{"title":"自我护理措施对癌症患者知识、自我效能感及工作表现的影响","authors":"Vijayakrishnan Prathiba Sivakumar, Chandrasekaran Susila","doi":"10.34172/jcs.2021.003","DOIUrl":null,"url":null,"abstract":"<p><p><b>Introduction:</b> There is a growing concern regarding self-care and chemotherapy side effects. The present study aimed to assess the effectiveness of self-care measures on knowledge, self-efficacy, and performance status among cancer patients undergoing chemotherapy. <b>Methods:</b> A quasi-experimental study was conducted in Dr. Kamatchi Memorial Hospital, India. Using purposive sampling technique, 200 cancer patients were selected. Patients were interviewed using semi-structured knowledge questionnaires, Modified Stanford Patient Education Research Center Self-efficacy scale, deliberate self-efficacy with rating scale under four subheadings, and ECOG Performance Status Scale with 5-point grading scale i.e., dead to fully active. <b>Results:</b> There was adequate knowledge (95%) on self-care measures after the intervention. The mean score was significant, i.e., 21.33 (2.25), which had difference between post-knowledge score in experimental and control was statistically significant at P < 0.001 level. The majority of patients reported a high self-efficacy level (t = 198.60, P < 0.001). In addition, despite self-efficacy and knowledge the performance status observed at each cycle, i.e., 4 cycles had mean score of t = 32.13, P < 0.001, showed high level of performance status. <b>Conclusion:</b> The study revealed that the self-care measures during each cycle had improved the selfefficacy and performance status to high level, which in turn reduced the side effects of chemotherapy to the certain level.</p>","PeriodicalId":15317,"journal":{"name":"Journal of Caring Sciences","volume":"10 1","pages":"1-8"},"PeriodicalIF":0.0000,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/36/jcs-10-1.PMC8008230.pdf","citationCount":"7","resultStr":"{\"title\":\"Effectiveness of Self-care Measures on Knowledge, Self-efficacy and Performance Status among Cancer Patients.\",\"authors\":\"Vijayakrishnan Prathiba Sivakumar, Chandrasekaran Susila\",\"doi\":\"10.34172/jcs.2021.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Introduction:</b> There is a growing concern regarding self-care and chemotherapy side effects. 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The majority of patients reported a high self-efficacy level (t = 198.60, P < 0.001). In addition, despite self-efficacy and knowledge the performance status observed at each cycle, i.e., 4 cycles had mean score of t = 32.13, P < 0.001, showed high level of performance status. <b>Conclusion:</b> The study revealed that the self-care measures during each cycle had improved the selfefficacy and performance status to high level, which in turn reduced the side effects of chemotherapy to the certain level.</p>\",\"PeriodicalId\":15317,\"journal\":{\"name\":\"Journal of Caring Sciences\",\"volume\":\"10 1\",\"pages\":\"1-8\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/36/jcs-10-1.PMC8008230.pdf\",\"citationCount\":\"7\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Caring Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.34172/jcs.2021.003\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Caring Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.34172/jcs.2021.003","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 7
摘要
导言:人们越来越关注自我保健和化疗的副作用。本研究旨在评估自我护理措施对化疗患者知识、自我效能感和工作状态的影响。方法:在印度Kamatchi博士纪念医院进行准实验研究。采用目的抽样技术,选取200例癌症患者。采用半结构式知识问卷、修正斯坦福患者教育研究中心自我效能感量表、故意自我效能感四副标题评定量表和ECOG绩效状态量表(从死亡到完全活跃)5分制量表对患者进行访谈。结果:干预后对自我护理措施有足够的了解(95%)。平均得分为21.33分(2.25分),实验组与对照组在P < 0.001水平上差异有统计学意义。大多数患者自我效能水平较高(t = 198.60, P < 0.001)。此外,尽管有自我效能感和知识,但在每个周期观察到的绩效状态,即4个周期的平均得分t = 32.13, P < 0.001,表现出高水平的绩效状态。结论:本研究发现,每个周期的自我护理措施都能将患者的自我效能和工作状态提高到较高水平,从而将化疗的副作用降低到一定程度。
Effectiveness of Self-care Measures on Knowledge, Self-efficacy and Performance Status among Cancer Patients.
Introduction: There is a growing concern regarding self-care and chemotherapy side effects. The present study aimed to assess the effectiveness of self-care measures on knowledge, self-efficacy, and performance status among cancer patients undergoing chemotherapy. Methods: A quasi-experimental study was conducted in Dr. Kamatchi Memorial Hospital, India. Using purposive sampling technique, 200 cancer patients were selected. Patients were interviewed using semi-structured knowledge questionnaires, Modified Stanford Patient Education Research Center Self-efficacy scale, deliberate self-efficacy with rating scale under four subheadings, and ECOG Performance Status Scale with 5-point grading scale i.e., dead to fully active. Results: There was adequate knowledge (95%) on self-care measures after the intervention. The mean score was significant, i.e., 21.33 (2.25), which had difference between post-knowledge score in experimental and control was statistically significant at P < 0.001 level. The majority of patients reported a high self-efficacy level (t = 198.60, P < 0.001). In addition, despite self-efficacy and knowledge the performance status observed at each cycle, i.e., 4 cycles had mean score of t = 32.13, P < 0.001, showed high level of performance status. Conclusion: The study revealed that the self-care measures during each cycle had improved the selfefficacy and performance status to high level, which in turn reduced the side effects of chemotherapy to the certain level.