Effect of general self-efficacy on promoting health-related quality of life during recovery from radical prostatectomy: a 1-year prospective study
Effect of general self-efficacy on promoting health-related quality of life during recovery from radical prostatectomy: a 1-year prospective study
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DOI：
10.1007/s10147-020-01765-z
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发表时间：
2020-08-14
影响因子：
3.3
通讯作者：
Sato, Wakako
中科院分区：
文献类型：
--
作者：
Kawaguchi, Kansuke;Kawazoe, Hisashi;Sato, Wakako
背景：在根治性前列腺切除术后的一年中，健康相关生活质量（QOL）的下降是严重的。一般自我效能感是长期调节患者行为和情绪的有效心理因素。预计GSE将有助于提高与健康有关的生活质量。我们评估了GSE的变化，并分析了GSE与前列腺癌特异性和一般健康相关生活质量之间的关系。方法对104例根治性前列腺切除术患者进行纵向调查，采用一般自我效能量表（GSES）、扩展前列腺癌指数复合量表（EPIC）和SF8健康调查（SF-8）。采用ANCOVA比较GSES高、低、中两组的EPIC和SF-8。结果6个月后GSES评分明显升高。在EPIC尿总结评分方面，高GSES组在1个月（平均评分差[MSD]， 7.3; 95% CI 1.1-13.2,P = 0.016）、3个月（MSD, 6.8; 95% CI 0.7-12.8,P = 0.028）和6个月（MSD, 6.3; 95% CI 0.9-11.7,P = 0.022）显著高于中低组。高GSES组在6个月（MSD, 3.2; 95% CI 1.4-5.0,P = 0.001）时SF-8身体成分总结评分显著高于对照组，在1个月（MSD, 2.6; 95% CI 0.4-4.9,P = 0.022）、3个月（MSD, 2.7; 95% CI 0.8-4.6,P = 0.007）和6个月（MSD, 2.8; 95% CI 1.0-4.6,P = 0.003）时SF-8精神成分总结评分显著高于对照组。结论高GSE与根治性前列腺切除术后较好的前列腺癌特异性和总体健康相关生活质量相关。
Background The decline of health-related quality-of-life (QOL) during the year after radical prostatectomy is severe. General self-efficacy (GSE) is an effective psychological factor for long-term regulation of patient behavior and emotions. GSE is expected to facilitate enhanced health-related quality of life. We evaluated changes in GSE and analyzed the relationship between GSE and prostate cancer-specific and general health-related QOL. Methods We conducted a longitudinal survey with 104 patients who underwent radical prostatectomy and administered the General Self-efficacy Scale (GSES), Expanded Prostate Cancer Index Composite (EPIC), and SF8 Health Survey (SF-8). ANCOVA was performed to compare EPIC and SF-8 between GSES high and low-medium groups. Results GSES scores increased significantly after 6 months. Regarding EPIC urinary summary scores, high GSES group was significantly higher than low-medium group at 1 month (mean score difference [MSD], 7.3; 95% CI 1.1-13.2,P = 0.016), 3 months (MSD, 6.8; 95% CI 0.7-12.8,P = 0.028), and 6 months (MSD, 6.3; 95% CI 0.9-11.7,P = 0.022). High GSES group had significantly higher SF-8 physical component summary score at 6 months (MSD, 3.2; 95% CI 1.4-5.0,P = 0.001), and significantly higher SF-8 mental component summary score at 1 month (MSD, 2.6; 95% CI 0.4-4.9,P = 0.022), 3 months (MSD, 2.7; 95% CI 0.8-4.6,P = 0.007), and 6 months (MSD, 2.8; 95% CI 1.0-4.6,P = 0.003). Conclusion This study suggests that high GSE was associated with better prostate cancer-specific and general health-related QOL after radical prostatectomy.