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食管癌患者根治术后支持性照顾需求与自我效能及生活质量的关系

Relationship between supportive care demand and self-efficacy,quality of life in patients after radical surgery of esophageal cancer

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目的 了解食管癌患者根治术后支持性照顾需求现状,分析其与自我效能及生活质量的关系,为改善患者预后提供参考.方法 收集 102 例食管癌根治术后患者的一般资料,应用支持性照顾需求问卷(SCNS-SF34)、癌症自我管理效能感量表(SUPPH)、癌症病人生命质量测定量表(FACT-G)对其进行调查;采用Pearson相关分析探究支持性照顾需求与自我效能及生活质量间的相关性,采用多元线性回归分析支持性照顾需求的影响因素.结果 食管癌根治术后患者的SCNS-SF34 总得分为(95.85±21.67)分,SUPPH评分为(90.81±20.42)分,FACT-G评分为(59.16±13.75)分.Pearson相关分析显示,心理需求、健康信息需求、照顾及支持需求、生理及日常生活需求维度的评分与SUPPH及FACT-G各维度评分均呈负相关(P<0.05).不同年龄、文化程度、家庭人均月收入、居住地的食管癌根治术后患者间,SCNS-SF34 评分差异具有统计学意义(均P<0.05);多元线性回归结果显示,年龄、文化程度、家庭人均月收入、居住地、SUPPH评分、FACT-G评分为影响食管癌根治术后患者支持性照顾需求的主要因素(均P<0.05),可解释总变异的 82.3%.结论 食管癌根治术后患者普遍存在支持性照顾需求未被满足,支持性照顾需求与自我效能及生活质量呈负相关,且受不同因素影响,临床可进行针对性指导,以改善患者自我效能与生活质量.
Objective To understand the current status of supportive care needs and analyze its relationship with self-efficacy and quality of life in patients after radical surgery for esophageal cancer so as to provide reference for prognosis improvement.Methods The general data of 102 patients undergoing radical surgery of esophageal cancer were collected.General information about the patients was collected.To assess their supportive care needs,self-efficacy,and quality of life,three validated questionnaires were administered to the participants.These included the supportive care needs survey-short form 34(SCNS-SF34),the cancer self-management self-efficacy scale(SUPPH),and the functional assessment of cancer therapy-general(FACT-G).Pearson correlation analysis was employed to explore the relationship between supportive care needs,self-efficacy,and quality of life.Multiple linear regression analysis was conducted to identify the factors that influence supportive care needs.Results The total score of the SCNS-SF34 questionnaire for patients after radical surgery for esophageal cancer was(95.85±21.67)points,the SUPPH score was(90.81±20.42)points,and the FACT-G score was(59.16±13.75)points.Pearson correlation analysis revealed that the scores of the psychological needs,health information needs,care and support needs,and physiological and daily living needs dimensions were negatively correlated with the SUPPH and FACT-G scores in all dimensions(P<0.05).Significant differences in SCNS-SF34 scores were observed among patients after radical surgery for esophageal cancer with different ages,educational levels,per capita monthly incomes,and places of residence(P<0.05).The results of multivariate linear regression analysis showed that age,education level,per capita monthly income,place of residence,SUPPH score,and FACT-G score were the main factors influencing supportive care needs in patients(P<0.05),explaining 82.3%of the total variation.Conclusions The unmet demand for supportive care is common in patients after radical surgery of esophageal cancer.The supportive care demand is negatively correlated with self-efficacy and quality of life.Furthermore,these needs are influenced by various factors.Clinically,targeted guidance can be taken to improve patients'quality of life.

radical surgery of esophageal cancersupportive care demandself-efficacyquality of life

黄有华、黄显聪、严燕燕

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浙江中医药大学 护理学院,浙江 杭州 310053

浙江省肿瘤医院 胸部肿瘤外科,浙江 杭州 310022

食管癌根治术 支持性照顾需求 自我效能 生活质量

浙江省医药卫生科技计划浙江省卫生厅项目

2022KY1082020KY487

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(2)
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