鼻咽癌患者放射治疗后生活质量与自我管理效能感、社会支持的相关性

目的：探讨鼻咽癌患者放射治疗(以下简称放疗)后生活质量与自我管理效能感、社会支持的关系。方法：采用一般资料调查表、生活质量量表、自我管理效能感量表、领悟社会支持量表对179例鼻咽癌放疗后3个月内的患者进行问卷调查。结果：鼻咽癌患者放疗后生活质量的5个功能领域得分最高的是认知功能，最低的是社会功能，相关症状为(22.21±10.24)分，总体生活质量为(52.46±17.96)分；自我管理效能感为(62.14±14.50)分；社会支持为(56.03±7.63)分。鼻咽癌患者放疗后自我管理效能感与生活质量中的5个功能领域和总体生活质量呈正相关(P<0.01)，与相关症状呈负相关(P<0.01)；社会支持与生活质量中的躯体功能、社会功能和总体生活质量呈正相关(P<0.01)，与相关症状呈负相关(P<0.05)。多元线性回归分析显示自我管理效能感是患者生活质量中5个功能领域、相关症状和总体生活质量的影响因素；社会支持是患者生活质量中社会功能的影响因素。结论：鼻咽癌患者放疗后自我管理效能感和社会支持可影响其生活质量，护理人员应注重提高出院患者的自我管理效能感，引导其积极寻求或获得社会支持，从而改善其生活质量。

Correlation of quality of life with self-care efficacy and social support in patients with nasopharyngeal carcinoma after radiotherapy

Objective: To explore the correlation of quality of life with self-care effi cacy and social support inpatients with nasopharyngeal carcinoma after radiotherapy.Methods: A total of 179 patients with nasopharyngeal carcinoma at 3 months after radiotherapywere surveyed using self-designed general information questionnaire, European Organization forResearch and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30V3.0), Chinese-version of Strategies Used by People to Promote Health (C-SUPPH), and PerceivedSocial Support Scale (PSSS).Results: The score of cognitive function was the highest, while the score of social function wasthe lowest. The score of related symptoms was 22.21±10.24, the overall score for quality of lifewas 52.46±17.96, the score of self-care efficacy was 62.14±14.50, and the score of social supportwas 56.03±7.63. Self-care efficacy of patients with nasopharyngeal cancer after radiotherapywas positively correlated with 5 functional areas of quality of life and overall quality of life, andnegatively correlated with relevant symptoms (P<0.01). Social support was positively correlatedwith physical function, social function and overall quality of life (P<0.01), and negatively correlatedwith relevant symptoms (P<0.05). Multiple regression analysis showed that self-care efficacy couldpredict 5 functional areas of life quality, relevant symptoms, overall quality of life and social supportpredicted social function in quality of life.Conclusion: Self-care efficacy and social support for patients with nasopharyngeal cancer afterradiotherapy can affect their quality of life. Nursing staff should pay attention to improving the selfcareefficacy of patients, guide them to actively seek or obtain social support, and in turn to improvetheir quality of life.