乳腺癌化疗患者癌因性疲乏与一般自我效能感的相关性研究

目的 探讨乳腺癌化疗患者癌因性疲乏水平及其与一般自我效能感的关系.方法 采用癌因性疲乏量表(cancer fatigue scale,CFS)、一般自我效能感量表(general self-efficacy scale,GSES)对190例乳腺癌化疗住院患者进行调查,并分析其相关性.结果 乳腺癌化疗患者总疲乏发生率为100.00％,躯体疲乏、情感疲乏、认知疲乏发生率分别为97.89％、97.89％、98.42％.癌因性疲乏各维度得分以躯体疲乏得分最高(12.58±4.81)分,情感疲乏次之(7.36±2.90)分,认知疲乏得分最低(6.58±2.76)分.乳腺癌化疗患者的一般自我效能感得分低于全国常模,两者比较,差异具有统计学意义(P＜0.001).乳腺癌化疗患者的癌因性疲乏各维度与一般自我效能感均呈负相关(P＜0.05或P＜ 0.01).结论 乳腺癌化疗患者癌因性疲乏普遍存在,一般自我效能感得分偏低.癌因性疲乏与患者一般自我效能感呈负相关.应采取有效的措施控制乳腺癌患者癌因性疲乏,以提高患者一般自我效能感.

Correlation between cancer-related fatigue and general self-efficacy of breast cancer patients

Objective To explore the correlations between cancer-related fatigue and general self-efficacy of breast cancer patients undergoing chemotherapy. Method 190 breast cancer patients undergoing chemotherapy involved in the survey by cancer-related fatigue scale and general self-efficacy scale. The correlations between them were analyzed. Results The total fatigue incidence rate of breast cancer patients was 100%: physical fatigue, emotional fatigue and cognitive fatigue rates were 97.89%, 97.89% and 98.42%. The score on physical fatigue was highest (12.58 ± 4.81), followed by emotional fatigue (7.36 ± 2.90) and then by cognitive fatigue (6.58 ± 2.76). The general self-efficacy score was lower than the national norm(P < 0.001). The general self-efficacy was negatively correlated with all dimensions of cancer-related fatigue (P < 0.05 or P < 0.01). Conclusions Breast cancer patients suffer from fatigue generally, their general self-efficacy lower. Cancer-related fatigue is negatively correlated with general self-efficacy.