摘要
目的:了解结肠癌术中化疗患者的症状体验与自我管理效能感水平,并分析两者的关系。方法:采用MD Anderson消化道癌症症状调查量表和中文版癌症自我管理效能感量表对97例结肠癌患者进行调查。结果:结肠癌患者术中化疗症状症状程度最严重的前4项症状依次是疲乏(6.74±2.83)分、疼痛(6.15±2.02)分、睡眠不安(5.69±1.53)分、口干(5.30±1.37)分;对患者生活功能造成中度及以上水平困扰,包括患者的一般活动(7.67±1.95)分、走路(6.84±2.14)分、工作(6.32±1.49)分、生活乐趣(5.12±1.37)分。本组患者自我管理效能感处于中等水平(81.68±13.44)分。症状体验各维度与总体自我管理效能感均呈负相关(P<0.05)。结论:结肠癌术中化疗患者症状体验感较为强烈,护理人员应加强对患者症状的管理与控制,提高患者的自我管理效能感水平,改善其生活质量。
Objective ：To explore the correlation between symptom experience and self- carel efficacy in colon cancer patients ＇after intraoperative chemo- therapy. Methods ： A total of 97 colon cancer patients after intraoperative chemotherapy were surveyed by M. D. Anderson Symptom Inventory for Gastrointes- tinal cancer （ MDASI - GI） and Strategies Used by People to Promote Health （SUPHH） （ Chinese - version）. Results：The most significant symptoms were fatigue （ 6.74 ±2.83 ）, pain （6.15 ±2.02 ）, distressed sleep （ 5.69 ±1.53 ）, dry mouth （5.30 ±1.37 ）, they exerted great negative influence on patients＇ general activity （7.67 ±1.95 ）, walking （ 6.84 ±2.14 ）, work （6.32 ±1.49 ）, enjoyment of life （ 5.12 ±1.37 ）. The level of self - care efficacy in colon cancer patients after intraoperative chemotherapy was （81.68 ±13.44 ）. There was a negative correlation between symptom experience and self- care effi- cacy（ P 〈 0.05 ）. Conclusion ： Nurses should pay attention to management and control of symptoms in colon cancer patients to improve their level of self - care efficacy.
出处
《护理实践与研究》
2014年第3期7-9,共3页
Nursing Practice and Research
关键词
结肠癌
化疗
症状体验
自我管理效能
Colon cancer
Chemotherapy
Symptom experience
Self - care efficacy
