大肠癌术后患者癌因性疲乏与自我管理效能感相关性分析

目的：探讨大肠癌术后患者癌因性疲乏状况与自我管理效能感的关系。方法采用便利抽样的方法，选取98例大肠癌术后患者，选用一般情况调查问卷、癌因性疲乏量表（ CFS）、癌症自我管理效能感量表进行调查。结果大肠癌术后患者总疲乏发生率为100．00％，躯体疲乏和情感疲乏发生率均为100．00％，认知疲乏发生率为96．94％。在大肠癌术后患者癌因性疲乏各个维度的得分中，躯体疲乏得分最高，为（14．46±2．76）分，其次为情感疲乏（6．45±1．472）分，认知疲乏得分最低，为（4．69±1.677）分。大肠癌术后患者自我管理效能感总得分为（81．29±11．065）分；大肠癌术后患者癌因性疲乏各个维度均与自我管理效能感呈负相关（r值分别为-0．440，-0．267，-0．232，-0．448；P＜0．05）。结论大肠癌术后患者普遍存在癌因性疲乏，自我管理效能感处于中等水平，应为患者制订高质量自我管理项目，减轻疲乏症状，提高其生活满意度。

Correlation between cancer-related fatigue and self-management efficacy in the colorectal cancer patients after surgery

Objective To explore the interrelation between cancer-related fatigue and self-management efficacy in the colorectal cancer patients after surgery .Methods Ninety-eighty colorectal cancer patients after surgery were chosen according to the convenient sampling , and were surveyed by the questionnaire about general information , the cancer fatigue scale （ CRF ） and the strategies used by people to promote health （ SUPHH ） . Results The total incidence rate of fatigue in the colorectal cancer patients after surgery was 100.00%, and the incidence rates of physical fatigue and emotional fatigue were 100.00%, and cognitive fatigue was 96.94%. The score of physical fatigue was the highest score （14.46 ±2.76）, and emotional fatigue was the higher score （6.45 ±1.472）, and the lower score was the score of cognitive fatigue （4.69 ±1.677）.The total score of SUPHH in the colorectal cancer patients after surgery was （81.29 ±11.065）.All dimensions of cancer-related fatigue had negative correlation with the self-management efficacy in the colorectal cancer patients after surgery （r=-0.440,-0.267,-0.232,-0.448, respectively;P〈0.05）.Conclusions The cancer-related fatigue is widespread in the colorectal cancer patients after surgery , and their self-management efficacy is at the medium level.The high quality of self-management programs should be developed in order to relieve their fatigue and improve their life satisfaction.