摘要
为探讨结直肠癌患者化疗相关认知障碍与自我效能水平的相关性,选择于我院化疗的94例结直肠癌患者作为观察对象,采用癌症患者治疗功能评估-认知功能量表(FACT-Cog)评估患者认知障碍情况,采用健康促进策略量表(SUPH)评估患者对疾病管理的自我效能水平,并分析两者的相关性。结果显示,1)认知障碍:化疗前认知障碍62例(65.96%),化疗后85例(90.43%),化疗相关认知障碍发生率为24.47%(23/94);化疗前认知情况总分(92.20±16.80)分,化疗后为(103.15±22.47)分。2组患者化疗前后认知情况比较差异有统计学意义,P<0.05。2)自我效能:化疗前高水平28例,中等水平58例,低水平8例;化疗后高水平7例,中等水平62例,低水平25例。化疗前自我效能评分(82.85±25.32)分,化疗后(73.09±18.89)分。2组患者化疗前后自我效能水平比较差异均有统计学意义,P<0.05。3)认知障碍与自我效能的相关性:结直肠癌患者化疗相关认知障碍发生情况与自我效能水平呈负相关,P<0.05。结果表明,化疗会增加结直肠癌患者的认知障碍发生率,而认知障碍发生情况与自我效能水平存在相关性,可从改善患者自我效能角度入手,降低相关认知障碍的发生率。
This study was to explore the relativity of chemotherapy-related cognitive obstacle(CRCO)of colorectal cancer patients,with their self-efficacy,enrolled 94 cases receivng chemotherapy in author’s hospital as research objects:by using FACT-Cog to evaluate patients’cognitive obstacle status,by using SUPH to evaluate patients’self-efficacy level on disease management,then to analyse the relativity of both.As results,1)cognitive obstacle:before chemotherapy 62 cases(65.9%)were of cognitive obstacle,after chemotherapy 85(90.43%),of cognitive obstacle,thus the incidence of CRCO was up to 24.47%(23/94);before chemotherapy the totalled points of cognitive status were(92.20±16.80),after chemotherapy,(103.15±22.47),the comparison of both showed statistical difference(P<0.05).2)self-efficacy:before chemotherapy,28 cases were of high-level,58 of mid-level,and 8 of low-level;after chemotherapy,respectively,7 cases,62,and 25;before chemotherapy the score rating of self-efficacy was(82.85±25.32)points,after chemotherapy,(73.09±18.89)points,thus in self-efficacy level there was statistical difference between the two groups(P<0.05).3)as for the relativity of cognitive obstacle with self-efficacy,both showed negative one(P<0.05).Results show that chemotherapy will enhance the incidence of patients’cognitive obstacle,and between cognitive obstacle onset and self-efficacy level there is the relativity,therefore,it can be to start with improvement of patients’self-efficacy to reduce incidence of relevant cognitive obstacle.
作者
褚近改
CHU Jin-gai(The 1st Peoples Hospital of Nanyang City Hanyang,Henan 473000)
出处
《中国肛肠病杂志》
2019年第11期16-18,共3页
Chinese Journal of Coloproctology
关键词
结直肠癌
化疗相关认知障碍
负性情绪
自我效能
Colorectal cancer
Chemotherapy-related cognitive obstacle
Negative emotion
Self-efficacy
