Study On The Status And Influencing Factors Of Self-care Ability Of Implanted Venous Access Port In Patients With Tumor Chemotherapy

Objective:Understanding cancer patients Implanted Venous Access Port(IVAP)chemoth-erapy self-care ability present situation;To explore the correlation between self-c are ability,self-management efficacy,social support and anxiety of tumor patients with IVAP chemotherapy.To analyze the factors influencing the self-care ability of tumor patients with IVAP chemotherapy.The purpose of this study is to pro vide scientific reference for the future development of nursing interventions to im prove the self-care ability of tumor patients with IVAP chemotherapy.Method:In this study,186 Patients admitted to a grade ? grade a tumor hospital in Liaoning Province and treated with IVAP for intravenous chemotherapy were selected from October 2018 to October 2019 by convenient sampling.General information questionnaire,Exercise of Self-care Agency(ESCA),Strategies Used by People to Promote Health(SUPPH),Social Support Rating Scale(SSRS)and Self-rating Anxiety Scale(SAS)were used.to conduct a uestionnaire survey on the research subjects.All data were input by Excel and analyzed by SPSS23.0 software.Frequency and composition ratio were used to represent the counting data,and mean ± standard deviation was used to represent the measurement data.Independent sample t test and/or one-way anova were used to compare the differences in self-care ability of tumor patients receiving IVAP chemotherapy among different basic data such as age and gender.Spearman correlation analysis was used to analyze the correlation betweenself-management efficacy,social support,anxiety and self-care ability of tumor patients with IVAP chemotherapy.Multiple stepwise regression was used to analyze the factors affecting the self-care ability of tumor patients with IVAP chemotherapy.P<0.05 was considered as statistically significant.Result:1 Current status of self-care ability of tumor patients with IVAP chemotherapyThe score of self-care ability of tumor patients receiving IVAP chemotherapy was(112.75±12.52).The self-care ability of 84 patients(46.7%)was at the high level,and that of 96 patients(53.3%)was at the medium level.The scores of each dimension were from the largest to the smallest: self-care responsibility(3.22±0.39),self-concept(2.88±0.37),health knowledge(2.46±0.34),and self-care skills(2.38±0.38).2 Univariate analysis of self-care ability of tumor patients with IVAP chemotherapyThe self-care ability of tumor patients receiving IVAP chemotherapy showed statistically significant differences in age,gender,educational level,marital status,family residence,occupation,family per capita monthly income,primary caregivers and medical payment methods(P<0.05).3 Correlation between self-care ability and self-management efficacy,social support and anxiety in tumor patients treated with IVAP chemotherapy was analyzedThe total self-management efficacy of IVAP chemotherapy in tumor patients was(103.57±11.81),of which 123(68.3%)patients were at medium level and 57(31.7%)patients were at high level.The scores of each dimension were from the largest to the smallest: positive attitude(3.96±0.38),self-decision-making(3.63±0.43),self-decompression(3.32±0.57).Efficacy of self-management,positive attitude,self-decision and self-decompression in three dimensions of IVAP chemotherapy in tumor patients were significantly positively correlated with self-care ability(r=0.535 ?0.948,P<0.01).The total score of social support for tumor patients receiving IVAP chemotherapy was(41.38±7.97),among which 113(62.8%)were at medium level and 67(37.2%)were at high level.The scores of each dimension from the largest to the smallest were:objective support(8.03±2.07),subjective support(2.55±0.37),and utilization of social support(2.37±0.45).The social support and its three dimensions of objective support,subjective support and utilization of social support in tumor patients with IVAP chemotherapy were significantly positively correlated with self-care ability(r=0.428 ?0.967,P<0.01).The total anxiety score of tumor Patients receiving IVAP chemotherapy was(50.19±6.41),and the incidence of anxiety was 56.1%.Among them,88 patients(48.9%)had mild anxiety and 13 Patients(7.2%)had moderate anxiety.The anxiety of tumor patients receiving IVAP chemotherapy was not correlated with their self-care ability(P>0.05),but was positively correlated with their health knowledge dimension(r=0.154,P<0.05).4 Multivariate analysis of self-care ability of tumor Patients with IVAP chemotherapyThe results of multiple stepwise regression analysis showed that social support,age,self-management efficacy,educational level and family residence were the influencing factors of Patients' self-care ability after IVAP chemotherapy,which accounted for95.6% of the variation of patients' self-care ability.Conclusion:1 The self-care ability of tumor patients with IVAP chemotherapy was generally at the middle and high level,in which the self-care responsibility score was the highest and the self-care skill score was the lowest.2 The self-management efficacy,social support and self-care ability of tumor Patients with IVAP chemotherapy were significantly Positively correlated,and the health knowledge of self-care ability and anxiety were significantly Positively correlated.3 Factors influencing of the self-care ability of tumor Patients with IVAP chemotherapy include social support,age,self-management efficacy,educational level and family residence.The younger the age,the higher the education level,the higher thesocial support level,and the higher the self-management efficacy level of tumor patients,the stronger the self-nursing ability of IVAP chemotherapy.The self-care ability of tumor patients living in urban or suburban areas was higher than that of those living in rural or township areas.