自我效能干预对肺癌患者生存质量影响的研究

Study on the effects of self-efficacy intervention on the quality of life of patients with lung cancer

目的:探讨自我效能干预对化疗期肺癌患者生存质量的影响。方法:对符合入组标准的40例患者,按入院时间顺序分为对照组和干预组。对照组给予常规护理,干预组在此基础上实施自我效能干预。两组患者干预前、中、后分别用生存质量核心问卷(QLQ-C30)和肺癌特异性量表(QLQ-LC13)、一般效能感量表进行测评。结果:干预组患者干预后自我效能得分增加,生存质量的五个功能维度及总体健康得分增加,疲乏、恶心/呕吐、失眠、食欲减退、便秘、气促、咳嗽、咯血、口腔疼痛症状分量表或单一条目得分降低(P<0.05)。结论:自我效能干预可提高化疗期肺癌患者自我效能水平,改善患者生存质量。

Objective：To investigate the effects of self-efficacy intervention on the quality of life of patients with lung cancer during chemotherapy.Methods：40 patients who met the criteria of admission were divided into the control group and the intervention group according to the time of admission. The control group received usual care, while the intervention group implemented self-efficacy intervention on the basis of it. Two groups of patients were measured with Quality of Life Questionnaire Core-30, Life Questionnaire Lung Cancer and general self-efficacy scale （ GSES ） before, during and after intervention,respectively.Results：After the intervention in the intervention group,they increased in the scores or level of self-efficacy, five functional dimensions of quality of life and overall health, and reduced the scores of fatigue, nausea/vomiting, insomnia, loss of appetite, constipation,shortness of breath, cough, hemoptysis, oral pain symptom subscales or a single item（P〈 0.05）. Conclusion：Self-efficacy intervention can improve the self-efficacy of patients with lung cancer during chemotherapy and improve their quality of life.