胃肠道恶性肿瘤患者自我效能感的现状及影响因素分析

The present status of gastrointestinal tract malignant tumor patient's self-efficacy and its influence factors analysis

目的探讨胃肠道恶性肿瘤患者自我效能感水平的现状,为癌症患者自我管理项目的开展和实施提供依据。方法将102例胃肠道癌症患者,应用一般资料调查问卷、癌症患者自我效能感量表、EORTC QLQ-C30中文量表、社会支持问卷及综合医院焦虑抑郁量表进行调查分析。结果胃肠道癌症患者自我效能感的总分为(79.88±6.44)分,处于中等偏低水平;多元逐步回归分析结果显示,文化程度、人均月收入、生活质量功能领域中的躯体功能、焦虑总分及社会支持总分5个变量进入方程(R=0.385,R2=0.148)。结论临床医护人员可综合考虑影响胃肠道癌症患者自我效能感的因素,制定科学可行、高质量的癌症患者自我管理项目和方案,从而提升其生存质量。

Objective To investigate the self- efficacy current situation among patients with gastrointestinal malignant tumor, and provide the basis for the development and implement of cancer patients＂ self - management. Methods With general information in- vestigation questionnaire, the cancer patients＇self- efficacy scale, EORTC QLQ- C30 Chinese scale, social support questionnaire and general hospital anxiety - depression scale were analyzed inl02 gastrointestinal cancer patients. Results Score of gastrointestinal cancer patients＇self - efficacy was 79.88 ~ 6.44 which was at lower to moderate level ; Muhiple stepwise regression analysis results suggested that five variables of education, average monthly income, physical function in quality of life, depression total points and social support total points substituted into the equation （R = 0. 385, R^2 = 0. 148 ）. Conclusion Overall considering the factors which effect the gastro- intestinal cancer patients＂ self- efficacy, clinicians should formulate practical and excellent cancer patients self- management to improve their survival qualities.