Correlation between Self-care Efficacy and the Feeling of Anxiety and Depression in Patients with Gynecologic Cancer undergoing Chemotherapy_West China Medical Journal

Authors：

FENG Xiyuan ,  LUO Biru

Department of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LUO Biru, Email: fengxiyuan-615@163.com

Keywords：

妇科化学治疗患者; 自我管理效能感; 焦虑; 抑郁

Video：

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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。

Citation： FENG Xiyuan,LUO Biru. Correlation between Self-care Efficacy and the Feeling of Anxiety and Depression in Patients with Gynecologic Cancer undergoing Chemotherapy. West China Medical Journal, 2012, 27(11): 1667-1669. doi: Copy

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15.	梁玉连, 诸蕊玉, 徐河玉, 等. 自我效能与功能锻炼对提高宫颈癌患者术后生活质量的研究[J]. 国际护理学杂志, 2010, 29(11): 1615-1618.

1. 　Urbaniec OA, Collins K, Denson LA, et al. Gynecological cancer survivors: assessment of psychological distress and unmet supportive care needs[J]. J Psychosoc Oncol, 2011, 29(5): 534-551.
2. 　Beesley V, Eakin E, Steginga S, et al. Unmet needs of gynaecological cancer survivors: implications for developing community support services[J]. Psychooncology, 2008, 17(4): 392-400.
3. 　Harrington CB, Hansen JA, Moskowitz M, et al. It’s not over when it’s over: long-term symptoms in cancer survivors: a systematic review[J]. Int J Psychiatry Med, 2010, 40(2): 163-181.
4. 　Pinar G, Okdem S, Buyukgonenc L, et al. The relationship between social support and the level of anxiety, depression, and quality of life of turkish women with gynecologic cancer[J]. Cancer Nur, 2012, 35(3): 229-235.
5. 　杨廷忠, 施卫星, 许亮文. 自我效能增强: 临床护理的一种思路和方法[J]. 中华护理杂志, 2004, 39(5): 393-395.
6. 　钱会娟, 袁长蓉. 中文版癌症自我管理效能感量表的信效度测评[J]. 中华护理杂志, 2011, 46(1): 87-89.
7. 　Zigmond AS, Snaith RP. The hospital anxiety and depression scale[J]. Acta Psychiatr Scand, 1983, 67(06): 361-370.
8. 　钱洁, 卞崔冬, 崔海松, 等. 几种焦虑症状筛查量表信度和效度的比较[J]. 内科理论与实践, 2011, 6(3): 176-179.
9. 　刘雯, 卢惠娟, 胡雁, 等. 急性心肌梗死患者焦虑抑郁状况及预测因素分析[J]. 护理学杂志, 2011, 26(1): 70-73.
10. 　毛慧萍, 顾琴红, 孙君珍. 结肠癌和直肠癌术后围化疗期患者胃肠外营养与自我效能水平的相关性研究[J]. 护理与康复, 2009, 8(6): 455-456.
11. 　杨延忠. 健康行为理论与研究[M]. 北京: 人民卫生出版社, 2007: 67-74.
12. 　郑冬燕, 李丽, 徐振兴. 妇科恶性肿瘤患者心理状态与影响生存质量相关因素研究[J]. 护士进修杂志, 2009, 24(18): 1639-1642.
13. 　钱会娟. 癌症患者自我管理效能感水平的横断面研究及其影响因素分析[D]. 上海: 第二军医大学, 2011.
14. 　Offerman MP, Sehroevers M, Vander V, et al. Goal processes and self-efficacy related to psychological distress in head and neck cancer patients and their partners[J]. Eur J Oncol Nurs, 2010, 14(3): 231-237.
15. 　梁玉连, 诸蕊玉, 徐河玉, 等. 自我效能与功能锻炼对提高宫颈癌患者术后生活质量的研究[J]. 国际护理学杂志, 2010, 29(11): 1615-1618.

West China Medical Journal

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

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