| 倪晓燕,刘玉鑫,年芳,王潘,潘荣佳,王傲一,曾谷清.基于结构方程模型的肺癌化疗患者自我管理行为的影响因素分析[J].上海护理,2022,22(9): |
| 基于结构方程模型的肺癌化疗患者自我管理行为的影响因素分析 |
| Analysis of influencing factors of self-management behavior of lung cancer patients undergoing chemotherapy based on structural equation model |
| 投稿时间：2021-09-09 修订日期：2022-09-09 |
| DOI： |
| 中文关键词: 肺癌 自我管理行为 领悟社会支持 自我效能，结构方程模型 |
| 英文关键词:Lung cancer Self-management behavior Perceived social support Self-efficacy Structural equation model |
| 基金项目:湖南省自然科学(2021JJ30586)；湖南省财政厅项目([2019]80) |
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| 中文摘要: |
| 目的 探讨领悟社会支持、自我效能对肺癌化疗患者自我管理行为的影响，为肺癌化疗患者的健康管理提供参考。方法 采用领悟社会支持量表、中文版健康促进策略问卷、肺癌化疗患者自我管理量表，于2020年1月-5月对衡阳市某三甲医院的462例肺癌化疗患者进行问卷调查，使用Amos 23.0建立肺癌化疗患者自我管理行为结构方程模型并进行验证分析。结果 462名肺癌化疗患者自我管理行为得分为（64.55±5.27）分，处于中等水平。领悟社会支持、自我效能、自我管理行为两两呈正相关（P<0.01）。结构方程模型显示：自我效能对自我管理行为有直接正向作用（效应值为0.94，P<0.001），领悟社会支持可直接或通过自我效能间接影响自我管理行为（效应值分别为0.53，0.66，P<0.001），模型拟合良好。结论 肺癌化疗患者的自我管理行为水平有待进一步提高，加强领悟社会支持、自我效能是提高肺癌化疗患者自我管理行为水平的有效途径。 |
| 英文摘要: |
| Objective To explore the effects of perceived social support and self-efficacy on self-management behavior in lung cancer patients undergoing chemotherapy, and to provide a reference for health management of lung cancer patients undergoing chemotherapy. Methods From January to May 2020, 462 lung cancer patients undergoing chemotherapy from a tertiary hospital in Hengyang were investigated with the Perceived Social Support Scale, the Strategies Used by People to Promote Health（SUPHH）（Chinese-version）and The Lung Cancer Chemotherapy patients Self-management Questionnaire, and AMOS 23.0 was used to establish the structural equation model of self-management behavior of lung cancer patients undergoing chemotherapy for verification and analysis. Results The total self-management behavior score of 462 lung cancer patients undergoing chemotherapy was (64.55 ± 5.27), which was at the medium level. There were positive correlations between perceived social support, self-efficacy and self-management behavior (P<0.01). Structural equation model showed that self-efficacy had a direct positive effect on self-management behavior (the effect value was 0.94, P<0.001), and perceived social support could directly or indirectly affect self-management behavior through self-efficacy (the effect values were 0.53 and 0.66 respectively, P<0.001), and the model fit well. Conclusion The level of self-management behavior of lung cancer patients undergoing chemotherapy needs to be further improved. Strengthening the perceived social support and self-efficacy is an effective way to improve the self-management behavior level of lung cancer patients undergoing chemotherapy. |
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