喉癌颈部造口患者自我效能的影响因素及护理对策  

Influencing factors and nursing strategy research on self-efficacy among patient with laryngeal cancer and neck stoma

作　　者：马倩[1] 李虹彦[2] 刘欣梅[1] 

机构地区：[1]吉林大学第一医院耳鼻咽喉头颈外科,长春130021 [2]吉林大学第一医院护理部,长春130021

出　　处：《中华现代护理杂志》2015年第1期40-43,共4页Chinese Journal of Modern Nursing

摘　　要：目的：评估喉癌颈部造口患者自我效能的水平，探讨提高患者自我效能的途径，进而提高患者的生活质量。方法采用方便抽样法，选取2013年7月—2014年2月在长春市某三级甲等医院门诊就诊或随访的喉癌患者84例。采用造口自我效能量表、社会支持量表及抑郁自评量表对84例喉癌颈部造口患者进行问卷调查。采用单因素相关性分析及多元逐步回归分析研究自我效能的影响因素。结果喉癌颈部造口患者的总自我效能水平为（76．56±24．47）分，影响患者自我效能的主要因素有社会支持、抑郁、造口术后时间。结论诸多因素在不同层面上影响着喉癌患者的自我效能水平，护理人员应针对其主要影响因素采取相应的护理措施，提高喉癌颈部造口患者的自我效能水平及其生活质量。Objective To evaluate the status of self-efficacy and explore its influencing factors in patients with Laryngeal cancers and neck stoma , so as to improve their self-efficacy and their quality of life . Methods Eighty-four patients with neck stoma , who visited or followed up laryngocarcinoma in outpatient＆amp;nbsp;in one first-class hospital , were sampled by convenient sampling method during July 2013 to February 2014 . General social-demographic questionnaire , colostomy self-efficacy scale, Social support scale and Self-Rating Depression Scale were used to investigate these patients′general information and self-efficacy.Results The total score of self-efficacy in eighty-four Laryngeal cancers with neck stoma was （76.56 ±24.47） points, the main influencing factors of self-efficacy in Laryngeal cancers with neck stoma were social support , depression , the time after operation .Relevant factors of self-efficacy had been utilized by single factor correlation analysis and multiple stepwise regressions to analyze .Conclusions The self-efficacy in patients with laryngeal cancer and neck stoma is affected by many factors at different levels , and nurses should focus on main influencing factors to adopt corresponding nursing measures in order to improve self-efficacy and quality of life of these patients.

关 键 词：喉肿瘤 护理 颈部造口 自我效能 影响因素 

分 类 号：R473.73[医药卫生—护理学]