Effect of intervention based on self-efficacy theory on the fluctuation of self-efficacy level in patients with nasopharyngeal carcinoma

Objective To discuss the influence of intervention based o self-efficacy theory on the fluctuation of self-efficacy level in patients with nasopharyngeal carcinoma.Methods Two hundred and forty patients with nasopharyngeal carcinoma who were treated in radiotherapy department in the First Affiliated Hospital of Guangxi Medical University from Jun 2009 to Sept 2010 were chosen as the objective of this study.120 patients from Jun 2009 to Jan 2010 were the control group while 120 patients from Dec 2010 to Sept 2010 were the observation group.The control group was given conventional nursing while the observation group received intervention based on self-efficacy theory in addition.Patients' self-efficacy level was evaluated before,1-10 days after,11-20 days after and 21 days to the end of the treatment.Results The self-efficacy level was respectively(29.62 ± 3.20),(28.68 ± 2.65) and (29.25 ± 2.73) 1-10 days after,11-20 days after and 21 days to the end of the treatment in the observation group,better than (26.98 ± 3.16),(25.19 ± 3.62) and (24.28 ± 3.31) in the control group,and the differences were statistically significant (t =6.415,8.520,12.680,respectively; P ＜ 0.05).Self-efficacy level showed a descending trend in the control group during the process of tteatment,but first increased and then dropped but increased at last in the observation group.After intervention,patients' self-efficacy level was also different between two groups during different periods,and was better in the observation group than in the control group,with statistically significant differences (F =108.966,30.464,respectively; P ＜ 0.05).Conclusions Intervention based on self-efficacy theory can improve the self-efficacy level in patients with nasopharyngeal carcinoma and plays a positive role on the fluctuation of self-efficacy level in patients with nasopharyngeal carcinoma. Key words: Nasopharyngeal carcinoma;  Self-efficacy;  Nursing intervention;  Fluctuation