目的 了解食管癌术后患者自我管理积极度现状，并分析其影响因素。 方法 2022年8月至2023年9月，采用便利抽样法，选取中山大学肿瘤防治中心158例食管癌术后患者为研究对象，使用一般资料调查问卷、患者积极度量表、恐惧疾病进展简化量表、家庭关怀度指数量表进行横断面调查，采用多重线性回归分析食管癌术后患者自我管理积极度的影响因素。 结果 有效回收问卷144份，其中男106例，女38例，年龄18~39岁22例，40~59岁55例，≥60岁67例。食管癌术后患者积极度量表得分为（59.61 ± 16.07）分、恐惧疾病进展量表得分为（40.45 ± 9.76）分、家庭关怀度指数得分为（11.41 ± 2.36）分。多重线性回归分析结果显示，文化程度、恐惧疾病进展、家庭关怀度指数是食管癌术后患者自我管理积极度的影响因素（t=2.54、-13.49、2.45，均P<0.05）。 结论 食管癌术后患者自我管理积极度总体有待提高，临床护理工作者应密切关注食管癌术后患者自我管理积极度现状，制订系统、科学、有效的自我管理积极度干预策略。 Objective To understand the current status of self-management positivity of postoperative patients with esophageal cancer and to analyze its influencing factors. Methods From August 2022 to September 2023, 158 postoperative patients with esophageal cancer at Sun Yat-sen University Cancer Prevention and Control Center were selected by convenience sampling method, and were investigated using a general information questionnaire, Patient Activation Measure (PAM), Fear of Progression Questionnaire Short Form (FOP-Q-SF), and Family APGAR Index (IAPGAR) for a cross-sectional survey, and multiple linear regression was used to analyze the influencing factors of the self-management positivity in patients with postoperative esophageal cancer. Results Totally 144 questionnaires were effectively collected, of which 106 males and 38 females, with 22 cases aged 18-39 years old, 55 cases aged 40-59 years old, and 67 cases aged ≥ 60 years old. Totally 144 patients scored (59.61 ± 16.07) points on the PAM, (40.45 ± 9.76) on the FOP-Q-SF, and (11.41 ± 2.36) on the IAPGAR, and the results of the multiple linear regression analysis showed that the literacy level, fear of disease progression, and family caring index were the influencing factors of the positivity of the patients′ self-management after the surgery of esophageal cancer (t=2.54, -13.49, 2.45, all P<0.05). Conclusions There is always room for improvement in the degree of active self-management of postoperative patients with esophageal cancer. Clinical care workers should pay close attention to the current status of self-management positivity of postoperative patients with esophageal cancer, and formulate a systematic, scientific, and effective intervention strategy for self-management positivity.
Analysis of status quo and influencing factors of self-management positivity in patients with esophageal carcinoma after operation
Objective To understand the current status of self-management positivity of postoperative patients with esophageal cancer and to analyze its influencing factors. Methods From August 2022 to September 2023, 158 postoperative patients with esophageal cancer at Sun Yat-sen University Cancer Prevention and Control Center were selected by convenience sampling method, and were investigated using a general information questionnaire, Patient Activation Measure (PAM), Fear of Progression Questionnaire Short Form (FOP-Q-SF), and Family APGAR Index (IAPGAR) for a cross-sectional survey, and multiple linear regression was used to analyze the influencing factors of the self-management positivity in patients with postoperative esophageal cancer. Results Totally 144 questionnaires were effectively collected, of which 106 males and 38 females, with 22 cases aged 18-39 years old, 55 cases aged 40-59 years old, and 67 cases aged ≥ 60 years old. Totally 144 patients scored (59.61 ± 16.07) points on the PAM, (40.45 ± 9.76) on the FOP-Q-SF, and (11.41 ± 2.36) on the IAPGAR, and the results of the multiple linear regression analysis showed that the literacy level, fear of disease progression, and family caring index were the influencing factors of the positivity of the patients′ self-management after the surgery of esophageal cancer (t=2.54, -13.49, 2.45, all P<0.05). Conclusions There is always room for improvement in the degree of active self-management of postoperative patients with esophageal cancer. Clinical care workers should pay close attention to the current status of self-management positivity of postoperative patients with esophageal cancer, and formulate a systematic, scientific, and effective intervention strategy for self-management positivity.
Esophageal neoplasmSelf-managementFear of disease progressionFamily careInfluencing factors
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