鼻咽癌患者出院后抑郁与自我效能的相关性研究

Study for the correlation between depression after discharge and self-efficacy for patients with nasopharyngeal cancer

目的探讨鼻咽癌患者出院后的抑郁状态与自我效能的关系,为护理人员实施护理干预提供科学的依据。方法采用抑郁自评量表(SDS)以及一般自我效能感量表(GSES)对120例鼻咽癌患者在出院时、出院后3个月、出院后6个月及出院后1年4个时段分别进行问卷调查其抑郁和自我效能水平,并分析其相关性。结果鼻咽癌患者出院时、出院后3个月、出院后6个月及出院后一年的抑郁水平均分别为(42.71±3.54)分、(49.43±6.04)分、(46.38±6.11)分、(39.23±3.48))分,均显著高于国内常模(33.46±8.55)分(P<0.05)。自我效能水平在出院时、出院后3个月、出院后6个月及出院后1年均处于低等水平,抑郁与自我效能水平呈负相关(P<0.05)。结论鼻咽癌患者在出院后,其抑郁程度与自我效能的关系密切,护理人员可应用自我效能理论,积极开展患者自我管理教育,充分调动患者的主观能动性,从而提高患者自我效能水平及降低鼻咽癌患者出院后的抑郁水平,提高患者的心理健康水平。

Objective To study the relationship between depression of nasopharyngeal carcinoma patients after discharge and the self‐efficacy ,and to provide scientific basis for nursing staff implementing nursing intervention . Method Adopting the depression self‐rating scale （SDS） and general self‐efficacy scale （GSES） ,120 patients with nasopharyngeal carcinoma were surveyed by questionnaires for 4 periods of at discharge ,3 months ,6 months and one year after discharge ar respectively .The correlations of their depression and levels of self‐efficacy was d analyzed . Result The depression levels for patients with nasopharyngeal carcinoma at discharge ,3 months ,6 months and one year after discharge was （42 .71 ± 3 .54） ,（49 .43 ± 6 .04） ,（46 .38 ± 6 .11） and （39 .23 ± 3 .48） respectively ,which are significantly higher than that of domestic norm points （P〈 0 .05） .Meanwhile ,the levels of self‐efficacy are much lower .The depression level is negatively related to self‐efficacy（P〈0 .05） .Conclusion The depression of na‐sopharyngeal carcinoma patients after discharge was closely related to self‐efficacy .Nurses can use the theory of self‐efficacy and self‐management education actively to give full play to the patient ’s subjective initiative ,improve the patient’s self‐efficacy level ,reduce the depression level after discharge and improve their mental health .