自我效能干预对肺癌化疗患者癌因性疲乏及希望水平的影响  

Effect of self-efficacy intervention on cancer-related fatigue and hope level in chemotherapeutic lung cancer patients

作　　者：李萍[1] 朱玉芬[2] 张繁[2] 杨睿[2] LI Ping;ZHU Yufen;ZHANG Fan;YANG Rui(Outpatient Allergy Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;Ward 1,First Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院门诊变态反应室,郑州4500520 [2]郑州大学第一附属医院呼吸一科一病区,郑州4500520

出　　处：《癌症进展》2021年第15期1602-1605,共4页Oncology Progress

摘　　要：目的探究自我效能干预对肺癌化疗患者癌因性疲乏及希望水平的影响。方法将102例肺癌化疗患者随机分为对照组和观察组,每组51例。对照组患者予以常规干预,观察组患者在对照组基础上增加自我效能干预。比较干预前后两组患者Piper疲乏评估修订量表(PFS-R)、Herth希望量表(HHI)评分。结果干预前,两组患者PFS-R中行为疲乏、情感疲乏、躯体感知疲乏、认知疲乏评分比较,差异均无统计学意义(P﹥0.05)。干预后,两组患者上述4个维度评分均下降(P﹤0.05),且观察组4个维度评分均明显低于对照组(P﹤0.01)。干预前,两组患者HHI中面对现实与未来的积极态度、采用积极行动、与他人保持亲密关系3个维度评分比较,差异均无统计学意义(P﹥0.05)。干预后,两组患者上述3个维度评分均上升(P﹤0.05),且观察组3个维度评分均明显高于对照组(P﹤0.01)。结论自我效能干预可有效减轻肺癌化疗患者癌因性疲乏,提高其希望水平。Objective To explore the effect of self-efficacy intervention on cancer-related fatigue and hope level in chemotherapeutic lung cancer patients.Method A total of 102 chemotherapeutic lung cancer patients were randomly di-vided into control group(n=51,treated with routine intervention)and observation group(n=51,treated with self-efficacy intervention on the basis of treatment in the control group);the scores of Piper fatigue scale-revised(PFS-R)and Herth hope index(HHI)were compared between the two groups before and after intervention.Result There were no signifi-cant differences for the scores of behavior fatigue,emotional fatigue,somatosensory fatigue and cognitive fatigue of PFS-R between the two groups before intervention(P>0.05)versus significantly decreased scores after intervention(P<0.05),with lower scores in the observation than those in the control group(P<0.01).There were no significant differences for the scores of positive attitude toward reality and future,taking positive action and maintaining intimate relationship with others in HHI between the two groups before intervention(P>0.05)versus significantly increased scores after inter-vention(P<0.05),with higher scores in the observation than those in the control group(P<0.01).Conclusion Self-effica-cy intervention can effectively reduce cancer-related fatigue and improve the hope level of lung cancer patients undergo-ing chemotherapy.

关 键 词：自我效能 肺癌 化疗 癌因性疲乏 希望水平 

分 类 号：R734.2[医药卫生—肿瘤]