Akin Semiha, Kas Guner Canan
Faculty of Nursing, University of Health Sciences, Istanbul, Turkey.
Taskopru Vocational High School, Kastamonu University, Taskopru, Kastamonu, Turkey.
Eur J Cancer Care (Engl). 2019 Jan;28(1):e12898. doi: 10.1111/ecc.12898. Epub 2018 Jul 24.
To explore the relationship between fatigue and self-efficacy, and quality of life (QoL) during chemotherapy of patients with breast, lung or gastrointestinal cancers. This study is a descriptive-correlational research. The study population comprised of patients with breast, lung and gastrointestinal cancer treated at the outpatient chemotherapy unit. Patients' self-efficacy and QoL were assessed using Functional Assessment of Chronic Illness Therapy-Fatigue scale and Strategies Used by Patients to Promote Health scale. The sample included 236 patients receiving chemotherapy for lung cancer (30.9%), gastrointestinal (25.8%) or breast cancers (25.4%). The patients had little confidence in performing self-care self-efficacy during chemotherapy for the management of illness and chemotherapy-related side effects. The study found that the patients with cancer were moderately fatigued and all the domains of QoL of patients with cancer undergoing chemotherapy were considerably impaired. Positive correlations were found between self-efficacy scores and fatigue scores (p < 0.001), and QoL scores (p < 0.001). Better self-efficacy beliefs were associated with better QoL and lower fatigue. Improving the cancer patients' self-confidence in performing self-care behaviours may have a positive impact on performing cognitive and behavioural fatigue management strategies and can influence positively the patients' QoL during chemotherapy.
探讨乳腺癌、肺癌或胃肠道癌患者化疗期间疲劳与自我效能感及生活质量（QoL）之间的关系。本研究为描述性相关性研究。研究对象包括在门诊化疗科接受治疗的乳腺癌、肺癌和胃肠道癌患者。使用慢性病治疗功能评估-疲劳量表和患者促进健康策略量表评估患者的自我效能感和生活质量。样本包括236例接受肺癌（30.9%）、胃肠道癌（25.8%）或乳腺癌（25.4%）化疗的患者。患者在化疗期间对进行自我护理自我效能以管理疾病和化疗相关副作用的信心不足。研究发现，癌症患者存在中度疲劳，接受化疗的癌症患者生活质量的所有领域均受到显著损害。自我效能感得分与疲劳得分（p<0.001）以及生活质量得分（p<0.001）之间存在正相关。更好的自我效能感信念与更好的生活质量和更低的疲劳程度相关。提高癌症患者进行自我护理行为的自信心可能对实施认知和行为疲劳管理策略产生积极影响，并能在化疗期间对患者的生活质量产生积极影响。
