摘要
目的了解鼻咽癌(nasopharyngeal carcinoma,NPC)患者同步放化疗后自我管理积极度现状并分析其影响因素。方法2021年1月—6月,采用便利抽样法,选取南宁市某三级甲等医院NPC同步放化疗后患者作为调查对象,使用一般资料调查表、患者积极度量表、自我调节疲乏量表、疾病接受度量表进行调查,采用单因素分析及多元线性回归分析NPC患者同步放化疗后自我管理积极度的影响因素。结果NPC同步放化疗后患者积极度量表得分为(59.78±13.58)分,处于中等水平。多元线性回归分析结果显示,文化程度、自我调节疲乏量表得分、疾病接受度量表得分是NPC患者同步放化疗后自我管理积极度的影响因素(P<0.05)。结论亟需关注NPC患者同步放化疗后自我管理积极度现状,并结合其文化程度、自我调节疲乏、疾病接受度,制订系统性、有效性的康复期自我管理积极度干预策略。
Objective To understand the current status and analyze the factors affecting the self-management motivation of patients recovering from nasopharyngeal carcinoma(NPC)after simultaneous radiotherapy.Methods From January to June 2021,223 patients who were followed up in the radiotherapy department of a tertiary A hospital in Nanning City during the recovery period after synchronous radiotherapy for NPC were selected as the study subjects.They were investigated using the General Information Questionnaire,Positivity Scale,Self-Regulation Fatigue Scale,and Disease Acceptance Scale,and the factors influencing the self-management positivity of patients during the recovery period after synchronous radiotherapy for NPC were analyzed using univariate analysis and multiple linear regression.Results The positivity score of patients in the recovery period after simultaneous radiotherapy for NPC was(59.78±13.58),which was at a moderate level.The results of multiple linear regression analysis showed that patient literacy,self-regulation fatigue,and disease acceptance were factors influencing the self-management positivity of patients in the recovery period after simultaneous radiotherapy for NPC(P<0.05).Conclusion There is an urgent need to focus on the current status of patient motivation during the recovery period after simultaneous radiotherapy for NPC.It is necessary to develop a systematic and effective intervention strategy for motivation during the recovery period,to take into account patients’literacy,self-regulation fatigue,and disease acceptance in a comprehensive manner.
作者
张妍欣
杨丽
李家燕
朱静文
梁秋婷
周溢
叶夏兰
廖婷婷
邱丽燕
卢佳美
ZHANG Yanxin;YANG Li;LI Jiayan;ZHU Jingwen;LIANG Qiuting;ZHOU Yi;YE Xialan;LIAO Tingting;QIU Liyan;LU Jiamei
出处
《中华护理杂志》
CSCD
北大核心
2022年第15期1853-1859,共7页
Chinese Journal of Nursing
基金
中华护理学会2019年度科研课题(ZHKY201919)
2020年广西医科大学第一附属医院自设科研培育项目-护理临床研究攀登计划项目(YYZS2020030)。
关键词
鼻咽癌
积极度
自我调节疲乏
疾病接受度
康复护理
Nasopharyngeal Carcinoma
Patient Activation
Self-Regulatory Fatigue
Acceptance of Illness
Rehabilitation Nursing
