病后活动情况、年龄、性格类型、健康教育情况是影响癌痛自我效能感的因素。

Objective.To know the cacy of cancer patients with pain, main factors of influencing self- effiso as to provide theoretical bases for working out nursing intervention measures. Methods： General demographic characteristics, pain and health status information and social and psychological data of patients were collected by filling out general data questionaire. A total of 170 cancer patients with pain were evaluated by using Chinese version of chronic pain self - efficacy scale. Then 3 aspects including pain management self- efficacy, physical function self - efficacy and symptoms coping self - efficacy among cancer pain self - efficacy and influencing factors of the total score of cancer pain self- efficacy were screened by polynary stepwise regression analysis. Results：Totally five factors including ECOG phgsical status score, present stage most pain score,work state, oral taking opioid analgesics, and activities after the disease may affect pain management self - efficacy scoring. Five factors including ECOG physical status score, present stage most pain score, activities after the disease, personality type, and age may affect physical function self - efficacy scoring. Seven factors including ECOG physical status score, present stage most pain score, personality type, health education state, activities after the disease, age, and oral taking opioid analgesics may affect symptom coping self - efficacy score. And eight factors including ECOG physical status score,present stage most pain score, personality type,activities after the disease, age, health education state, oral taking opioid analgesics, and working state may affect the total score of cancer pain self - efficacy. Conclusion ： Physical state, present stage most pain score,working state,oral taking opioid analgesics, activities after the disease,age, personality type, health education state are influencing factors of cancer pain self- efficacy.