食管癌开胸手术患者自我管理效能感对呼吸功能锻炼依从性影响.docVIP

食管癌开胸手术患者自我管理效能感对呼吸功能锻炼依从性影响 　　[摘要] 目的 探讨食管癌开胸手术患者自我管理效能感与呼吸功能锻炼依从性的关系。 方法 选择2015年5月～2016年10月在新疆医科大学第一附属医院胸外科行开胸手术的食管癌患者120例，应用中文版癌症自我管理效能感量表调查患者自我管理效能水平，采用食管癌患者呼吸功能锻炼依从性调查问卷调查患者锻炼的依从性，应用Pearson相关性检验探讨自我管理效能感与呼吸功能锻炼依从性之间的关系。 结果 食管癌开胸手术患者自我管理效能感得分为（87.5±30.3）分，得分指标为62.5%，处于中等水平；患者呼吸功能锻炼依从性得分为（55.6±14.9）分，得分指标为58.9%，处中等水平。相关性分析显示，除了注意事项依从与自我决策不相关外（P 0.05），食管癌开胸手术患者呼吸功能锻炼依从、主动寻求帮助依从、注意事项依从及总体依从与自我管理效能感其他各项均呈正相关关系（P 0.05）。 结论 食管癌开胸手术患者呼吸功能锻炼依从性较差，可通过增强患者自我管理效能感提高依从性，改善患者的肺功能。 　　[关键词] 食管癌；手术治疗；自我管理效能感；呼吸功能锻炼；依从性 　　[中图分类号] R735.1 [文献标识码] A [文章编号] 1673-7210（2017）05（b）-0111-04 　　[Abstract] Objective To investigate the relationship between self-care self-efficacy and compliance of respiratory function exercise in patients with esophageal cancer after thoracotomy. Methods 120 patients with esophageal cancer underwent thoracotomy in Department of Thoracic Surgery， the First Affiliated Hospital of Xinjiag Medical University from May 2015 to October 2016 were selected. Chinese-version self efficacy scale for cancer and respiratory function exercise compliance scale were used for investigation of patients′ self-care self-efficacy and compliance of respiratory function exercise. Pearson correlation analysis was adopted to analyze the relationship between self-care self-efficacy and respiratory function training compliance in patients with esophageal cancer after thoracotomy. Results The score of self efficacy scale was （87.5±30.3） points， the score index was 62.5%， which was in the middle level. The score of respiratory functional exercise compliance scale was （55.6±14.9） points， the score index was 58.9%， which was in the middle level. Pearson correlation analysis showed that there was no correlation between announcements compliance and self decision （P 0.05）， however， there were significantly positive correlation between respiratory training compliance， respiratory training compliance， announcements compliance， overall compliance and other items of self-care self-efficac