原发性肝癌术后患者社会支持与自我管理效能感的研究  

The relationship between social support and self-management efficacy in patients with primary liver cancer after surgery

作　　者：张玲 王维利[1] 胡少华[3] 周利华[1] 方颖[2] 王婷[2] ZHANG Ling;WANG Wei-li;HU Shao-hua;ZHOU Li-hua;FANG Ying;WANG Ting(Depart-ment of Obstetrics and Gynecology Nursing,School of Nursing,Anhui Medical University,Hefei 230601,China;De-partment of Hepatobiliry Surgery,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;De-partment of Nursing,the First Affiliated Hospital of Anhai Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学护理学院妇产科护理学教研室,安徽合肥230601 [2]安徽医科大学第一附属医院肝胆外科,安徽合肥230022 [3]安徽医科大学第一附属医院护理部,安徽合肥230022

出　　处：《中华疾病控制杂志》2018年第9期953-956,共4页Chinese Journal of Disease Control & Prevention

基　　金：安徽省自然科学基金项目(1508085MH160);安徽高校自然科学研究项目(KJ2017A828)

摘　　要：目的评估原发性肝癌行肝切除术后患者社会支持与自我管理效能感的现状,研究患者社会支持对其自我管理效能感的影响。方法采取方便抽样,对2015年1月~2017年4月在安徽医科大学第一附属医院肝胆外科接受手术治疗后3个月的151例原发性肝癌患者,采用社会支持评定量表和自我管理效能感量表进行调查。结果原发性肝癌术后患者的社会支持总分为(35.86±6.73)分,自我管理效能感总分为(94.11±20.02)分。社会支持总分及各维度与自我管理效能感总分及各维度均呈正相关(均有P<0.05)。多元线性回归分析结果显示,主观支持、客观支持和支持利用度均与肝癌患者自我管理效能感有关(均有P<0.05)。按照标准化回归系数将自变量对自我管理效能感的作用大小排序为:主观支持、客观支持、支持利用度。结论原发性肝癌手术后患者的社会支持和自我管理效能感均处于中等水平,良好的社会支持有利于提高患者的自我管理效能。医护人员应积极帮助患者建立有效且完善的社会支持系统,以提升患者对疾病的自我管理水平。Objective To evaluate the current status of social support and self-management efficacy in patients with primary liver cancer （PLC） after surgery, and analyze the effect of social support on self-management efficacy. Meth- ods Patients with PLC underwent surgery at the First Affiliated Hospital of Anhui Medical University between January 2015 and April 2017 were surveyed with questionnaires. Data was collected by social support rating scale （SSRS） and strategies used by people to promote health （SUPPH）. Results The average score of SSRS and SUPPH were （ 35.86 ±6. 73 ） and （ 94. 11 ±20. 02） respectively. SSRS had a positive correlation with SUPPH （ all P 〈 0. 05 ）. Multivariate linear regression analysis showed that the subjective support, objective support and support utilization were related to the self-man- agement efficacy of PLC patients significantly （ all P 〈 0. 05 ）. According to the standardized regression coefficient, the effect intensity of each independent variable on self-management efficacy was ranked as follows： subjective support, objec- tive support, and support utilization. Conclusions The social support and self-management efficacy in patients with PLC after surgery are both at a moderate level. Good social support can help to improve sense of self-management. These data also strongly suggested that health care personnel should help patients to establish an effective social support system, there- by increasing self-management efficacy.

关 键 词：原发性肝癌 肝切除术后 社会支持 自我管理效能感 

分 类 号：R73[医药卫生—肿瘤]