Influencing factors and nursing strategy research on self-efficacy among patient with laryngeal cancer and neck stoma

Abstract

Objective To evaluate the status of self-efficacy and explore its influencing factors in patients with Laryngeal cancers and neck stoma, so as to improve their self-efficacy and their quality of life. Methods Eighty-four patients with neck stoma, who visited or followed up laryngocarcinoma in outpatient in one first-class hospital, were sampled by convenient sampling method during July 2013 to February 2014. General social-demographic questionnaire, colostomy self-efficacy scale, Social support scale and Self-Rating Depression Scale were used to investigate these patients′ general information and self-efficacy. Results The total score of self-efficacy in eighty-four Laryngeal cancers with neck stoma was (76.56±24.47) points, the main influencing factors of self-efficacy in Laryngeal cancers with neck stoma were social support, depression, the time after operation. Relevant factors of self-efficacy had been utilized by single factor correlation analysis and multiple stepwise regressions to analyze. Conclusions The self-efficacy in patients with laryngeal cancer and neck stoma is affected by many factors at different levels, and nurses should focus on main influencing factors to adopt corresponding nursing measures in order to improve self-efficacy and quality of life of these patients. Key words: Laryngeal cancer; Nursing care; Neck stoma; Self-efficacy; Influencing factors