摘要
目的描述中晚期食管癌患者自我感受负担（SPB）的现状，分析其影响因素，为采取针对性的护理措施提供理论依据。方法采用方便抽样的方法，选取山东省3家医院的110例食管癌住院患者为调查对象，使用本课题组编制的癌症患者SPB量表对其进行调查，并对调查结果进行分析。结果中晚期食管癌患者SPB总分为（66．44±18．39）分，处于中等水平；其中，经济／家庭负担维度得分最高，为（23．97±6．70）分；治疗负担维度得分最低，为（12．00±3．93）分。多元回归分析显示：临床分期，知情时间和治疗方式对食管癌患者的SPB有显著影响，t值分别为2．598、-2．321和2．476。结论中晚期食管癌患者存在中等以上水平的SPB，护理人员应注意评估患者的心理状态，根据病情和治疗方式采取积极的干预措施，以缓解这种负性情感体验。
Objective The survey aimed to describe the level of self-perceived burden （SPB） and analyze its influencing factors among the patients with advanced esophageal cancer in order to provide a theoretical basis for individualized nursing care. Methods Convenient sampling method was used. Totally 110 hospitalized patients with esophageal cancer from 3 hospitals in Shandong Province were investigated with the Self-Perceived Burden Scale for Cancer Patient （SPBS-CP）. The results underwent analysis. Re- suits The total score of tile SPBS-CP was （66.44±18.39）, which indicated a moderate level. Those patients rated the highest score on the subscale of economic/family burden （23.97±6.70）, while the lowest score on the subscale of care burden （12.00±3.93）. Multiple regression analysis showed that the stage of disease, the informed time of the disease and treatment methods all had effect on SPB, t values were 2.598, -2.321 and 2.476. Conclusions Patients with moderate and advanced esophageal cancer had a moderate or higher level of SPB. Nurses should focas on the psychological status of the patients and take positive interven-tions to release the negative emotional experiences.
出处
《中国实用护理杂志》
2015年第8期573-576,共4页
Chinese Journal of Practical Nursing
关键词
食管肿瘤
健康调查
自我感受
负担
Esophageal neoplasms
Health surveys
Self perception
Burden
