自我管理能力对胃癌化疗患者生活质量的影响  

Effect of self-management abilities on the quality of life in patients with gastric cancer receiving chemotherapy

作　　者：顾菊凤[1] 周丹丹[1] 蒋炜霞[1] 姚洪芳[1] 蒯丽娜[1] 何金叶[1] 章烨 

机构地区：[1]东南大学医学院附属江阴市人民医院肿瘤内科,江阴214400

出　　处：《中国肿瘤临床与康复》2017年第12期1526-1529,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨自我管理能力对胃癌化疗患者生活质量的影响。方法选取2013年1月至2016年6月间东南大学医学院附属江阴市人民医院收治的行化疗治疗的84例胃癌患者,通过自我护理能力测定量表(ESCA)对患者进行自我管理能力评分,按照得分情况将患者分为低水平组、中等水平组和高水平组,低水平组21例,中等水平组44例,高水平组19例。采用生活质量量表(SF-36)调查三组患者的生活质量并进行比较。结果低水平组患者的生活质量为(35.22±5.34)分,中等水平组患者(60.56±5.05)分、高水平组患者(89.31±4.97)分,得分情况从低水平组到高水平组依次升高,差异均有统计学意义(均P<0.05)。全部患者自我管理能力与生活质量水平总分、生理健康总分和心理健康总分之间呈正相关,差异均有统计学意义(均P<0.05)。结论提高胃癌化疗患者的自我管理水平能有效提高患者的生活质量。Objective To explore the effect of self-management abilities on quality of life in patients with gastric cancer receiving chemotherapy. Methods Eighty-four patients with gastric cancer receiving chemotherapy at Jiangyin People＇s Hospital Affiliated to Southeast University Medical College were selected from January 2013 to June 2016. Patients＇ self-management abilities were scored through exercise of self-care agency scale（ ESCA） and were divided into low level group（ 21 patients）,medium level group（ 44 patients） and high level group（ 19 patients） according to the score. Quality of life was researched by short-form 36 health survey scale（ SF-36）. Results The quality of life score was 35. 22 ± 5. 34,60. 56 ±5. 05 and 89. 31 ± 4. 97,respectively for the low level group,medium level group and high level group（ all P〈0. 05）. Scores from low level group to high level group increased in turn. There was a positive correlation between self-management abilities and the overall score of quality of life,overall score of physical health and overall score of mental health（ all P〈0. 05）. Conclusion Improvement of self-management abilities can effectively increase patient＇s quality of life.

关 键 词：自我管理能力 胃肿瘤 化疗 生活质量 

分 类 号：R473.73[医药卫生—护理学]