相关实验视频
肺癌患者的自我管理积极性及其影响因素:一个横截面研究
Yao Tong1, Meng-Die Hu1, Na Zhang2
1Department of VIP Medical Services, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital/Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Medicine
|March 6, 2026
概括
肺癌患者通常认识到自我管理的重要性,但缺乏技能,在患者激活测量13 (PAM-13) 上得分为3级. 改善患者激活对于更好的自我管理积极性在这个人群中至关重要.
科学领域:
- 在瘤学瘤学.
- 健康心理学 心理健康心理学
- 患者赋权是患者赋权的一种方式.
背景情况:
- 肺癌患者的自我管理积极性是研究不足的.
- 患者的激活是有效自我管理的关键.
- 了解影响激活的因素对于有针对性的干预至关重要.
研究的目的:
- 用患者激活测量13 (PAM-13) 来评估肺癌患者的患者激活.
- 在这个人口群体中确定影响患者激活的因素.
- 评估肺癌患者中自我管理积极性的水平.
主要方法:
- 横截面调查设计. 横截面调查设计.
- 分发和立即收集专家设计的问卷.
- 使用患者激活措施13 (PAM-13)进行评估.
- 统计分析以确定相关性和影响因素.
主要成果:
- 443名肺癌患者参与了这项研究,平均PAM-13得分为62.95±16.77,表明3级激活.
- 在老年患者 (>70) 中观察到较低的得分,那些失去配偶,收入较低 (<5000),失业,不了解疾病,仅接受支持性护理或经历瘤复发的人.
- 健康素养,一般自我效能和癌症孤独与PAM-13分数有显著的关联.
- 婚姻状况,收入,工作状况,治疗意图,健康素养,孤独感和一般自我有效性是PAM-13分数的独立预测因素.
结论:
- 大多数肺癌患者处于3级PAM-13,认识到自我管理的重要性,但缺乏足够的技能和行为.
- 自主管理的积极性需要通过有针对性的干预措施进行改进.
- 解决诸如健康素养,社会经济地位和心理健康等因素对于提高患者激活至关重要.
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