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宫颈癌患者的自我管理和疾病认知:一项横断面研究。

Self-management and illness perception among cervical cancer patients: A cross-sectional study.

机构信息

School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong Province, China.

Sun Yat-sen University Cancer Center, Guangzhou, Guangdong Province, China.

出版信息

Int J Nurs Pract. 2023 Jun;29(3):e13134. doi: 10.1111/ijn.13134. Epub 2023 Jan 27.

Abstract

AIM

This study aimed to describe self-management among cervical cancer patients and to elucidate the relationship between illness perception and self-management in patients with cervical cancer.

METHODS

This was a cross-sectional study. A convenience sample of 220 cervical cancer patients was recruited from the gynaecology outpatient department of a cancer hospital. Data were collected from September 2018 to February 2019. Self-management and illness perception were assessed using the Cancer Self-Management Assessment Scale and the Revised Illness Perception Questionnaire for cervical cancer, respectively. Data were analysed using Pearson correlation analysis, univariate analysis and hierarchical linear regression analysis.

RESULTS

The mean score of self-management was 3.87 ± 0.53, and daily life management showed the highest score (4.18 ± 0.58), while symptom management was the lowest (3.11 ± 082). Hierarchical linear regression analysis showed that family monthly income per person, types of surgery and personal control were factors that significantly influenced self-management.

CONCLUSIONS

The results demonstrate that self-management among patients with cervical cancer needs to be improved. The significant influence of illness perception offers an opportunity for nurses to improve self-management behaviours of patients with cervical cancer.

摘要

目的

本研究旨在描述宫颈癌患者的自我管理,并阐明宫颈癌患者疾病感知与自我管理之间的关系。

方法

这是一项横断面研究。于 2018 年 9 月至 2019 年 2 月,从一家癌症医院的妇科门诊招募了 220 名宫颈癌患者作为便利样本。使用癌症自我管理评估量表和修订后的宫颈癌疾病感知问卷分别评估自我管理和疾病感知。采用 Pearson 相关分析、单因素分析和分层线性回归分析进行数据分析。

结果

自我管理的平均得分为 3.87±0.53,日常生活管理的得分最高(4.18±0.58),而症状管理的得分最低(3.11±0.82)。分层线性回归分析显示,家庭人均月收入、手术类型和个人控制是显著影响自我管理的因素。

结论

研究结果表明,宫颈癌患者的自我管理需要得到改善。疾病感知的显著影响为护士提供了一个机会,以改善宫颈癌患者的自我管理行为。

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