自我管理能力对胃癌化疗患者生活质量的影响.docVIP

自我管理能力对胃癌化疗患者生活质量的影响 顾菊凤 周丹丹 蒋炜霞 姚洪芳 蒯丽娜 何金叶 章烨 东南大学医学院附属江阴市人民医院肿瘤内科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨自我管理能力对胃癌化疗患者生活质量的影响。方法 选取2013年1月至2016年6月间东南大学医学院附属江阴市人民医院收治的行化疗治疗的84例胃癌患者, 通过自我护理能力测定量表 (ESCA) 对患者进行自我管理能力评分, 按照得分情况将患者分为低水平组、中等水平组和高水平组, 低水平组21例, 中等水平组44例, 高水平组19例。采用生活质量量表 (SF-36) 调查三组患者的生活质量并进行比较。结果 低水平组患者的生活质量为 (35.22±5.34) 分, 中等水平组患者 (60.56±5.05) 分、高水平组患者 (89.31±4.97) 分, 得分情况从低水平组到高水平组依次升高, 差异均有统计学意义 (均P0.05) 。全部患者自我管理能力与生活质量水平总分、生理健康总分和心理健康总分之间呈正相关, 差异均有统计学意义 (均P0.05) 。结论 提高胃癌化疗患者的自我管理水平能有效提高患者的生活质量。 关键词： 自我管理能力; 胃肿瘤; 化疗; 生活质量; 作者简介：顾菊凤, 女, 副主任护师, 主要从事肿瘤内科护理专业。 收稿日期：2017-02-20 Effect of self-management abilities on the quality of life in patients with gastric cancer receiving chemotherapy GU Ju-feng ZHOU Dan-dan JIANG Wei-xia YAO Hong-fang JING Li-na HE Jin-ye ZHANG Ye Department of Internal Medicine Oncology, Jiangyin Peoples Hospital Affiliated to Southeast University Medical College; Abstract： Objective To explore the effect of self-management abilities on quality of life in patients with gastric cancer receiving chemotherapy. Methods Eighty-four patients with gastric cancer receiving chemotherapy at Jiangyin Peoples Hospital Affiliated to Southeast University Medical College were selected from January 2013 to June 2016. Patients self-management abilities were scored through exercise of self-care agency scale ( ESCA) and were divided into low level group ( 21 patients) , medium level group ( 44 patients) and high level group ( 19 patients) according to the score. Quality of life was researched by short-form 36 health survey scale ( SF-36) . Results The quality of life score was 35. 22 ± 5. 34, 60. 56 ±5. 05 and 89. 31 ± 4. 97, respectively for the low level group, medium level group and high level group ( all P 0. 05) . Scores from low level group to high level group increased in turn. There was a positive correlation between self-management abilities and the overall score of quality of life,