Differences in the self-perceived burden of gastric cancer patients at different time points and its relationship with family care and self-management efficacy
10.3760/cma.j.cn115682-20241031-05932
- VernacularTitle:不同治疗时间节点胃癌患者自我感受负担及其与家庭关怀度、自我管理效能的关系
- Author:
Yan JIANG
1
;
Hua GUO
;
Hongyang QI
;
Yang LI
;
Ling ZHAO
;
Xiaohuan LI
Author Information
1. 新乡市中心医院消化内科，新乡 453000
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Self-perceived burden;
Family care;
Self-management efficacy;
Longitudinal study
- From:
Chinese Journal of Modern Nursing
2025;31(20):2748-2753
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the differences in the self-perceived burden of gastric cancer patients at different treatment time points and its relationship with family care and self-management efficacy, providing a reference for developing interventions to reduce self-perceived burden in gastric cancer patients.Methods:A convenience sampling method was used to select 151 gastric cancer patients who were hospitalized in the Department of Gastroenterology at Xinxiang Central Hospital from January 2022 to March 2024. Surveys were conducted at four time points: one day before surgery (T 1), after surgery and before the first chemotherapy (T 2), after the third chemotherapy (T 3), and after the sixth chemotherapy (T 4). The Self-Perceived Burden Scale, Family APGAR Index, and Chinese version of the Strategies Used by People to Promote Health were used. Repeated measures analysis of variance was applied to examine the trend of score changes at different time points, and multiple linear regression analysis was performed to explore the relationship between family care, self-management efficacy, and self-perceived burden at each time point. Results:The self-perceived burden scores of gastric cancer patients at the four time points were (31.11±7.86), (32.44±7.78), (33.44±7.45), and (33.17±7.06), respectively. Family care showed a negative impact on the self-perceived burden of patients at all four time points (standardized regression coefficients were -0.148, -0.733, -0.180, -0.218; P<0.05). Self-management efficacy also had a negative impact on the self-perceived burden at all four time points (standardized regression coefficients were -0.792, -0.209, -0.445, -0.402; P<0.05) . Conclusions:The self-perceived burden of gastric cancer patients increases gradually during treatment. Both family care and self-management efficacy negatively affect the self-perceived burden. Healthcare professionals should pay attention to the changes in self-perceived burden and its influencing factors during the treatment process, and develop targeted interventions to improve patients' self-perceived burden and quality of life.
