Self-care behavior and related factors in lung cancer patients with chemotherapy

• Main Authors: Ching-Yi Tasi, 蔡靜誼
• Other Authors: Ruey-Hsia Wang
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/37005926478526380849

碩士 === 高雄醫學大學 === 護理學研究所 === 97 === The purposes of this study were to (1) understand the present self-care behavior condition of lung cancer patients undergoing chemotherapy; (2) explore the correlations between self-care behavior and each of the following factors like individual characteristics, disease characteristics, symptom distresses, uncertainty, and social support; (3) identify the important explanatory variables of self-care behavior in lung cancer patients undergoing chemotherapy.This study adopted a cross-sectional correlation design. The subjects were recruited by convenience sampling from outpatient department of three hospitals in Tainan City. They were patients aged above 18 and diagnosed of having lung cancer undergoing chemotherapy. A total of 157 valid questionnaires were acquired. Structured questionnaire was used for the study. Questions on individual characteristics and disease characteristics, symptom distresses scale, uncertainty scale, social support scale, self-care behavior scale were included. The reliability and validity of the questionnaire were evaluated for internal consistency, test-retest reliability, surface validity and content validity. Data analysis were performed by using percentage, mean, standard deviation, independent t-test, one-way ANOVA, Person’s correlation, and stepwise multiple regression analysis.Results showed that: (1) the score index of self-care behavior was 87.5, considered as a high level; (2) patients with twice chemotherapy experiences showed a better self-care behavior than patients with chemotherapy experiences for four times; (3) the score index of family support was 92.8, considered as a high level. The better the family social support, the better the self-care behavior; (4) the score index of uncertainty showed a moderate level of 50.0 implying that the higher the uncertainty, the worse the self-care behavior; (5) family social support, uncertainty of disease and contrasting chemotherapy experiences between four and five times were important explanatory variables to self-care behavior, and accounted for 23.1% of the total amount of variances. Results of this study could be used for future references in clinical nursing care and education on enhancing self-care behavior of lung cancer patients undergoing chemotherapy.