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目的 探讨一般自我效能感对肝癌患者及家属生存状态的影响.方法 将80例肝癌患者及家属根据患者一般自我效能感的不同分为A、B、C、D4组,各20例.比较4组患者及家属症状自评量表及世界卫生组织生活质量测定量表评分结果 .结果 A组患者及家属症状自评量表评分显著低于B组(P＜0.01),B组评分显著低于C组(P＜0.01),C组评分显著低于D组(P＜0.01),组间两两比较差异均有统计学意义(P＜0.01).A组患者及家属世界卫生组织生活质量测定量表评分显著高于B组(P＜0.01),B组评分显著高于C组(P＜0.01),C组评分显著高于D组(P＜0.01),组间两两比较差异均有统计学意义(P＜0.01).结论 一般自我效能感对肝癌患者及家属生存状态的影响较大,应对肝癌患者及家属进行干预.“,”Objective To investigate the influence of general self-efficacy on the survival state of patients with liver cancer and their family members. Methods 80 patients with liver cancer and their family members were divided into group A,B,C,D according to the differences of general self-efficacy. The scores of SCL-90 scale and WHOQOL-BREF scale of patients and their family members in four groups were compared. Results The SCL-90 scores of patients and their family members in group A were significantly lower than those in group B (P＜0.01),the scores in B were significantly lower than those in group C(P＜0.01),and the scores in group C were significantly lower than those in group D (P ＜0.01),the difference between groups had statistic significance (P＜0.01). The WHOQOL-BREF scores of patients and their family members in group A were significantly higher than those in group B (P＜0.01), the scores in B were significantly higher than those in group C (P＜0.01),and the scores in group C were significantly higher than those in group D (P＜0.01),the difference between groups had statistic significance(P＜0.01). Conclusion The influence of general self-efficacy on the survival state of patients with liver cancer and their family members is great, and patients with liver cancer and their family members should be given more intervention.