乳腺癌患者健康行为自我效能的研究

The study of health behavior and self-efficacy in patients with breast cancer

目的:探讨乳腺癌患者健康行为自我效能水平及影响因素。方法:采用问卷调查法于2016年5月至2017年4月对300例乳腺癌患者进行问卷调查,了解其健康行为自我效能水平及其预测因子,并对结果进行分析。结果:乳腺癌患者健康行为自我效能处于中低水平(71.73±15.35),其中得分最低为营养效能(17.12±4.92),最高为健康责任(19.65±3.82);其最主要的预测因子是年龄(r=-0.157,P=0.005)、合并慢性病的情况(B=0.542,P=0.022)、生活方式(r=0.854,P=0.000)、文化程度(r=0.342,P=0.000)、医保力度(r=0.288,P=0.000)和月收入(r=0.406,P=0.000)。结论:应高度重视高龄及合并其他慢性病的乳腺癌患者,帮助其提高和改善自我效能,建立良好的生活方式,提高生活质量。

Objective：To investigate the current situation of health behavior self - efficacy in patients with breast cancer. Methods： A questionnaire survey of 300 eases of health behavior self - efficacy in patients with breast cancer, which relates to the determination of self - efficacy in patients, general demographic information and clinical data of patients. Results：Health behavior self - efficacy in patients with breast cancer is in the low level （71.73 ± 15.35） ,in which the lowest score for nutrition efficacy （ 17.12 ± 4.92 ）, the highest for health responsibility （ 19.65 ± 3.82 ）. The most important predictors were age （ r = - 0. 157, P = 0.005 ）, consolidation chronic （ B = 0. 542, P = 0. 022 ）, lifestyle （ r = 0. 854,P = 0. 000） , education level （ r = 0. 342, P = 0. 000）, health insurance type （ r = 0. 288,P=0.000） and monthly income （ r = 0. 406, P = 0. 000）. Conclusion： In nursing policy in the future, the medical staff educators should shift their focus to help patients with breast cancer improve self - efficacy, paying particular attention to the older, complicated by other chronic disease patients, and help them establish good health -promoting lifestyle, thus improving patients＇ quality of life.