胃癌和结直肠癌患者自我照顾和自我效能的相关因素
College of Nursing, Second Military Medical University, Xiangyin Rd 800, Shanghai 200433, China
Background: Many studies have demonstrated that self-efficacy plays a crucial role in self-care. However, findings from previous studies indicate that the relationships between self-efficacy and several variables are inconsistent. Objective: The purpose of this study was to assess the level of self-care self-efficacy among Chinese gastric and colorectal cancer patients and to identify the demographic and disease-related, physical, psychological, and social factors associated with their self-care self-efficacy. Methods: One hundred forty-eight cancer patients were recruited from hospitals in Shanghai and Shandong Province. Their self-efficacy, health status, social support, and mental health were assessed during face-to-face interview, using the Strategies Used by People to Promote Health (Chinese version), Medical Outcome Study Short Form 36, Social Support Questionnaire, and the Hospital Anxiety and Depression Scale. Results: The overall level of self-care self-efficacy was moderate (mean, 80.34). The multiple regression analyses indicated that depression, physical functioning, use of available social support, vitality, and profession were indicators of the level of self-care self-efficacy and accounted for 60.9% of the variances. Conclusion: Participants who had less depression, better physical function, more social support, and higher vitality tended to have higher levels of self-care self-efficacy. Depression levels had the largest influence on self-care self-efficacy. Implications for Practice: Findings indicate that nurses may be able to influence certain cancer patients' self-care self-efficacy by attending to depression and other variables related to physical and social functioning. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Yuan, C.; College of Nursing, Second Military Medical University, Xiangyin Rd 800, Shanghai 200433, China; email: yuancr510@yahoo.com.cn
来源: Scopus
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