自我效能干预对非手术治疗的恶性肿瘤患者癌因性疲乏的影响作用探讨

目的探讨自我效能干预对非手术治疗的恶性肿瘤患者癌因性疲乏的影响作用。方法选取某医院就诊的门诊和住院非手术治疗的肿瘤患者共124例,随机分为两组,各62例,对照组进行常规治疗与护理,干预组额外进行自我效能干预,进行3个月的自我效能干预后随访,探讨对于患者癌因性疲乏的影响作用。结果干预后随访,干预组的疲乏总分显著低于对照组;干预组行为/严重程度,情感,感觉以及认知/情绪四个维度得分均低于对照组的水平;干预组的轻度疲乏、中度疲乏以及严重疲乏比例均低于对照组;此外,干预前后干预组总分及四个维度得分增加值低于对照组,差异均具有统计学意义(P<0.05)。结论自我效能干预在恶性肿瘤患者治疗中有着重要辅助作用,特别是对于疲乏的控制,有良好的效果。

Effect of self-efficacy intervention on cancerinduced fatigue in non-surgical malignant tumor patients

Objective To investigate the effect of self-efficacy intervention on cancerinduced fatigue in non-surgical malignant tumor patients. Methods A total of 124 outpatients and inpatients with non-surgical treatment in a hospital were randomly divided into a control group and an intervention group, with 62 cases each group, and the former received the routine treatment and nursing and the latter received the self-efficacy intervention on the basis of the routine treatment and nursing for 3 months. The effect of intervention on the patient's cancerrelated fatigue were investigated. Results After the intervention, the total score of fatigue in the intervention group was significantly lower than that in the control group. The behavioral/severity, emotion, sensory and cognitive/emotional scores in the intervention group were lower than those in the control group. The proportions of mild, moderate and severe fatigue in the intervention group were lower than those in the control group. In addition, compared with the scores before the intervention, the added values of the total score and the scores of four dimensions after the intervention in the intervention group were significantly lower than those in the control group, and the differences were statistically significant (all P<0.05). Conclusion The self-efficacy intervention plays an important role in the treatment of patients with malignant tumors, especially for the control of fatigue.