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自我效能感对结直肠癌造口患者自我管理能力的影响:路径分析。

Effect of self-efficacy on self-management ability for colorectal cancer patients with stoma: a path analysis.

机构信息

School of Nursing, Shandong First Medical University, Tai'an, 271000, Shandong, China.

Hepatobiliary Pancreatic Thyroid Surgery, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, 271000, China.

出版信息

Support Care Cancer. 2024 Oct 12;32(11):725. doi: 10.1007/s00520-024-08883-8.

DOI:10.1007/s00520-024-08883-8
PMID:39395041
Abstract

PURPOSE

Colorectal cancer threatens health and causes heavy social burdens. The purpose of this study is to analyze the pathway model for the effect of self-efficacy on self-management ability in colorectal cancer patients with stoma.

METHODS

A cross-sectional study was conducted from December 2022 to April 2023, with a convenience sample of 422 colorectal cancer patients with stoma at six tertiary grade A hospitals in Shandong Province, China. Statistical analysis was undertaken using SPSS 26.0 and Amos 24.0 software. A pathway model based on individual and family self-management theories was developed and analyzed by collecting data through onsite survey and online survey.

RESULTS

Chinese colorectal cancer patient's self-management ability score is 105.19 (17.19), which shows medium-level self-management ability. The self-efficacy of colorectal cancer patients with a stoma is influenced by social support, which ultimately leads to changes in their self-management ability.

CONCLUSION

The findings may help healthcare professionals to identify the factors that influence self-management skills of colorectal cancer patients with stoma and provide a basis for developing interventions.

摘要

目的

结直肠癌威胁健康,造成沉重的社会负担。本研究旨在分析自我效能感对造口直肠癌患者自我管理能力的影响途径模型。

方法

采用便利抽样法,于 2022 年 12 月至 2023 年 4 月选取山东省 6 家三级甲等医院的 422 例造口直肠癌患者进行横断面研究。采用 SPSS 26.0 和 Amos 24.0 软件进行统计分析。通过现场调查和在线调查收集数据,建立并分析基于个体和家庭自我管理理论的路径模型。

结果

中国结直肠癌患者的自我管理能力评分为 105.19(17.19),表现为中等水平的自我管理能力。造口直肠癌患者的自我效能感受社会支持的影响,最终导致自我管理能力的变化。

结论

研究结果有助于医疗保健专业人员识别影响造口直肠癌患者自我管理技能的因素,并为制定干预措施提供依据。

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Support Care Cancer. 2024 Oct 12;32(11):725. doi: 10.1007/s00520-024-08883-8.
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本文引用的文献

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Nutritional self-management in colorectal cancer patients and survivors: A scoping review.结直肠癌患者和幸存者的营养自我管理:范围综述。
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A latent profile analysis of psychosocial adjustment in patients with enterostomy after rectal cancer surgery.直肠癌术后肠造口患者心理社会适应的潜在剖面分析。
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Predictors and consequences of visual trajectories in Chinese older population: A growth mixture model.
中文老年人视觉轨迹的预测因子和后果:增长混合模型。
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Family Support and Type 2 Diabetes Self-management Behaviors in Underserved Latino/a/x Patients.服务不足的拉丁裔/美洲裔/西班牙裔患者的家庭支持与 2 型糖尿病自我管理行为。
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Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
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Update on Targeted Therapy and Immunotherapy for Metastatic Colorectal Cancer.转移性结直肠癌的靶向治疗和免疫治疗进展。
Cells. 2024 Jan 28;13(3):245. doi: 10.3390/cells13030245.
8
Predicting lymphedema self-management behaviours in breast cancer patients: A structural equation model with the Integrated Theory of Health Behaviour Change.预测乳腺癌患者的淋巴水肿自我管理行为:基于健康行为改变综合理论的结构方程模型。
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The effects of different surgical approaches on the psychological status, medical coping mode and quality of life of patients with lung cancer.不同手术方式对肺癌患者心理状态、医学应对方式及生活质量的影响。
Front Psychol. 2023 Mar 27;14:1039501. doi: 10.3389/fpsyg.2023.1039501. eCollection 2023.
10
Relationship between self-efficacy and physical activity among colorectal cancer patients: A cross-sectional study.结直肠癌患者自我效能与身体活动的关系:一项横断面研究。
Nurs Open. 2023 Jun;10(6):3613-3621. doi: 10.1002/nop2.1608. Epub 2023 Jan 7.