癌症患者疾病恐惧感与自我管理效能的关系研究

Relationship between Fear of Progression and Self-care Efficacy in Cancer Patients

目的探讨癌症患者的疾病恐惧感与癌症自我管理效能感现状及两者之间的关系。方法使用便利抽样,于2018年3-6月选取在浙江省两所三级医院住院治疗的258例癌症患者作为研究对象。使用疾病进展恐惧简化量表和中文版癌症自我管理效能感量表进行问卷调查。结果癌症患者的疾病进展恐惧得分为29.24±8.41分,其中疾病恐惧感处于轻度者占26.4%,中度占46.1%,重度占27.5%。自我管理效能感得分为100.64±16.24分,各维度得分从高到低依次为正性态度、自我减压和自我决策。疾病进展恐惧与癌症自我管理效能感及各维度间均呈显著负相关(p<0.05)。结论医护人员应采取措施提升患者的自我效能感,必要时借助专业心理咨询或心理治疗,增加其抗癌的信心和自我管理能力,降低疾病恐惧感。

Objective To explore the status quo of fear of progression and self-care efficacy in cancer patients as well as their relationship.Methods A total of 258 cancer patients hospitalized in 2 tertiary hospitals from Zhejiang province between March 2018 and June 2018 were recruited by convenience sampling.Fear of Progression Questionnaire-Short Form and Strategies Used by People to Promote Health(Chinese version)were used in the investigation.Results The score of fear of progression was 29.24±8.41,including 26.4%of patients with mild fear,46.1%of patients with moderate fear and 27.5%of patients with severe fear.The score of self-care efficacy was 100.64±16.24,which ranked positive attitudes,self-stress reduction and self-decision-making in a descending order according to the scores in different dimensions.The negative correlation between fear of progression and selfcare efficacy and among different dimensions was significant(p<0.05).Conclusion Medical professionals should take measures to improve the sense of self-efficacy in cancer patients,and consider the role of professional psychological counseling or psychotherapy if necessary,to enhance their confidence and self-care ability and reduce the fear of disease progression.