妇科化学治疗患者自我管理效能感与焦虑抑郁的相关性分析

目的探讨妇科化学治疗（化疗）患者自我管理效能感与焦虑抑郁的关系。方法 2011年10月-2012年1月采用中文版癌症自我管理效能感量表和医院焦虑抑郁量表对110例妇科化疗患者进行问卷调查。结果共收回有效问卷106份。33例（31.70%）患者焦虑阳性,43例（41.30%）抑郁阳性,35例（33.70%）焦虑抑郁均为阳性;自我管理效能感得分为（86.31±27.06）分,并与焦虑呈负相关（r=0.793,P=0.000）,与抑郁呈负相关（r=0.753,P=0.000）。结论妇科化疗患者自我管理效能感与焦虑抑郁密切相关,在以后的护理工作中应该重视妇科肿瘤患者自我管理项目的构建,提高患者的自我效能,从而改善其心理状况。

Correlation between Self-care Efficacy and the Feeling of Anxiety and Depression in Patients with Gynecologic Cancer undergoing Chemotherapy

Objective To explore the relationship between self-care efficacy and the feeling of anxiety and depression in patients with gynecologic cancer undergoing chemotherapy. Methods From October 2011 to January 2012, 110 gynecologic cancer patients undergoing chemotherapy were investigated with the Chinese version of Strategies Used by People to Promote Health （SUPPH）, and the Hospital Anxiety and Depression Scale. Results A total of 106 valid questionnaires were returned. Thirty-three patients （31.7%） exhibited anxiety and 43 （41.3%） depression, and 35 （33.7%） had both anxiety and depression. The score of self-care efficacy was 86.31 ＋ 27.06, and self-care efficacy was negatively related to anxiety （r=-0.793, P~0.000） and depression （r=-0.753, P=0.000）. Conclusion Self-care efficacy and the feeling of anxiety and depression in patients with gynecologic cancer undergoing chemotherapy are closely related, and the nursing personnel should pay attention to the gynecologic cancer patients＇ establishment of self-management programs, in order to improve their self-efficacy and psychological status.