肺癌患者症状群与自我效能感相关性研究.docVIP

肺癌患者症状群与自我效能感相关性研究 　　[摘要] 目的 了解肺癌患者的症状群现象是否对其自我效能感存在影响，并进行相关性探讨，为进一步针对肺癌患者进行症状学研究及姑息干预奠定基础，提供依据。 方法 采用安德森症状评估量表（MDASI）、中文版癌症患者自我管理效能感量表（Chinese-version，SUPPH）对入住我院的93例肺癌患者进行调查。通过因子分析提取肺癌患者症状群，比较其在自我效能感方面的差异。 结果 肺癌患者存在四个症状群，分别命名为气短-麻木-健忘症状群、疼痛-疲乏相关症状群、苦恼症状群和瞌睡症状群。此次调查的肺癌患者症状及症状困扰发生情况显示：症状严重程度评分的中位值在（1～3）分，发生率51.6%～92.5%；而症状困扰存在的严重程度评分中位值均为3分，发生率为67.7%～82.8%。肺癌患者的自我效能感得分为（93.16±26.99）分，得分率为66.54%，处于中等偏下的水平。Logistic回归结果显示，疼痛-疲乏相关症状群、苦恼症状群对其自我效能感造成显著影响。 结论 肺癌患者症状发生频率较为普遍，存在多个症状群且严重影响患者的自我效能感，进而影响患者自我管理症状的决心与信心；护士应准确及时地对患者进行症状评估，积极针对患者的症状群实施管理与控制，减轻患者的症状困扰，提高其自我效能感，进而提高其疾病自我管理能力。 　　[关键词] 肺癌；症状群；自我效能感 　　[中图分类号] R734.2；R473.73 [文献标识码] B [文章编号] 1673-9701（2014）33-0013-04 　　[Abstract] Objective To understand the symptom clusters of lung cancer patients whether there were effects on their self-efficacy and to explore the correlation， further to provide the basis and establish the foundation for palliative intervention study for lung cancer patients. Methods Used the Anderson symptom assessment scale （MDASI） and Chinese version of the Strategies Used by Patients to Promote Health （Chinese-version， SUPPH）， 93 patients with lung cancer in our hospital were investigated. Through factor analysis extracted from patients with lung cancer symptom clusters， to compare the differences in self-efficacy. Results There were four symptoms in patients with lung cancer， respectively named， shortness of breath-Numb-forgetful symptoms， pain and fatigue related symptoms， distress symptoms and sleep symptoms. Symptom distress in patients with lung cancer and the incidence of symptoms such as shown， symptom severity median scores from 1 to 3， the incidence rate was 51.6%～92.5%； The severity and symptom distress existing median score were all 3 scores， the incidence rate was 67.7%～82.8%. Lung cancer patients self-efficacy score was （93.16±26.99）， scoring rate was 66.54%， in the middle and lower levels. Logistic regression analysis showed that the fatigue related symptoms， pain， distress sympto