消化道肿瘤患者心理痛苦与自我管理效能感的相关性分析

目的 调查消化道肿瘤患者心理痛苦现状及其与自我管理效能感的相关性。方法 选择本院收治的225例消化道肿瘤的患者为研究对象。采用心理痛苦温度计、医院焦虑抑郁量表和自我管理效能感量表分别评估患者的心理痛苦、焦虑抑郁和自我管理效能感，Pearson相关和结构方程模型分析其相关性。结果 225例消化道肿瘤患者心理痛苦平均得分为（3.15±2.51）分，心理痛苦131例（58.22%）；焦虑平均得分为（6.02±3.97）分，焦虑172例（76.44%）；抑郁平均得分为（5.34±4.14）分，抑郁182例（80.89%）。自我管理效能感总得分为（94.36±23.63）分，心理痛苦、焦虑和抑郁分别与自我管理效能感、自我减压、自我决策和正性态度呈负相关（P<0.01）。结构方程模型发现，心理痛苦对自我管理效能感的影响是直接效应，标准化路径系数为-0.186（标准误=0.093，P=0.002）。结论 消化道肿瘤患者心理痛苦、焦虑和抑郁发生率较高，且心理痛苦、焦虑和抑郁程度越严重，患者自我管理效能感越差。

Correlation of psychological distress with self-care efficacy in patients with gastrointestinal tumors

Objective To investigate the relationship between psychological distress and self-care efficacy in patients with gastroin-testinal tumors. Methods A total of 225 patients diagnosed with gastrointestinal tumors in our hospital were selected. Distress thermometer, hospital anxiety and depression scale and health promotion strategy scale were used to evaluate patients' psychological pain, anxiety and depression and self-care efficacy，Pearson correlation and structural equation model were used to analyze their correlation. Results The average score of psychological distress was（3.15±2.51） in 225 patients with gastrointestinal tumor，of 131 patients （58.22%） suffered psychological distress. The average score of anxiety was （6.02±3.97），of which 172 patients（76.44%） were showing anxiety. The average score of depression was （5.34±4.14）， of which 182 patients （80.89%） were depressed. The total score of self-care efficacy was（94.36±23.63）， and psychological distress，anxiety and depression were negatively correlated with self-care efficacy，self-decompression，self-decision-making and positive attitude （P<0.01）. The structural equation model analysis showed that psychological distress had a direct effect on self-care efficacy， and the standardized path coefficient was -0.186 （standard error=0.093，P=0.002）. Conclusion The incidence of psychological distress，anxiety and depression is higher in patients with gastrointestinal tumors，and the more serious the psychological distress，anxiety and depression，the worse the self-management efficacy.