肺癌患者术后康复自我效能感影响因素研究

A survey on postoperative rehabilitation self-efficacy and its influencing factors of patients with lung cancer

目的探讨肺癌患者术后康复自我效能感的现状,并分析其影响因素,为进一步规范肺癌患者术后康复相关措施的制订提供参考。方法采用一般资料调查表和肺癌患者术后康复管理自我效能感测评量表,对福州市5所三级甲等医院的238例肺癌术后患者进行调查。结果肺癌患者术后康复管理自我效能感得分为(109.77±14.04)分,多元线性回归分析结果显示,患者入院次数、文化程度、负性情绪、应对方式、社会支持、主观幸福感和创伤后成长是肺癌患者术后康复自我效能感的影响因素,可解释40.1%的变异。结论肺癌患者术后康复管理自我效能感水平有待提高;临床医护人员在健康教育及护理干预时要注重患者社会支持系统的建立,改善其主观幸福感,进一步提高其生活质量。

Objective To investigate the postoperative rehabilitation and its influencing factors of patients with lung cancer. Methods A total of 238 postoperative patients with lung cancer were recruited from five tertiary hospitals in Fuzhou. The general demographic questionnaire and self-efficacy scale were distributed to the participants. Results The mean score of postoperative rehabilitation self-efficacy was（109.77±14.04）. Multiple regression analysis showed that re-admission,education level,anxiety,coping type,social support, subjective well-being,and posttraumatic growth were the influencing factors of postoperative rehabilitation self-efficacy,which could explain 40.1% of the variance. Conclusion The postoperative rehabilitation self-efficacy of patients with lung cancer needs to be improved. Healtheare providers can strengthen patients＇ social support system and improve their subjective well-being to further improve their quality of life.