自我效能感、医学应对方式对实施TACE的肝癌病人生活质量影响的路径分析

Influence of self-efficacy and medical coping style on quality of life in patients with TACE:apath analysis

[目的]探讨实施经皮肝动脉化疗栓塞术(TACE)的肝癌病人的一般自我效能感、医学应对方式对生活质量的影响,并分析其影响路径。[方法]采用便利抽样的方法选取2016年6月—12月在成都市某三级甲等医院实施TACE的肝癌病人112例,应用一般自我效能感量表、医学应对方式问卷、癌症治疗功能评价系统共性模块进行问卷调查,通过SPSS 17.0和AMOS 22.0对生活质量的影响程度进行分析。[结果]实施TACE的肝癌病人生活质量总分为(61.20±14.10)分;病人的一般自我效能感、面对应对方式、屈服应对方式进入生活质量的多元回归方程,其一般自我效能感对生活质量有直接影响也有间接影响,面对应对方式与屈服应对方式对生活质量有直接影响。[结论]实施TACE的肝癌病人的生活质量处于中等水平,一般自我效能感、面对应对方式、屈服应对方式是影响生活质量的重要因素。

Objective：To explore the influence of general self-efficacy and medical coping style on quality of life（QOL）of patients with intranscatheter hepatic arterial chemoembolization（TACE）and to analysis the influence path.Methods：A total of 112 patients with TACE were recruited from a Grade A Tertiary hospital of Chengdu during June 2016 to December 2016 by convenience sampling method.Patients were investigated by the general Self-Efficacy Questionnaire（SEQ）,Medical Coping Modes Questionnaire（MCMQ）,and Functional Assessment of Cancer Therapy-general（FACT-G）.The SPSS 17.0 software and AMOS 22 software were used for statistical analysis.Results：The QOL score for patients with TACE was（61.20±14.10）points;general self-efficacy,positive coping style,and negative coping style in TACE patients entered the multiple regression equation;self-efficacy influenced the QOL of TACE patients directly and indirectly;positive coping style and negative coping style influenced QOL directly.Conclusion：QOL of patients with TACE maintained a moderate level.Patients＇ general self-efficacy,positive coping style,and negative coping style were the important influencing factors for enhancing QOL of TACE patients.