| 王梦玲,武礼琴,高楠.消化道癌症患者综合需求在自我效能感和生活质量间的中介效应[J].上海护理,2022,22(9): |
| 消化道癌症患者综合需求在自我效能感和生活质量间的中介效应 |
| The mediating effect of comprehensive needs on self-efficacy and quality of life in patients with digestive tract cancer |
| DOI： |
| 中文关键词: 消化道癌症 综合需求 自我效能感 生活质量 中介效应 |
| 英文关键词:Digestive tract cancer Comprehensive need Self-efficacy Quality of life Mediating effect |
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| 中文摘要: |
| 摘要：目的 探索消化道癌症患者综合需求、自我效能感和生活质量三者之间的相关性及作用机制。方法 采用方便抽样法选取2020年11月至2021年8月在新疆石河子市两所三甲医院住院治疗的400例消化道癌症患者为研究对象，采用一般资料调查表、癌症患者综合需求评估量表（Comprehensive Needs Assessment Tool，CNAT）、一般自我效能感量表（General Self -Efficacy Scale，GSES）、癌症患者生命质量测定量表（Functional Assessment of Cancer Therapy，FACT-G）对其进行问卷调查。结果 消化道癌症患者自我效能感总分（23.10±6.63）分、综合需求总分（68.81±30.79）分、生活质量总分（68.13±17.14）分，消化道癌症患者自我效能感总分与综合需求总分呈负相关（r=-0.383，P＜0.01），与生活质量总分之间呈正相关（r=0.552，P＜0.01），综合需求总分与生活质量总分之间呈负相关（r=-0.494，P＜0.01），消化道癌症患者综合需求在自我效能感和生活质量间存在部分中介效应，综合需求起到的中介效应占总效应的23%。结论 消化道癌症患者综合需求总分和生活质量总分处于较高水平，自我效能感总分处于中等水平。消化道癌症患者综合需求在自我效能感和生活质量间存在部分中介效应，提示医务人员可以通过改善自我效能感水平和综合需求水平，进而改善患者的生活质量。 |
| 英文摘要: |
| Objective: To explore the correlation and mechanism among comprehensive needs, self-efficacy and quality of life in patients with digestive tract cancer. Methods: A total of 400 patients with gastrointestinal cancer who were hospitalized from November 2020 to August 2021 were selected for questionnaire survey, including general data questionnaire, Comprehensive Needs Assessment Tool for cancer patients, CNAT), General Self-efficacy Scale (GSES), Functional Assessment of Cancer Therapy (Fact-G). Results: The total score of self-efficacy, comprehensive needs and quality of life in patients with gastrointestinal cancer was 23.10±6.63, 68.81±30.79, 68.13±17.14. There was a negative correlation between total self-efficacy score and total comprehensive needs score (r=-0.383,P < 0.01), and a positive correlation between total comprehensive needs score and total quality of life score (R =0.552,P < 0.01), and a negative correlation between total comprehensive needs score and total quality of life score (R =-0.494,P < 0.01). There was a partial mediating effect between self-efficacy and quality of life in patients with gastrointestinal cancer, and the mediating effect of comprehensive needs accounted for 23% of the total effect. Conclusion: The total score of comprehensive needs and quality of life in patients with digestive tract cancer is at a high level, and the total score of self-efficacy is at a medium level. There was a partial mediating effect between self-efficacy and quality of life in patients with digestive tract cancer, suggesting that medical staff could improve the level of self-efficacy and comprehensive needs to improve the quality of life of patients. |
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