自我管理效能感对出院肠癌患者居家口服卡培他滨依从性的影响  

Effect of self-management efficacy on compliance of taking capecitabine in discharged patients with colorectal cancer

作　　者：杜霞荣[1] 范云霞 王艳[1] 魏宁[1] 言克莉[1] Du Xiarong;Fan Yunxia;Wang Yan;Wei Ning;Yan Keli(Oncology Department, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China （Du XR, Wang Y, Wei N, Yan KL;Elderly Digestive Department, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China（Fan YX)

机构地区：[1]南京医科大学第一附属医院肿瘤科,南京210029 [2]南京医科大学第一附属医院老年消化科,南京210029

出　　处：《中华现代护理杂志》2017年第31期4007-4010,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨自我管理效能感对出院肠癌患者居家口服化疗药卡培他滨依从性的影响.方法 采用便利抽样法选取2014年1月—2016年12月在南京医科大学第一附属医院治疗的82例肠癌患者为研究对象,调查患者的一般资料、药物依从性和自我管理效能感水平,并分析药物依从性和自我管理效能感之间的关系.结果 82例肠癌患者口服卡培他滨依从性得分为（6.42±1.65）分,其中依从性优、良、差分别有5例（6.10%）、54例（65.85%）、23例（28.05%）.肠癌患者口服卡培他滨依从性与自我管理效能感各维度得分及总分均呈正相关（P〈0.05）.自我管理效能感是影响患者口服卡培他滨依从性的独立影响因素,可解释依从性总体变异的13.4%.结论 出院肠癌患者居家口服卡培他滨依从性普遍不高,医护人员可通过加强患者的自我管理效能教育,提高患者的服药依从性,从而提高其生存质量.Objective To explore the effect of self-management efficacy on compliance of taking capecitabine in discharged patients with colorectal cancer. Methods A total of 82 patients with colorectal cancer who were treated in the First Affiliated Hospital with Nanjing Medical University from January 2014 to December 2016 were selected by convenient sampling method. The general data, drug compliance and self-management efficacy of patients were investigated and the relationship between drug compliance and self-management efficacy was analyzed. Results Compliance score of taking capecitabine for 82 patients with colorectal cancer was （6.42±1.65） points; among them 5 cases were excellent （6.10%）, good in 54 cases （65.85%） and poor in 23 cases （28.05%）. Compliance of taking capecitabine in discharged patients with colorectal cancer was positively correlated with the scores of all dimensions and total score of self-management efficacy. Self-management efficacy was an independent factor affecting the compliance of patients with capecitabine, which could explain 13.4% of the overall variation of compliance. Conclusions Compliance of taking capecitabine in discharged patients with colorectal cancer is unsatisfied. Education on self-management efficacy from medical staff could improve the patients＆#39; medication adherence and their quality of life.

关 键 词：药物治疗依从性 肠癌 自我管理效能 卡培他滨 

分 类 号：R473.73[医药卫生—护理学]