摘要
目的分析年龄>60岁胸中下段食管癌(EC)患者术后支持照顾性需求现况,以提出针对性干预策略。方法选取南阳医学高等专科学校第一附属医院2019年11月至2021年10月收治的266例年龄>60岁胸中下段EC患者,统计其临床基础资料信息[性别、病理分期、年龄、化疗情况、文化程度、家庭收入、卡氏评分(KPS评分)、疾病了解程度等],并采用中文版癌症患者支持性照护需求问卷(SCNS-SF34)了解其术后支持照顾性需求现况,主要包括健康信息需求、心理需求、照顾与支持需求、生理与日常生活需求、性需求。结果年龄>60岁胸中下段EC患者术后SCNS-SF34评分为(105.39±18.27)分,其中,健康信息需求(41.94±8.56)分、心理需求(34.54±5.81)分、照顾与支持需求(13.52±2.17)分、生理与日常生活需求(11.95±3.46)分、性需求(3.44±0.58)分。不同患者SCNS-SF34评分比较,男性、家庭月收入≥2000元、未化疗、病理分期为Ⅰ期、距首次确诊时间>6个月、KPS评分>60分、疾病了解程度为了解时的患者,SCNS-SF34评分低于女性、化疗、病理分期为Ⅱ或Ⅲ期、距首次确诊时间<1个月或1~6个月、KPS评分≤60分、疾病了解程度为差的患者(P<0.05)。结论年龄>60岁胸中下段EC患者术后支持照顾性需求较高,临床在实际工作中需加以重视,且尤其需要关注家庭月收入水平低、病理分期Ⅲ期、距首次确诊时间短、疾病了解程度差等患者的需求。
Objective To analyze the current status of postoperative support care needs of patients aged>60 years with middle-lower thoracic esophageal cancer(EC)in order to propose targeted intervention strategies.Methods A total of 266 patients aged>60 years with middle-lower thoracic EC in our hospital(from November 2019 to October 2021)were selected,and their clinical basic data information[gender,pathological stage,age,chemotherapy status,education level,family income,karst score(KPS score),and disease understanding]was counted,and the Chinese version of the Supportive Care Needs of Cancer Patients Questionnaire(SCNS-SF34)was used to understand the current status of their postoperative supportive care needs,mainly including health information needs,psychological needs,care and support needs,physical and daily living needs,and sexual needs.Results The postoperative SCNS-SF34 score for patients aged>60 years with middle-lower thoracic EC was(105.39±18.27),with health information needs(41.94±8.56),psychological needs(34.54±5.81),care and support needs(13.52±2.17),physical and daily living needs(11.95±3.46),and sexual needs(3.44±0.58)points;Comparison of SCNS-SF34 scores in different patients,the scores of patients who were male,monthly household income≥¥2000,no chemotherapy,pathological stage Ⅰ,>6 months from first diagnosis,KPS score>60,disease understanding were lower than those of patients who were female,chemotherapy,pathological stage Ⅱ or Ⅲ,<1 month from first diagnosis or 1 to 6 months,KPS score≤60,and poor disease understanding(P<0.05).Conclusion Patients aged>60 years with middle-lower thoracic EC have higher postoperative support care needs,which need to be taken into account in clinical practice,and particular attention needs to be paid to the needs of patients with low monthly family income,stage Ⅲ pathology,short time since first diagnosis,and poor disease understanding.
作者
李军红
LI Junhong(Department of Thoracic Surgery,the First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China)
出处
《临床研究》
2022年第10期135-138,共4页
Clinical Research
关键词
年龄>60岁
胸中下段
食管癌
支持照顾性需求
干预措施
age>60 years
middle-lower thoracic segment
esophageal cancer
supportive care needs
interventions
