Study On The Influencing Factors Of Self-Care Agency And Self-care Health-education Intervention Among Patients With Breast Cancer During The Chemotherapy

Objective: Description the status of self-care agency and to explore the influencingfactors of self-care agency among patients with breast cancer in chemotherapy;Developing and implementing self-care health education, to investigate the effects onhealth-education in self-care agency and the quality of life among patients with breastcancer during the chemotherapy.Methods: The first phase of a descriptive study:157patients who undergoing breastcancer chemotherapy were named object of study sampling from one breast diseasecentre in Hefei Anhui from November2010to July2011. Throughing the generalinformation questionnaire、ESCA、the severity of side effects questionnaire、SDS、SSRSand FACT-B, survey the status of the self care agency and analysis the factors affectingself-care agency among patients. The second phase of a experimental study:77patientswho undergoing postoperative first chemotherapy were as the object of study. Thesepatients were semi-randomly assigned to intervention group and control group bycharged time. The control group only received regular care during the chemotherapyfrom January2011to June2011while intervention group received the self-care healtheducation along with regular care during the chemotherapy from August2011to January2012. Self-care intervention time of six cycles of chemotherapy, the general populationinformation、 disease information、 Exercise of Self-Care Agency and FunctionAssessment of Cancer Therapy-Breast are collected on baseline, Exercise of Self-Care Agency and Function Assessment of Cancer Therapy Breast. Spss13.0sofeware forstatistical analysis.Results: First stage:⑴31.1%of patients at a higher level,68.90%at the middle levelthe total score of self-care agency among patients is108.60±11.78;⑵One-wayANONAanalysis showed that the self-care agency of patients with different aducation level、matrtal status、family relationships、occupation、the economic burden of disease caused、previous exposure to the same patients’ experience of their illness、the subjectivefeeling of illness、clinical stage and KPS scores is significant difference (P<0.05);⑶The severity of side effects among patients is negatively correlated with self-careagency (r=-0.389~-0.567, P<0.01）;Depression among patients is negatively correlatedwith self-care agency（r=-0.317~-0.556, P<0.01）；Social support among patients ispositively correlated with self-care agency（r=0.356~0.558, P<0.01）;⑷By stepwisemultiple regression analysis, the influencing factors of self-care agency is following by:the severity of side effects、KPS score、social support、education、family relationship、clinical stage and depression（P<0.05）;⑸The total score of quality of life is87.35±10.10, at a medium level, the self-care agency and the quality of life amongpatients is positively correlated（r=0.160~0.618, P<0.05）. The second stage: Comparedwith the control group, the ESCA and latitude scores of intervention group (except forself-care responsibility) is statistically significant（P<0.05）；Compared with the controlgrouop, the FACT-B and latitude scores of intervention group (except for thephysiological latitude) is statistically significant（P<0.05）.Conclusions:⑴The self-care agency among patients with breast cancer during thechemotherapy at the medium level, the fluencing factors of self-care agency is followingby the severity of side effects、KPS score、social support、education、family relationship、clinical stage and depression.⑵Self-care health-education can improve self-care agency and the quality of life among patients with breast cancer during thechemotherapy.