目的  探讨食管癌患者放化疗期间自我效能感与领悟社会支持状况及其相关性。方法  选择2017 年 1~5 月首都 医科大学附属北京康复医院口腔科收治的 216 名食管癌住院患者，应用一般自我效能感量表、领悟社会支持量表和一般资 料调查表进行调查。结果  食管癌患者在放化疗期间自我效能感总体得分为（25.94±5.28）分；其中年龄＞35 岁、月收入 在 5000 元以上、有医保、诊断年限在6~10 年、有治疗史的患者自我效能感水平较高（P ＜ 0.05）。领悟社会支持总分为 （61.67±10.86）分，家庭内支持得分为（23.46±3.91）分，家庭外支持得分为（38.09±8.90）分；其中年龄越大、民族为少 数民族、文化程度越高、居住在城市、职业为医务人员、月收入在 5000 元以上、有医保、确诊年限在 6 年以下的患者领悟 社会支持水平较高（P＜0.05）。患者自我效能感得分与领悟社会支持总分及各维度均呈显著正相关（P＜0.01）。另外， 本研究还发现，完全缓解、部分缓解者的自我效能感、领悟社会支持得分、家庭内支持及家庭外支持得分均显著高于部分稳定、 疾病进展者，差异之间存在统计学意义（P＜0.05）。结论  食管癌患者在放化疗期间自我效能感和领悟社会支持水平较高， 患者感知到的社会支持越高，自我效能感越高。同时，自我效能感和领悟社会支持水平对判断该人群的预后具有重要的临 床意义。

 Objective  To explore the correlation of self-efficacy and perceived social support status of patients with esophageal cancer during the concurrent chemoradiation. Methods  216 subjects with esophageal cancer were selected as study populations in department of stomatology, Beijing rehabilitation hospital affiliated to capital medical university. Apply the general self-efficacy scale, understanding social support scale, and general information questionnaire investigation to evaluate. Results Patients with esophageal cancer during the concurrent chemoradiation self-efficacy overall score was (25.94±5.28). The age is greater, monthly income >5000 yuan, have health care, diagnosis duration is 6 to 10 years, has a history of treatment of patients with higher self-efficacy level (P<0.05). The score of perceived social support was (61.67±10.86), in the family support was (23.46±3.91) and family support was (38.09±8.90) points; The age is greater, ethnic minorities, higher level cultural, live in cities, professional for medical staff, monthly income >5000 yuan, have health insurance, diagnosis duration is less than 6 years have the higher level for understanding social support (P<0.05). Patients self-efficacy and perceived social support and each dimension has significantly positive correlation (P<0.01). In addition, our study found that the complete response, partial response of self-efficacy, understanding social support score, family support and family support scores were significantly higher than partial stability, disease progression, difference between statistical significance (P<0.05). Conclusions  the subjects have the higher level for the self-efficacy and perceived social support in patients with esophageal cancer during the concurrent chemoradiation, The perceived social support is higher in patients, the self-efficacy is higher.