妇科恶性肿瘤化疗患者自我管理积极度现状、影响因素及其对策研究

Positivity of self-management in patients with gynaecological malignant tumour undergoing chemotherapy:current current status,influencing factors,and strategies countermeasures of self-management enthusiasm in gynecological malignant tumor patients undergoing chemotherapy

目的探讨妇科恶性肿瘤化疗患者自我管理积极度现状及其影响因素,为提高患者治疗信心的干预策略提供依据。方法通过横断面研究方法,采用便利抽样,选取2021年1月—2022年12月在本院化疗的妇科恶性肿瘤患者150例,应用一般资料调查表、患者积极度量表(patient activation measure13,PAM13)、自我调节疲乏量表(self-regulated fatigue scale,SRFS)、疾病接受度量表(acceptance illness scale,AIS)进行调查,采用统计描述与单因素分析、多元线性逐步回归分析描述妇科恶性肿瘤化疗患者自我管理积极度现状与筛选影响因素。结果妇科恶性肿瘤化疗患者自我管理积极度平均得分为(58.76±13.61)分。多元线性回归分析结果显示,家庭人均月收入(≤5000元)、文化程度(大专及以下)、自我调节疲乏、疾病接受度是妇科恶性肿瘤化疗患者自我管理积极度的影响因素(均P<0.05),其可共同解释总变异的60.30%。结论妇科恶性肿瘤化疗患者自我管理积极度处于中等水平,亟需提高;对于家庭人均月收入低、文化程度低、自我调节疲乏程度高、疾病接受度低者,应采取针对性策略提高其自我管理积极度,从而提高其治疗的信心。

Objective To explore the current status and influencing factors of positivity of self-management motivation in patients who were under chemotherapy for gynecological malignant tumours chemotherapy patients,and therefore to provide a basis for formulating intervention strategies for positive self-management motivation of patients.Method From January 2021 to December 2022,a cross-sectional study was conducted using convenience sampling to select 150 patients with gynecological gynaecological malignant tumour patients who underwentgoing chemotherapy as the research subjects in our hospital from January 2021 to December 2022 as the research subjects.The survey was conducted by using the general information questionnaire,patient activation measure 13(PAM13),self-regulated fatigue scale(SRFS),and acceptance illness scale(AIS),using statistical descriptions,univariate analysis,and multiple linear regression stepwise analysis methods to describe the current status and influencing factors of positivity of self-management motivation in patients who were under chemotherapy for gynecological malignant tumours chemotherapy patients.Results The average score of positive self-management among the patients with gynaecological malignant tumour undergoing chemotherapy was(58.76±13.61).The results of multiple linear regression analysis showed that household per capita monthly income(≤5000 RMB),education(college or below),self-regulation fatigue score and the disease acceptance score were the influencing factors towards positivity of self-management in patients under chemotherapy for gynaecological malignant tumours(P<0.05),which jointly explained 60.30%of the total variance.Conclusions The positivity of self-management enthusiasm of patients under chemotherapy for gynecological malignant tumor chemotherapy patients is at a moderate to lower level.It is uurgently required to be improved;In addition,based on their household per capita monthly income ducation,self-regulated fatigue,and disease acceptance,a systematic and effective intervention strategy for positive self-management of patient positivity intervention strategy should be developed to enhance improve to their patient confidence in chemotherapy treatment.