首页|自我效能干预对胃癌化疗患者依从性及应对方式的影响

自我效能干预对胃癌化疗患者依从性及应对方式的影响

扫码查看
目的 探讨自我效能干预对胃癌化疗患者依从性及应对方式的影响.方法 将95例胃癌化疗患者按照干预方式的不同分为对照组47例和观察组48例.对照组患者采取常规干预,观察组患者在对照组的基础上联合自我效能干预.比较两组患者的自我效能[一般自我效能感量表(GSES)]、应对方式[医学应对方式问卷(MCMQ)]、依从性及不良反应发生情况.结果 干预后,两组患者GSES评分均较干预前升高,且观察组患者GSES评分高于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者面对维度评分均较干预前升高,回避与屈服维度评分均较干预前降低,且观察组患者面对维度评分高于对照组,回避与屈服维度评分均低于对照组,差异均有统计学意义(P﹤0.05).观察组患者总依从率明显高于对照组,差异有统计学意义(P﹤0.01).观察组患者恶心呕吐、皮疹、白细胞减少发生率均低于对照组,差异均有统计学意义(P﹤0.05).结论 胃癌化疗患者采取自我效能干预可增强自我效能,促使患者采取积极应对的方式,提高依从性,减少不良反应,有临床应用价值.
Effect of self-efficacy intervention on compliance and coping style of patients with gastric cancer undergoing chemotherapy
Objective To investigate the effects of self-efficacy intervention on compliance and coping style of pa-tients with gastric cancer undergoing chemotherapy.Method A total of 95 patients with gastric cancer who underwent chemotherapy were divided into control group(47 cases)and observation group(48 cases)according to different interven-tion methods.Patients in control group received routine intervention,and patients in observation group received self-effi-cacy intervention on the basis of control group.Self-efficacy[general self-efficacy scale(GSES)],coping style[medical coping modes questionnaire(MCMQ)],compliance and incidences of adverse reactions were compared between the two groups.Result After intervention,GSES scores in both groups were higher than those before intervention,and GSES score in observation group was higher than that in control group,the differences were statistically significant(P<0.05).After intervention,the face dimension scores of both groups were higher than those before intervention,and the avoid-ance and yield dimension scores were lower than those before intervention,and the face dimension score in the observa-tion group was higher than that in the control group,while the avoidance and yield dimension scores were lower than those in the control group,the differences were statistically significant(P<0.05).The total compliance rate of the observa-tion group was significantly higher than that of the control group,and the difference was statistically significant(P<0.01).The incidences of nausea and vomiting,rash and leukopenia in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion The self-efficacy intervention in patients with gastric cancer undergoing chemotherapy can enhance self-efficacy,promote patients to adopt positive coping methods,improve compliance,reduce adverse reactions,and have clinical application value.

gastric cancerchemotherapyself-efficacyhealth educationcoping style

谢佳、白霞、董晓艳、马聪聪

展开 >

郑州大学第一附属医院消化内科五病区,郑州 450000

胃癌 化疗 自我效能 健康教育 应对方式

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(23)