肺癌化疗患者健康坚韧性及影响因素的研究  

Research on the status and influencing factors of health-related hardiness in lung cancer patients undergoing chemotherapy

作　　者：李咏东 黎玉梅 曾飞燕 黄怡菲 卢宁 牛学靖 LI Yongdong;LI Yumei;ZENG Feiyan;HUANG Yifei;LU Ning;NIU Xuejing

机构地区：[1]广州医科大学附属肿瘤医院,广州市510095

出　　处：《中华护理教育》2023年第4期480-484,共5页Chinese Journal of Nursing Education

摘　　要：目的了解肺癌化疗患者健康坚韧性现况及其影响因素。方法采用便利抽样法,选取2020年7月—2021年8月广州市某三级甲等医院收治的286例肺癌化疗患者作为研究对象,采用一般资料调查表、健康坚韧性量表、一般自我效能感量表和社会支持评定量表进行调查。结果肺癌化疗患者健康坚韧性得分(114.51±18.23)分。多元线性回归分析结果显示:性别、家庭人均月收入、病理分期、自我效能感、社会支持总分是健康坚韧性得分的主要影响因素,可解释总变异的43.8%。结论肺癌化疗患者健康坚韧性处于中等偏低水平,医护人员需重点关注男性、家庭人均月收入低、病理分期高的患者,增强患者的自我效能感,调动患者的社会支持系统,以提高患者的健康坚韧性,从而促进患者身心康复。Objective To investigate the status and influencing factors of health-related hardiness in lung cancer patients undergoing chemotherapy.Methods A total of 286 lung cancer patients undergoing chemotherapy admitted in a gradeⅢ,class A hospital in Guangzhou from July 2020 to August 2021 were selected using convenience sampling method.The general information questionnaire,Health-related Hardiness Scale,General Self-Efficacy Scale,Social Support Rating Scale were employed for assessment.Results The health-related hardiness scores of lung cancer patients undergoing chemotherapy were(114.51±18.23)points.The results of multiple linear regression analysis showed that gender,family per capita monthly income,pathological stage,self-efficacy,and total social support scores were the main influencing factors of health-related hardiness scores,which explained 43.8%of the total variance.Conclusion The health-related hardiness of lung cancer patients undergoing chemotherapy is at a moderately low level.Medical staff should pay more attention to male patients,patients with lower family per capita monthly income and worse pathological stages.Meanwhile,they need to enhance patients'self-efficacy and mobilize patients'social support system,so as to improve patients'health-related hardiness and promote the physical and mental recovery of the patients.

关 键 词：肺肿瘤 问卷调查 自我效验 社会支持 化疗 健康坚韧性 

分 类 号：R473.73[医药卫生—护理学]