Lev Elise L, Eller Lucille Sanzero, Kolassa John, Gejerman Glen, Colella Joan, Lane Patricia, Scrofine Suzanne, Esposito Michael, Lanteri Vincent, Scheuch John, Munver Ravi, Galli Bernadette, Watson Richard A, Sawczuk Ihor
College of Nursing, Rutgers University, Newark, NJ, USA.
World J Urol. 2007 Mar;25(1):87-93. doi: 10.1007/s00345-006-0126-7.
Strategies used by patients to promote health (SUPPH) was used to measure self-care self-efficacy in patients with cancer. The objectives of this study were (1) to determine the extent to which self-efficacy theory explained the factor structure of the SUPPH and (2) to determine the relationship of demographic data with factors of the SUPPH. Subjects were diagnosed with prostate cancer (PCa) and treated with either: (a) radical prostatectomy, (b) intensity modulated radiation therapy (IMRT) + radioactive seed implantation, or (c) IMRT + high dose rate. Subjects completed a demographic questionnaire and the SUPPH. Exploratory factor analysis of the SUPPH was performed using a varimax rotation. Subjects (n = 265) were predominately white and averaged 68 years of age. The model explained 81.3% of the total sum of eigenvalues. Two factors of the SUPPH were identified: physiological efficacy information and performance efficacy information. Younger subjects who were fully employed and earning more money had significantly higher performance self-efficacy than older subjects who were working part time and earning less money. Results are congruent with Bandura's (1997) description of self-efficacy. Use of the SUPPH may facilitate research validating Bandura's (1997) assertion that an individual's self-efficacy is related to quality of life (QOL) during chronic illness. Additional research focusing on self-efficacy and PCa patients' QOL may lead to efficacy enhancing interventions that will improve QOL of patients with PCa.
患者促进健康的策略（SUPPH）被用于测量癌症患者的自我护理自我效能感。本研究的目的是：（1）确定自我效能理论在多大程度上解释了SUPPH的因素结构；（2）确定人口统计学数据与SUPPH各因素之间的关系。研究对象被诊断为前列腺癌（PCa），并接受以下治疗之一：（a）根治性前列腺切除术；（b）调强放射治疗（IMRT）+放射性粒子植入；或（c）IMRT+高剂量率治疗。研究对象完成了一份人口统计学调查问卷和SUPPH。使用方差最大化旋转对SUPPH进行探索性因素分析。研究对象（n = 265）主要为白人，平均年龄68岁。该模型解释了特征值总和的81.3%。确定了SUPPH的两个因素：生理效能信息和行为效能信息。与兼职且收入较低的老年研究对象相比，全职且收入较高的年轻研究对象具有显著更高的行为自我效能感。研究结果与班杜拉（1997年）对自我效能感的描述一致。使用SUPPH可能有助于开展研究，验证班杜拉（1997年）的观点，即个体的自我效能感与慢性病期间的生活质量（QOL）相关。针对自我效能感和前列腺癌患者生活质量的进一步研究可能会带来增强效能的干预措施，从而改善前列腺癌患者的生活质量。
