胃癌患者自我效能与术后下床活动水平的相关性分析

Correlation analysis of self-efficacy and postoperative ambulation in patients with gastric cancer

目的 调查胃癌患者自我效能和术后下床活动水平,分析自我效能对其术后下床活动水平的影响.方法 采用便利抽样的方法,选取2014年10月—2016年10月南京中医药大学附属昆山市中医医院胃肠肿瘤外科胃癌手术患者101例,调查患者的一般资料、自我效能感和术后下床活动水平情况,分析其术后下床活动水平现状,自我效能对其术后下床活动水平的影响.结果 胃癌患者术后120 h自我管理效能总分为（72.34±7.26）分,处于中等水平,其中正性态度维度（38.52±4.09）分,自我减压维度（26.32±5.16）分,自我决策维度（8.46±3.87）分.术后72 h内下床活动水平低下,为（5.32±1.48）分,术后120 h下床活动水平中等,为（10.08±1.76）分.患者术后下床活动水平和自我效能得分呈正相关（r=0.85,P〈0.05）.结论 胃癌患者自我效能是术后下床活动水平的影响因素,可以通过探索提高患者自我效能的方法,提高胃癌患者术后下床活动水平.

Objective To investigate the self-efficacy and postoperative ambulation in patients with gastric cancer, and analyze the effects of self-efficacy on postoperative ambulation.Methods A total of 101 patients with gastric cancer undergoing surgery in the oncological surgery of Traditional Chinese Medicine Hospital of Kunshan Affiliated to Nanjing University of Chinese Medicine from October 2014 to October 2016 were included using convenient sampling method. Normal data, self-efficacy and postoperative ambulation of patients were surveyed. The current status of postoperative ambulation and the effects of self-efficacy on postoperative ambulation were analyzed.Results The total score of postoperative self-management efficacy in patients with gastric cancer at 120 h post operation was （72.34±7.26） with a medium level; the score of positive attitude dimension was （38.52±4.09）, the score of self-decompression dimension was （26.32±5.16）, and the score of self-decision dimension was （8.46±3.87）. At 72 h post operation, the ambulation level was low with a score of （5.32±1.48）, while for 120 h post operation, the ambulation was at a medium level with a score of （10.08±1.76）. The postoperative ambulation positively correlated to the score of self-efficacy （r= 0.85,P〈0.05）. Conclusions Self-efficacy is an influence factor of postoperative ambulation in patients with gastric cancer. It is possible to investigate the methods of improving self-efficacy of patients so as to increase postoperative ambulation of patients with gastric cancer.