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目的探讨自我管理能力对胃癌化疗患者生活质量的影响。方法选取2013年1月至2016年6月间东南大学医学院附属江阴市人民医院收治的行化疗治疗的84例胃癌患者,通过自我护理能力测定量表(ESCA)对患者进行自我管理能力评分,按照得分情况将患者分为低水平组、中等水平组和高水平组,低水平组21例,中等水平组44例,高水平组19例。采用生活质量量表(SF-36)调查三组患者的生活质量并进行比较。结果低水平组患者的生活质量为(35.22±5.34)分,中等水平组患者(60.56±5.05)分、高水平组患者(89.31±4.97)分,得分情况从低水平组到高水平组依次升高,差异均有统计学意义(均P<0.05)。全部患者自我管理能力与生活质量水平总分、生理健康总分和心理健康总分之间呈正相关,差异均有统计学意义(均P<0.05)。结论提高胃癌化疗患者的自我管理水平能有效提高患者的生活质量。
Objective To explore the effect of self-management ability on the quality of life of patients with gastric cancer chemotherapy. Methods Eighty-four patients with gastric cancer treated by Chemotherapy affiliated to Jiangyin People’s Hospital affiliated to School of Medicine, Southeast University from January 2013 to June 2016 were enrolled. Patients were evaluated for self-management ability by the self-care ability test (ESCA) The patients were divided into low-level group, middle-level group and high-level group according to the scores. There were 21 cases in the low-level group, 44 in the middle-level group and 19 in the high-level group. The quality of life of the three groups of patients was investigated using the Quality of Life Scale (SF-36) and compared. Results The quality of life of patients in the low-level group was (35.22 ± 5.34), in the middle-level group (60.56 ± 5.05) and in the high-level group (89.31 ± 4.97), scoring progressively increased from the low-level group to the high-level group High, the difference was statistically significant (all P <0.05). There was a positive correlation between total self-management ability of patients and quality of life score, total score of physical health and total score of mental health (all P <0.05). Conclusion Improving the self-management level of patients with gastric cancer chemotherapy can effectively improve the quality of life of patients.