“自我效能加油站”改善肿瘤化疗患者应对方式和生存质量的研究  

Effect of Service Station for Self-efficiency Improvement on Coping Style and Quality of Life of Cancer Patients Receiving Chemotherapy

作　　者：杜艳丽[1] 韩宗利[2] 王丽[3] 史本涛[4] 

机构地区：[1]深圳职业技术学院医学技术与护理学院,广东深圳518055 [2]北京大学深圳医院神经外科,广东深圳518036 [3]北京大学深圳医院肿瘤科,广东深圳518036 [4]北京大学深圳医院泌尿外科,广东深圳518036

出　　处：《护理学报》2015年第23期1-6,共6页Journal of Nursing（China）

基　　金：广东省科技计划项目(2014A020212040)

摘　　要：目的深入探讨"自我效能加油站"对肿瘤化疗患者应对方式与生存质量的影响。方法选取2013年7—12月和2014年1—6月初次化疗并拟行6个化疗周期、应用高危致吐性化疗方案的肿瘤患者各60例,分别进入对照组和观察组,入院时记录患者一般资料,建立治疗档案。入院后对照组采用肿瘤化疗常规护理措施,观察组患者进入"自我效能加油站",采用化疗常规护理+自我效能增强措施进行干预。分别于入院时、实施干预后第3个化疗周期结束时,应用一般自我效能感量表、简易应对方式量表、世界卫生组织生存量表简表、呕吐程度问卷进行干预前后效果调查。结果 2组患者的一般资料具有可比性(均P>0.05),干预前2组患者的自我效能总均分、积极应对维度得分、消极应对维度得分、生存质量总分及4个维度得分均无统计学差异(均P>0.05);干预后,观察组患者自我效能总均分、积极应对得分、生存质量总分及4维度得分高于对照组(均P<0.01),消极应对得分低于对照组(P<0.01),化疗性呕吐疗效差异具有统计学意义(P<0.01)。结论 "自我效能加油站"可有效提高肿瘤化疗患者自我效能,改善心理支持状况,促使患者采取积极方式应对疾病和治疗,减弱消极应对方式,最终提高患者生存质量。Objective To explore the influence of service station for self-efficiency improvement on coping style and the quality of life of cancer patients receiving chemotherapy. Methods Sixty patients having thermotherapy from July to November 2013 were involved in control group and another sixty patients from January to June 2014 in experiment group. Patients in control group received routine nursing for chemotherapy. In experiment group, in addition to routine nursing, a service station was established to improve patients＇ self-efficiency and patients enjoyed the service in the station. GSES（General Perceived Self-Efficacy Scale）, SCSQ（Simplified Coping Style Questionnaire）, WHOQOL-BREF（WHO Quality of Life-BREF） and Vomiting Questionnaire were applied to survey patients for the intervention effect of service station. Results Comparability was found in patients＇ general information in both groups（all P〈0.05）. There was no difference in terms of the total mean score of self-efficiency, the score of positive coping style and negative coping style and the total score of the quality of life in both groups before the intervention（all P〈0.05） but the total mean score of self-efficiency, the score of positive coping style, the total score of the quality of life and the scores of all four dimension in experiment group increased（all P〈0.01） but the score of negative coping style decreased significantly（P〈0.01）, and the treatment effect of chemotherapy-induced vomiting indicated statistical significance（ P〈0.01）. Conclusion Service station for selfefficiency improvement benefits fostering patients ＇ self-efficiency and psychological support, which promotes patients to take positive coping style for disease and treatment and eventually improve the quality of life.

关 键 词：自我效能 化疗 应对方式 生存质量 

分 类 号：R473.73[医药卫生—护理学]