自我效能感在喉癌术后患者自我护理和生活质量间的中介作用分析

目的: 了解喉癌术后患者生活质量的状况,探讨自我护理、自我效能感和生活质量三者之间关系以及自我效能感在自我护理和生活质量间的中介作用.方法: 选取病理组织学确诊的、行手术治疗并在常规护理的基础上实施自我护理和提高自我效能感的综合护理干预措施的喉癌患者82例作为调查对象,在出院3个月后复查时采用自我护理能力测定量表、一般自我效能感量表、中国头颈部癌生命质量测定量表对喉癌术后患者进行问卷调查.结果: 不同性别、年龄段、手术方式、临床分期,是否带管、放化疗的喉癌术后患者生活质量得分差异均有统计学意义(P< 0.05～P< 0.01).总自我护理能力及各维度与生活质量间均呈正相关关系(P< 0.01);自我效能感与生活质量间呈正相关关系(P< 0.01).自我效能感在自我护理能力对生活质量的影响中起中介作用,中介作用大小为66.73%,中介效应占总效应的比例为78.79%.结论: 引导喉癌术后患者培养自我护理能力,提高自我效能感,可提升患者的生活质量水平.

The mediating effects of self-efficacy on the self-care and quality of life in the postoperative patients with laryngeal carcinoma

Objective: To investigate the status of quality of life,relationships between self-care,self-efficacy and quality of life and mediating effects of self-efficacy on the self-care and quality of life in postoperative patients with laryngeal carcinoma.Methods: Eighty-two patients with laryngeal carcinoma diagnosed by pathology were treated with operation combined with improvement nursing of self-efficacy and self-care ability on the basis of routine nursing care.The patients were surveyed by General Self-Efficacy Scale,exercise of Self-care Agency and Chinese quality of life instrument for cancer patients-head and neck cancer after 3 months of operation.Results: The differences of the quality of life scores in different genders,ages,surgical approaches,clinical stages,tube,radiotherapy and chemotherapy patients were statistically significant(P< 0.05 to P< 0.01).The total self-care ability and dimension were positive correlation with the quality of life(P< 0.01),the self-efficacy was positive correlation with quality of life(P< 0.01).Self-efficacy played partial mediating effects on the quality of life in the self-care,which was 66.73%,and reached 78.79% in the total effects.Conclusions: Cultivating the self-care ability and improving the self-efficacy can improve the quality of life of the postoperative patients with laryngeal carcinoma.