自我效能感水平对化疗期间恶性肿瘤患者生活质量、负性自动思维的影响

目的 探讨自我效能感水平对化疗期间恶性肿瘤患者生活质量、负性自动思维的影响.方法 对106例明确诊断的化疗期间恶性肿瘤患者,分别进行一般自我效能感最表(GSES)、世界卫生组织生活质量测定量表简表(WHOQOL-BREF)、负性自动思维问卷(ATQ)测评,依GSES评分从最高分开始向下取27%作为高分组,从最低分开始向上取27%作为低分组,每组各29例.再比较WHOQOL-BREF、ATQ得分情况,并进行Pearson相关分析.结果 106例恶性肿瘤患者GSES评分为(22.32±8.61)分,自信心偏低者占55.66%,高分组GSES评分为(28.64±7.64)分,低分组为(21.37±5.78)分,两者差异有显著性(t=4.18,P＜0.01).自我效能感高分组ATQ评分为(63.71±7.94)分,低分组为(86.57±9.87)分,两者差异有显著性(t=9.72,P＜O.01).自我效能感高分组WHOQOL-BREF总分及各领域评分显著高于低分组,差异有显著性(P＜0.05).相关分析显示,GSES评分与ATQ评分呈显著负相关(P＜0.01).结论 化疗期间恶性肿瘤患者自我效能感水平普遍较低;患者自我效能感越低,则生活质量较低、负性自动思维越强烈.

The impact of self- efficacy on negative automatic thoughts and quality of life in cancer patients

Objective To explore the impact of self-efficacy on negative automatic thoughts and quality of life in cancer patients who received chemotherapy. Methods 106 patients who diagnosed cancer and received chemotherapy were assessed by General Self-Efficacy Scale ( GSES), WHO quality of life questionnaire-brief (WHOQOL-BREF) and Automatic Thoughts Questionnaire(ATQ) . According to the score of GSES, the highest 27% were assigned to higher scores group, and the lowest 27% were assigned to lower scores group, then compared two groups' WHOQOL-BREF and ATQ with t -test and Pearson correlation analysis. Results The mean score of GSES of 106 patients was ( 22.32 ± 8.61 ) points, and the low self-confidence were 55.66%, the mean score of GSES of higher scores group was( 28.64 ± 7.64)points, and the lower scores group was (21.37 ± 5.78 )points, and the two groups have significant difference ( t = 4.18, P ＜ 0. 01 ). The score of ATQ of higher scores group(63.71 ±7.94) was significantly lower than that of lower scores group(86.57 ±9.87), the total and all dimensions score of WHOQOL-BREF of higher scores group was higher than that of lower scores group, respectively.The score of GSES had positive correlation with the score of WHOQOL-BREF , and had negative correlation with the score of ATQ. Conclusion Cancer patients have lower level of self-efficacy, and it is closed correlated with quality of life and negative automatic thoughts.