自我效能和社会支持对大肠癌患者生活质量影响研究  

Research on effects of self-efficacy and social support on quality of life in colorectal cancer patients

作　　者：季邦菊[1] 朱美丽[1] 陈江霞[1] JI Bang-ju;ZHU Mei-li;CHEN Jiang-xia(Shaoxing People’s Hospital(Shaoxing Hospital,Zhejiang University),Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市人民医院(浙江大学绍兴医院),浙江绍兴312000

出　　处：《中国公共卫生管理》2020年第5期692-695,共4页Chinese Journal of Public Health Management

摘　　要：目的探讨大肠癌患者自我效能感和社会支持现状对生活质量的影响,为大肠癌患者生活质量干预研究提供科学依据。方法 2019年3-5月,利用方便抽样法抽取绍兴市154例大肠癌患者进行自我效能感量表(GSES)、社会支持量表(ISEL)以及生活质量量表(CF-36)调查,评估大肠癌患者自我效能、社会支持及生活质量现状,分析自我效能和社会支持与大肠癌患者生活质量的相关作用。结果大肠癌患者生活质量8个维度中,生理机能(45.35±9.41)分、生理职能(44.38±37.58)分、躯体疼痛(46.06±19.08)分、总体健康(35.57±15.25)分、活力(39.83±15.17)分、社会功能(47.78±22.15)分、情感职能(45.42±38.94)分、精神健康(34.02±13.43)分,明显低于正常人群常模(P<0.05)。大肠癌患者一般自我效能感得分为(25.93±5.69)分;社会支持方面,物质支持(5.39±2.10)分,信息支持(5.11±1.98)分,陪伴支持(4.89±2.23)分,情绪支持(3.88±1.52)分。生活质量各维度与社会支持维度及自我效能呈正相关(P<0.05)。结论大肠癌患者的生活质量较低,与社会支持和自我效能呈正相关,应采取有效的干预措施提高大肠癌患者的社会支持和自我效能,进而提高其生活质量。Objective To explore the influence of self-efficacy and social support on quality of life in colorectal cancer patients, and to provide scientific basis for intervention research on quality of life in colorectal cancer patients. Methods A total of 154 colorectal cancer patients from Shaoxing were selected by convenient sampling method from March to May, 2019. GSES, ISEL and CF-36 were used to conduct the investigation, the status of self-efficacy, social support and quality of life in colorectal cancer patients were evaluated, and related effects of self-efficacy and social support on quality of life in colorectal cancer patients were analyzed. Results Among 8 dimensions of quality of life in patients with colorectal cancer, the score of PF dimension, RP dimension, BP dimension, GH dimension, VT dimension, SF dimension, RE dimension and MH dimension was 45.35±9.41, 44.38±37.58, 46.06±19.08, 35.57±15.25, 39.83±15.17, 47.78±22.15, 45.42±38.94, 34.02±13.43, respectively, which was significantly lower than the norm of normal population(P<0.05). The score of GSES in patients with colorectal cancer was(25.93±5.69);in the aspects of social support, the score of material support dimension, information support dimension, companionship support dimension, and emotional support dimension was 5.39±2.10, 5.11±1.98, 4.89±2.23, 3.88±1.52, respectively. Social support dimension and self-efficacy dimension were positively correlated with all dimensions of life quality(P<0.05). Conclusion The quality of life of colorectal cancer patients is low, which is positively correlated with social support and self-efficacy, it is necessary to adopt effective intervention measures to improve social support and self-efficacy of patients with colorectal cancer, so as to improve their quality of life.

关 键 词：自我效能 社会支持 生活质量 

分 类 号：R473.73[医药卫生—护理学]