Self-efficacy of patients after total hysterectomy and the influencing
factors

doi:10.3760/cma.j.issn.1007-1245.2022.07.025

Abstract

Abstract:

Objective　To investigate the current situation and influencing factors of self-efficacy of patients after total hysterectomy. Methods　Fifty-one patients after hysterectomy treated in a grade 3A hospital in Guangzhou were investigated by the general data questionnaire and self-efficacy scale. The correlation between the self-burden and self-efficacy in the patients were analyzed by Pearson correlation analysis. t test, one way ANOVA, and multiple linear regression were applied. Results　The total score of self-efficacy was (21.76±9.30). There were statistical differences in the scores of offspring number and family per capita monthly income of self-efficacy (F=3.88 and 1.24; P=0.015 and 0.044). Conclusions　Family per capita monthly income and course of disease are important influencing factors of self-efficacy in patients after total hysterectomy. It is suggested that patients with low per capita monthly income and a long course of disease should strengthen postoperative psychological nursing to improve their self-efficacy after total hysterectomy.

Key words: Total hysterectomy, Self-efficacy, Self-burden

摘要： 目的　探讨全子宫切除术后患者自我效能的现状及其影响因素。方法　采取方便抽样方法选取2020年9月至2021年3月在广州医科大学附属第二医院妇科病房的全子宫切除术后患者51例作为研究对象，年龄41～74（53.71±8.72）岁。采用一般资料调查问卷、自我效能感量表进行问卷调查。釆用Pearson相关分析方法来探讨全子宫切除术后患者自我感受负担与自我效能感的相关性，统计学方法采用t检验、单因素方差分析、多重线性回归。结果　全子宫切除术后患者的自我效能感总分为（21.76±9.30）分，不同子女的个数、家庭人均月收入患者的自我效能感得分比较差异均有统计学意义（F=3.88、1.24，P=0.015、0.044）。结论　家庭人均月收入、病程是全子宫切除术后患者自我效能的重要影响因素，建议对家庭人均月收入较低、病程较长的患者加强术后心理护理以提高其自我效能感。

关键词: 全子宫切除, 自我效能感, 自我感受负担

Cheng Jiehao, Chen Haiping, Lai Leqi. Self-efficacy of patients after total hysterectomy and the influencing factors[J]. International Medicine and Health Guidance News, 2022, 28(7): 992-995.

成洁好, 陈海平, 赖乐琪. 全子宫切除术后患者自我效能现状调查及影响因素分析[J]. 国际医药卫生导报, 2022, 28(7): 992-995.

References

[1] 刘诗琪. 非脱垂子宫的全切术与次切术术后短时间内女性下尿路症状的改变、对性生活质量的影响及患者依从性调查[D].沈阳:中国医科大学, 2018.

[2] 赵雪,廖兵,高玉霞. 子宫全切及次全切除术后患者焦虑抑郁情绪与应对方式相关性研究[J]. 中国妇幼保健,2012,27(19):2930-2932.

[3] 杨莹,杨宙晖,施惠琳. 全子宫与次全子宫切除术治疗子宫肌瘤对女性卵巢功能的影响分析[J]. 中国社区医师,2019,35(15):70-71. DOI:10.3969/j.issn.1007- 614x. 2019. 15.048.

[4] 王一子,王丹波. 全子宫切除术的不同手术途径对性功能及精神心理的影响[J]. 中国医科大学学报,2010,39(3):228-230.

[5] 李巧燕,方小玲. 子宫全切术所引发的医学模式探讨[J]. 实用预防医学,2012,19(5):795-799. DOI:10.3969/j.issn.1006-3110.2012.05.065.

[6] 吴保平,郝正玮,赵雅宁,等. 自我效能训练对缺血性脑卒中偏瘫的疗效[J]. 中国康复理论与实践,2014(4):351-355. DOI:10.3969/j.issn.1006-9771.2014.04.012.

[7] 张尧,陈静. 对进行全子宫切除术的患者实施心理护理对消除其焦虑情绪的效果[J]. 当代医药论丛,2019,17(8):225-226.

[8] 李珏,邹芳亮,李亚洁. 全子宫切除术对患者性生活质量影响的研究进展[J]. 中国护理管理,2015,15(1):126-128. DOI:10.3969/j.issn.1672-1756.2015.01.039.

[9] 胡象岭,田春凤,孙方尽. 中文版一般自我效能量表的信度和效度检验[J]. 心理学探新,2014,34(1):53-56. DOI:10.3969/j.issn.1003-5184.2014.01.011.

[10] 赫英娟,马子媛,王冬梅,等. 认知行为干预对肺癌化疗患者应对方式、一般自我效能感的影响研究[J]. 中国医药科学,2019,9(10):129-133. DOI:10.3969/j.issn.2095-0616. 2019.10.039.

[11] Schwarzer R,Aristi B. Optimistic self beliefs:Assessment of general perceived self efficacy in thirteen cultures[J]. Word Psychology, 1997, 3(1-2): 177-190.

[12] Schwarzer R,et al.The assessment of optimistic self beliefs:comparison of the Chinese,Indonesian,Japanese,and Korean versions of the General Self Efficacy Scale[J]. Psychologia,1997, 40: 1-13.

[13] Schwarzer R, Mueller J, Greenglass E. Assessment of general perceived self efficacy on the internet:data collection in cyberspace[J]. Anxiety,Stress,and Copying, 1999, 12(3) :145-161.

[14] 林青青,朱颖佳. 女性全子宫切除术后性生活影响的流行病学研究[J]. 中国性科学,2016,25(6):38-40. DOI:10.3969/j.issn.1672-1993.2016.06.012.

[15] 高艳霞,张凯,刘红阁. 全子宫切除术后远期女性性生活现状的调查研究[J]. 护理实践与研究,2019,16(3):5-8. DOI:10.3969/j.issn.1672-9676.2019.03.002.

[16] 汤丽丽. 全子宫切除术对育龄期女性认知功能的影响[D].南京:东南大学,2019.DOI:10.27014/d.cnki.gdnau. 2019.000721.

[17] 杨兰,王欣怡,方淑芹,等. 全子宫切除患者健康心理控制源与社会支持的相关性[J]. 医学信息,2020,33(15):89-92. DOI:10.3969/j.issn.1006-1959.2020.15.027.

[18] 朱盈,李婷. 不同途径全子宫切除术对女性性生活质量的影响[J]. 现代妇产科进展,2014,26(12):990-992. DOI:10.13283/j.cnki.xdfckjz.2014.12.008.

[19] 童海鸥,王洪萍. 全子宫切除患者残障接受度对创伤后成长的影响[J]. 护理学杂志,2017,32(4):80-83. DOI:10.3870/j.issn.1001-4152.2017.04.080.

[20] 戴荣. 子宫切除患者生活质量及家庭关怀度的现状调查[D].石河子:石河子大学,2018.

Self-efficacy of patients after total hysterectomy and the influencing factors

全子宫切除术后患者自我效能现状调查及影响因素分析

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