[1]倪晓燕,曾爱春,潘荣佳,等.肺癌化疗患者自我管理行为影响因素的结构方程模型构建[J].军事护理,2022,39(12):10-13.[doi:10.3969/j.issn.2097-1826.2022.12.003]
　NI Xiaoyan,ZENG Aichun,PAN Rongjia,et al.Construction of a Structural Equation Model of Influencing Factors of Self-management Behavior in Lung Cancer Patients Undergoing Chemotherapy[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(12):10-13.[doi:10.3969/j.issn.2097-1826.2022.12.003]
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肺癌化疗患者自我管理行为影响因素的结构方程模型构建
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年12期
页码:
10-13
栏目:
论著
出版日期:
2022-12-15

文章信息/Info

Title:
Construction of a Structural Equation Model of Influencing Factors of Self-management Behavior in Lung Cancer Patients Undergoing Chemotherapy
文章编号:
2097-1826(2022)12-0010-04
作者:
倪晓燕1; 曾爱春2; 潘荣佳3; 王傲一3; 年芳3; 王婷3; 曾谷清3
(1.中南大学湘雅二医院 临床护理教研室,湖南 长沙 410011; 2.南华大学附属第一医院 麻醉科,湖南 衡阳 421001; 3.南华大学 护理学院,湖南 衡阳 421001)
Author(s):
NI Xiaoyan1; ZENG Aichun2; PAN Rongjia3; WANG Aoyi3; NIAN Fang3; WANG Ting3; ZENG Guqing3
(1.Clinical Nursing Teaching and Research Section,Second Xiangya Hospital,Central South University,Changsha 410011,Hunan Provice,China; 2.Department of Anesthesiology,The First Affiliated Hospital of University of South China,Hengyang 421001,Hunan Provice,China; 3.School of Nursing,University of South China,Hengyang,421001,Hunan Provice,China)
关键词:
肺癌;  自我管理知识;  自我管理行为;  自我效能;  领悟社会支持;  结构方程模型
Keywords:
lung cancer;  self-management knowledge;  self-management behavior;  self-efficacy;  perceived social support;  structural equation model
分类号:
R473.56
DOI:
10.3969/j.issn.2097-1826.2022.12.003
文献标志码:
A
摘要:
目的 探讨肺癌化疗患者自我管理行为的影响因素,构建结构方程模型,为制定有效的干预方案提供参考。方法 便利抽样法选取衡阳市某三级甲等医院肺癌化疗患者509例为研究对象,采用肺癌化疗患者自我管理知识问卷、领悟社会支持量表、中文版健康促进策略问卷、肺癌化疗患者自我管理量表对其进行问卷调查。结果 肺癌化疗患者的文化程度、病程和医保类型、自我效能对自我管理行为有直接正向作用(效应值分别为0.22、0.38),自我管理知识和领悟社会支持可直接或通过自我效能间接影响自我管理行为(直接效应值分别为0.70、0.25,间接效应值分别为0.25、0.11),差异均有统计学意义(P<0.001)。结论 肺癌化疗患者的自我管理知识、领悟社会支持、自我效能对其自我管理行为具有重要的促进作用,医护人员可通过开展知识讲座、提高社会支持和实施积极心理干预等方法改善患者的自我管理行为。
Abstract:
Objective To explore the influencing factors of self-management behaviors in lung cancer patients undergoing chemotherapy and construct a structural equation model.Methods From March to August 2021,509 lung cancer patients undergoing chemotherapy in a tertiary A hospital in Hengyang were selected by the convenience sampling method.self-management knowledge questionnaire,perceived social support scale,strategies used by people to promote health(SUPHH)(Chinese-version)and lung cancer chemotherapy patients self-management questionnaire were used to conduct the investigation.Results Education background, course of disease, types of insurance,self-efficacy had a direct positive effect on self-management behavior(the effect values were 0.22 and 0.38 respectively).The self-management knowledge and perceived social support could influence self-management behavior directly or indirectly through self-efficacy(the values of direct effect were 0.70,0.25,and the values of indirect effect were 0.25 and 0.11 respectively).The differences were statistically significant(P<0.001).Conclusions Self-management knowledge,perceived social support,and self-efficacy were important contributors to self-management behaviors in lung cancer patients undergoing chemotherapy.Healthcare professionals can improve self-management behaviors of patients by conducting lectures,improving social support,and performing positive psychological interventions.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-04-28 【 修回日期 】 2022-09-05
【 基金项目 】 湖南省自然科学基金项目(2021JJ30586); 湖南省研究生科研创新项目(CX20210964)
【 作者简介 】 倪晓燕,硕士,护师,从事肿瘤护理
【 通信作者 】 曾谷清,电话:0734-8281344
更新日期/Last Update: 2022-12-15