基于自我效能理论的原发性肝癌术后病人恐惧疾病进展影响因素分析  

Analysis of influencing factors of fear of progression in patients with primary liver cancer after surgery based on self-efficacy theory

作　　者：柳书悦 陈梅先[1] 何凤英[1] 张玫 吴晓丹[1] 刘莉[1] LIU Shuyue;CHEN Meixian;HE Fengying;ZHANG Mei;WU Xiaodan;LIU Li(Sun Yat-Sen University Cancer Center,Guangdong 510060 China)

机构地区：[1]中山大学肿瘤防治中心,广东510060

出　　处：《护理研究》2021年第6期1056-1060,共5页Chinese Nursing Research

摘　　要：目的:分析基于自我效能理论的原发性肝癌术后病人恐惧疾病进展影响因素。方法:采用一般资料调查表、汉化版恐惧疾病进展量表(FoP-Q-SF)、一般自我效能感量表(GSES)对广东省广州市某三级甲等肿瘤医院肝脏外科住院的175例原发性肝癌术后病人进行调查。结果:175例病人FoP-Q-SF得分为(36.01±10.86)分,≥34分的病人98例,病人GSES得分为(25.35±6.48)分,多重线性回归分析结果显示,年龄、心理辅导需求、肿瘤临床分期、肿瘤家族史、术后并发症、自我效能进入原发性肝癌术后病人恐惧疾病进展得分的回归方程,可以解释原发性肝癌术后病人恐惧疾病进展水平总变异的43.3%。结论:年龄、心理辅导需求、肿瘤临床分期、肿瘤家族史、术后并发症、自我效能是肝癌术后病人恐惧疾病进展影响因素。Objective:To analyze influencing factors of fear of progression in patients with primary liver cancer after surgery based on selfefficacy theory.Methods:A total of 175 patients with primary liver cancer after surgery were taken questionaire survey by the general information questionnaire,the Chinese version of Fear of Progression Questionnaire-Short Form(FoP-Q-SF),and the General SelfEfficacy Scale(GSES).Results:The FoP-Q-SF score of 175 patients was 36.01±10.86.Among these patients,there were 98 cases whose scores≥34.The GSES score of patients was 25.35±6.48.The results of multiple linear regression analysis showed that age,need for psychological consultation,clinical staging of tumor,family history of tumor,postoperative complications,and self-efficacy,entered the regression equation,which could explain 43.3%of total variation of fear of progression in patients with primary liver cancer after surgery.Conclusions:Age,need for psychological consultation,clinical staging of tumor,family history of tumor,postoperative complications,and self-efficacy were influencing factors of fear of progression in patients with primary liver cancer after surgery.

关 键 词：原发性肝癌 恐惧疾病进展 自我效能 影响因素 年龄 心理护理 肿瘤临床分期 围术期护理 

分 类 号：R473.73[医药卫生—护理学]