目的 探索晚期癌症患者家庭主要照顾者与医护人员沟通效能感现状及影响因素，为制订针对性护理干预策略提供科学依据。 方法 2023年3-9月，采用便利抽样法选取在江苏省南京市某三级甲等中医院住院的晚期癌症患者的家庭主要照顾者178名为研究对象，采用患者沟通感知自我效能感量表、广泛性焦虑量表、患者健康问卷等对其调查。 结果 晚期癌症患者家庭照顾者与医护人员沟通自我效能感得分为52.00（40.25，64.00）分，广泛性焦虑症状发生率为21.9%，抑郁症状发生率为23.0%。不同职业情况、照顾者自身身体状况、家庭经济负担等情况的照顾者，其与医护人员沟通自我效感能得分差异均有统计学意义（均P＜0.05）；且其沟通自我效能感与抑郁呈负相关（r=-0.313，P＜0.001）。多元线性回归分析结果显示，职业情况、抑郁得分、是否接受过医护人员沟通指导和建议及家庭经济负担是家庭主要照顾者与医护人员沟通自我效能感的主要影响因素(均P＜0.05)。 结论 晚期癌症患者家庭主要照顾者与医护人员沟通自我效能感处于中等偏上水平。医护人员可根据影响因素采取个性化干预措施，以提升晚期癌症患者家庭主要照顾者与医护人员沟通的自我效能感水平。

Objective To explore the current status and influencing factors of self-efficacy in communication between the main caregivers of advanced cancer patients and medical staff，and to provide a scientific basis for formulating targeted nursing intervention strategies.Methods From March to September 2023，178 main family caregivers of advanced cancer patients who were hospitalized in a tertiary A Traditional Chinese Medicine hospital in Nanjing，Jiangsu Province were selected by the convenience sampling method and a survey was conducted with the patient communication perceived self-efficacy scale，the generalized anxiety disorder scale，and the patient health questionnaire.Results The self-efficacy score of communication between family caregivers of advanced cancer patients and medical staff was 52.00(40.25，64.00)，with a generalized anxiety disorder incidence of 21.9% and a depression incidence of 23.0%.There were statistically significant differences in the self-efficacy scores of communications between medical staff and family caregivers with different occupational statuses，physical conditions，and family economic burdens (all P＜0.05).The self-efficacy in communication was negatively correlated with depression (r=-0.313，P＜0.001).The results of multiple linear regression analysis showed that occupational status，depression score，whether they had received communication guidance and suggestions from medical staff，and family economic burden were the main influencing factors of the self-efficacy in communication between the main family caregivers and medical staff (all P＜0.05).Conclusions The self-efficacy in communication between the main family caregivers of advanced cancer patients and medical staff is at a moderately high level.Medical staff can take personalized intervention measures based on the influencing factors to enhance their self-efficacy in communication with medical staff.

江苏省中医药科技发展计划重点项目（ZD202005）