乳腺癌患者健康行为自我效能的研究

摘要

Objective:To investigate the current situation of health behavior self-efficacy in patients with breast cancer.Methods:A questionnaire survey of 300 cases of health behavior self-efficacy in patients with breast cancer, which relates to the determination of self-efficacy in patients, general demographic information and clinical data of patients.Results:Health behavior self-efficacy in patients with breast cancer is in the low level (71.73 + 15.35), in which the lowest score for nutrition efficacy (17.12 ± 4.92), the highest for health responsibility (19.65 ± 3.82).The most important predictors were age (r =-0.157, P =0.005), consolidation chronic (B =0.542,P =0.022), lifestyle (r =0.854, P =0.000), education level (r =0.342, P =0.000), health insurance type (r =0.288, P =0.000) and monthly income (r =0.406, P =0.000).Conclusion:In nursing policy in the future, the medical staff educators should shift their focus to help patients with breast cancer improve self-efficacy, paying particular attention to the older, complicated by other chronic disease patients, and help them establish good health-promoting lifestyle,thus improving patients'quality of life.%目的:探讨乳腺癌患者健康行为自我效能水平及影响因素.方法:采用问卷调查法于2016年5月至2017年4月对300例乳腺癌患者进行问卷调查,了解其健康行为自我效能水平及其预测因子,并对结果进行分析.结果:乳腺癌患者健康行为自我效能处于中低水平(71.73 ±15.35),其中得分最低为营养效能(17.12 ±4.92),最高为健康责任(19.65 ±3.82);其最主要的预测因子是年龄(r=-0.157,P=0.005)、合并慢性病的情况(B=0.542,P=0.022)、生活方式(r=0.854,P=0.000)、文化程度(r=0.342,P=0.000)、医保力度(r =0.288,P=0.000)和月收入(r=0.406,P=0.000).结论:应高度重视高龄及合并其他慢性病的乳腺癌患者,帮助其提高和改善自我效能,建立良好的生活方式,提高生活质量.