Status quo and influencing factors of symptom management self-efficacy based on patient reported outcomes in nasopharyngeal carcinoma patients
10.3760/cma.j.cn115682-20220704-03217
- VernacularTitle:基于患者报告结局的鼻咽癌患者症状管理自我效能现状及影响因素分析
- Author:
Hui LIU
1
;
Wanying WU
;
Guanmian LIANG
;
Qingyu ZHAO
;
Qingqing LI
;
Xiaoxue WEN
Author Information
1. 浙江中医药大学护理学院，杭州 310053
- Keywords:
Nasopharyngeal carcinoma;
Symptom management;
Self-efficacy;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2022;28(34):4757-4761
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status quo of symptom management self-efficacy based on patient reported outcomes of nasopharyngeal carcinoma patients and analyze its related factors.Methods:From January to April 2021, 230 patients with nasopharyngeal carcinoma who were treated in Zhejiang Cancer Hospital were selected as the study subject by convenient sampling. The General Information Questionnaire and Patient-Reported Outcome Measurement Information System-Self-Efficacy for Managing Symptoms (PROMIS-SEMSX) were used to investigate. Single factor analysis and multiple linear regression analysis were used to explore the influencing factors of symptom management self-efficacy in patients with nasopharyngeal carcinoma.Results:A total of 230 questionnaires were distributed, 220 were recovered, and 205 were valid. The score of symptom management self-efficacy of patients with nasopharyngeal carcinoma was (97.74±20.00) , which was above the middle level, and the lowest score dimension was confidence, which was (23.52±5.91) . Multiple linear regression showed that gender, education level, medical expense payment method, economic level, tumor stage, course of disease, tumor recurrence and metastasis were the influencing factors of symptom management self-efficacy of nasopharyngeal carcinoma patients ( P<0.05) . A total of 41.5% of the total variation was explained. Conclusions:The self-efficacy of symptom management in patients with nasopharyngeal carcinoma needs to be improved. The medical and nursing staff should focus on the patients with low educational level, heavy economic burden, late tumor, recurrence and metastasis, and focus on providing specific health guidance to alleviate their discomfort symptoms during treatment, and improve their self-efficacy of symptom management.
