中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2010年
10期
927-928
,共2页
恶性肿瘤%自我效能感%负性自动思维%生命质量
噁性腫瘤%自我效能感%負性自動思維%生命質量
악성종류%자아효능감%부성자동사유%생명질량
Neoplasm%Self-efficacy%Negative automatic thoughts%Quality of life
目的 探讨自我效能感水平对化疗期间恶性肿瘤患者生活质量、负性自动思维的影响.方法 对106例明确诊断的化疗期间恶性肿瘤患者,分别进行一般自我效能感最表(GSES)、世界卫生组织生活质量测定量表简表(WHOQOL-BREF)、负性自动思维问卷(ATQ)测评,依GSES评分从最高分开始向下取27%作为高分组,从最低分开始向上取27%作为低分组,每组各29例.再比较WHOQOL-BREF、ATQ得分情况,并进行Pearson相关分析.结果 106例恶性肿瘤患者GSES评分为(22.32±8.61)分,自信心偏低者占55.66%,高分组GSES评分为(28.64±7.64)分,低分组为(21.37±5.78)分,两者差异有显著性(t=4.18,P<0.01).自我效能感高分组ATQ评分为(63.71±7.94)分,低分组为(86.57±9.87)分,两者差异有显著性(t=9.72,P<O.01).自我效能感高分组WHOQOL-BREF总分及各领域评分显著高于低分组,差异有显著性(P<0.05).相关分析显示,GSES评分与ATQ评分呈显著负相关(P<0.01).结论 化疗期间恶性肿瘤患者自我效能感水平普遍较低;患者自我效能感越低,则生活质量较低、负性自动思维越强烈.
目的 探討自我效能感水平對化療期間噁性腫瘤患者生活質量、負性自動思維的影響.方法 對106例明確診斷的化療期間噁性腫瘤患者,分彆進行一般自我效能感最錶(GSES)、世界衛生組織生活質量測定量錶簡錶(WHOQOL-BREF)、負性自動思維問捲(ATQ)測評,依GSES評分從最高分開始嚮下取27%作為高分組,從最低分開始嚮上取27%作為低分組,每組各29例.再比較WHOQOL-BREF、ATQ得分情況,併進行Pearson相關分析.結果 106例噁性腫瘤患者GSES評分為(22.32±8.61)分,自信心偏低者佔55.66%,高分組GSES評分為(28.64±7.64)分,低分組為(21.37±5.78)分,兩者差異有顯著性(t=4.18,P<0.01).自我效能感高分組ATQ評分為(63.71±7.94)分,低分組為(86.57±9.87)分,兩者差異有顯著性(t=9.72,P<O.01).自我效能感高分組WHOQOL-BREF總分及各領域評分顯著高于低分組,差異有顯著性(P<0.05).相關分析顯示,GSES評分與ATQ評分呈顯著負相關(P<0.01).結論 化療期間噁性腫瘤患者自我效能感水平普遍較低;患者自我效能感越低,則生活質量較低、負性自動思維越彊烈.
목적 탐토자아효능감수평대화료기간악성종류환자생활질량、부성자동사유적영향.방법 대106례명학진단적화료기간악성종류환자,분별진행일반자아효능감최표(GSES)、세계위생조직생활질량측정량표간표(WHOQOL-BREF)、부성자동사유문권(ATQ)측평,의GSES평분종최고분개시향하취27%작위고분조,종최저분개시향상취27%작위저분조,매조각29례.재비교WHOQOL-BREF、ATQ득분정황,병진행Pearson상관분석.결과 106례악성종류환자GSES평분위(22.32±8.61)분,자신심편저자점55.66%,고분조GSES평분위(28.64±7.64)분,저분조위(21.37±5.78)분,량자차이유현저성(t=4.18,P<0.01).자아효능감고분조ATQ평분위(63.71±7.94)분,저분조위(86.57±9.87)분,량자차이유현저성(t=9.72,P<O.01).자아효능감고분조WHOQOL-BREF총분급각영역평분현저고우저분조,차이유현저성(P<0.05).상관분석현시,GSES평분여ATQ평분정현저부상관(P<0.01).결론 화료기간악성종류환자자아효능감수평보편교저;환자자아효능감월저,칙생활질량교저、부성자동사유월강렬.
Objective To explore the impact of self-efficacy on negative automatic thoughts and quality of life in cancer patients who received chemotherapy. Methods 106 patients who diagnosed cancer and received chemotherapy were assessed by General Self-Efficacy Scale ( GSES), WHO quality of life questionnaire-brief (WHOQOL-BREF) and Automatic Thoughts Questionnaire(ATQ) . According to the score of GSES, the highest 27% were assigned to higher scores group, and the lowest 27% were assigned to lower scores group, then compared two groups' WHOQOL-BREF and ATQ with t -test and Pearson correlation analysis. Results The mean score of GSES of 106 patients was ( 22.32 ± 8.61 ) points, and the low self-confidence were 55.66%, the mean score of GSES of higher scores group was( 28.64 ± 7.64)points, and the lower scores group was (21.37 ± 5.78 )points, and the two groups have significant difference ( t = 4.18, P < 0. 01 ). The score of ATQ of higher scores group(63.71 ±7.94) was significantly lower than that of lower scores group(86.57 ±9.87), the total and all dimensions score of WHOQOL-BREF of higher scores group was higher than that of lower scores group, respectively.The score of GSES had positive correlation with the score of WHOQOL-BREF , and had negative correlation with the score of ATQ. Conclusion Cancer patients have lower level of self-efficacy, and it is closed correlated with quality of life and negative automatic thoughts.