程涛南阳市第一人民医院呼吸科，河南南阳473000

肺癌化疗患者自我管理能力分析及影响因素探究

程涛
南阳市第一人民医院呼吸科，河南南阳473000

目的对肺癌化疗患者自我管理能力及影响因素进行分析和探讨。方法选取在2015年1月—2015年9月期间于该院治疗的121例肺癌化疗患者，分为两组，其中对照组60例，试验组61例，对照组进行常规护理，试验组采用自我护理方法，比较两者的自我管理能力（健康知识、自我概念、自我责任感、自我护理技能）以及生活质量。结果对照组的健康知识、自我概念、自我责任感、自我护理技能都高于对照组，差异显著，具有统计学意义。对照组患者的生活质量低于试验组，差异有统计学意义。结论肺癌化疗患者自我管理能力较强，对肺癌化疗具有辅助作用。

早期肺癌；化疗患者；自我管理；影响因素

［Abstract］Objective To analyze and study the self-management ability in patientswith chemotherapy of lung cancer and influence factors.M ethods 121 cases of patients with chemotherapy of lung cancer treated in our hospital from January 2015 to September 2015 were selected and divided into two groups，the control group（60 cases）were given routine nursing，the test group（61 cases）adopted self-nursingmethod，and the self-management ability（health knowledge，self-concept，self-responsibility，self-nursing skill）and quality of life were compared between the two groups.Results The health knowledge，self-concept，self-responsibility and self-nursing skill in the control group were higher than those in the control group，and the differencewas obviouswith statistical significance，the quality of life in the control group was lower than that in the test group，and the difference was obvious with statistical significance.Conclusion The self-management ability of patientswith chemotherapy of lung cancer is strong and plays an adjunctive role in chemotherapy of lung cancer.

［Key words］Early lung cancer；CT dynamic enhanced scan；Clinicaleffect；Chmotherapy patients；Selfman agement；Ifactor

肺癌在肿瘤中较为常见，具有较高的病死率，占据恶性肿瘤的主要百分比［1］。目前，肺癌的发病率越来越高，对人们的健康和生活造成极大的困扰，严重者甚至威胁生命。随着不断的研究，治疗肺癌的方法越来越多，但治愈率仍不是很高，肺癌是临床上最为常见的一种呼吸系统恶性肿瘤［12］。近年来，对于肺癌分子靶向治疗技术的研究趋向成熟，肺癌患者的临床疗效和生活质量有了很大的改善。但在对肺癌患者化疗的同时，护理工作的开展非常重要，能够给化疗带来积极的作用，减少癌症患者的进一步恶化［3］。进行化疗的患者大多为晚期肺癌，一般会在家中展开治疗，患者的自我护理能力非常重要。……