Loh Siew Yim, Quek Kf
Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya 50603 Kuala Lumpur, Malaysia.
Int J Appl Basic Med Res. 2011 Jul;1(2):84-8. doi: 10.4103/2229-516X.91150.
The Cancer Behavior Inventory (CBI), a measure of self-efficacy for coping with cancer, was used to examine the feasibility and impact of a self-management program for women with breast cancer. This controlled clinical trial was conducted on newly diagnosed breast cancer patients, using a time series, block design. Sixty-nine patients were allocated to receive four weekly sessions of the self-management training program, while 78 patients were allocated to the control (usual-care) group.
A significant difference was found between the means of the experimental and the control group at post-test (T2; P=.01) and at follow-up (T3; P=.02). The multivariate analyses of the three repeated measures showed significant differences (P=.001; partial eta-squared = 0.092). Pair-wise comparison shows that the differences were significant between baseline (T1) measure and follow-up (T3) measure (P=.01), and between post-test (T2) and follow-up (T3) (P=.03).
For women undergoing intervention, the cancer-specific self-efficacy as measured by the cancer-behavior-coping inventory showed improvement over time. The result demonstrated that the self-management program to improve self-care correlates significantly with coping behavior in cancer. A larger and longer study of this efficacy-enhancing intervention is warranted.
癌症行为量表（CBI）是一种应对癌症自我效能的测量工具，用于检验针对乳腺癌女性的自我管理项目的可行性和影响。这项对照临床试验针对新诊断的乳腺癌患者，采用时间序列分组设计。69名患者被分配接受为期四周的自我管理培训项目，而78名患者被分配到对照组（常规护理组）。
在测试后（T2；P = 0.01）和随访时（T3；P = 0.02），实验组和对照组的均值之间存在显著差异。对三项重复测量的多变量分析显示出显著差异（P = 0.001；偏 eta 平方 = 0.092）。两两比较表明，基线（T1）测量与随访（T3）测量之间存在显著差异（P = 0.01），测试后（T2）与随访（T3）之间也存在显著差异（P = 0.03）。
对于接受干预的女性，通过癌症行为应对量表测量的癌症特异性自我效能随时间有所改善。结果表明，改善自我护理的自我管理项目与癌症应对行为显著相关。有必要对这种效能增强干预进行更大规模、更长时间的研究。
