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中国癌症防治杂志

中国癌症防治杂志 ›› 2013, Vol. 5 ›› Issue (2): 164-168.doi: 10.3969/j.issn.1674-5671.2013.02.21

• 护理研讨 • 上一篇    下一篇

胃肠肿瘤患者健康行为自我效能及其影响因素的分析

  

  1. 广西医科大学附属肿瘤医院护理部
  • 出版日期:2013-06-25 发布日期:2013-06-27
  • 通讯作者: 陈丽君 E-mail:chenlijun31011@yahoo.com.cn
  • 基金资助:

    广西卫生厅重点科研课题（2011081）

Analysis of health behavior self-efficacy in gastrointestinal cancer patients and factors that influence it

  • Online:2013-06-25 Published:2013-06-27

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被引次数

12

摘要： 目的 调查胃肠肿瘤患者手术及化疗后健康行为自我效能的现状，并分析其影响因素。方法 采用问卷调查法对586例胃肠肿瘤患者进行健康行为自我效能的调查，内容为患者健康行为自我效能的水平、一般人口学资料及患者的临床资料。结果 胃肠肿瘤患者术后化疗后健康行为自我效能总体得分为（71.50±16.08）分，仅132例（22%）患者得分指标大于80%。患者的营养状况、文化程度和医保力度等与其总体自我效能呈正相关（P＜0.05），患者年龄、临床分期、合并慢性疾病、造口和转移情况等与其总体自我效能呈负相关（P＜0.05），其中造口、合并慢性疾病、营养状况和年龄等是患者健康行为自我效能最主要的预测因子。结论 大部分胃肠肿瘤患者健康行为自我效能仍处于中低水平，在设计和实施临床护理的过程中，应重视提高患者的健康行为自我效能，帮助患者建立和维持良好的健康生活方式，提高患者生活质量。

关键词: 胃肠肿瘤, 自我效能, 护理, Logistic回归分析

Abstract: Objective To investigate health behavior self-efficacy among gastrointestinal cancer patients after surgery and chemotherapy，and to analyze factors that influence it. Methods A total of 586 gastrointestinal cancer patients filled out a question-naire about self-efficacy，demographic characteristics and clinical disease information. Results The overall score of health behavior self-efficacy was 71.50 ± 16.08 for patients.Only 132（22%） patients scored over 80%.Patient nutritional status，education and medical care positively correlated with general self-efficacy（P<0.05），while age，clinical stage，chronic disease，stoma and metastasis negatively correlated with it（P<0.05）.Stoma，chronic disease，nutritional status and age were the main predictors of self-efficacy. Conclusions Health behavior self-efficacy is still at a low level in most gastrointestinal cancer patients，which should be taken into account when designing and implementing clinical care.Efforts are needed to help patients adopt and maintain a health-promoting lifestyle in order to improve their quality of life.

Key words: Gastrointestinal neoplasms, Self-efficacy, Nursing, Logistic regression analysis