摘要
目的调查胃肠道恶性肿瘤患者临终阶段的自我感受负担及影响因素。方法采用整群随机抽样方法,于2012年3月-2013年4月在北京市、唐山市10家三级综合医院抽取280名生存期预计在6个月内的胃肠道恶性肿瘤患者,应用癌症患者自我感受负担量表(SPBS-CP)进行调查。结果该280名胃肠道恶性肿瘤患者临终阶段的自我感受负担总量表得分(53.92±18.37)分,处于中度自我感受负担程度,得分最高的维度是经济/家庭负担(69.17±8.21)分,最低的维度是治疗负担(38.91±5.92)分;照顾者为子女、家庭月收入、性别、文化程度、对疾病了解程度、确诊时间为影响胃肠道恶性肿瘤患者临终阶段自我感受负担的因素(P<0.05)。结论胃肠道恶性肿瘤患者临终阶段的自我感受负担水平较高,临床医护人员应探索针对性的护理干预措施,减轻患者的自我感受负担。
Objective To investigate the self perceived burden of patients with gastrointestinal malignant tumor at endstage and its influencing factors. Methods Cluster random sampling method was used to select 280 gastrointestinal malignant tumor patients whose lifetime was estimated to be within 6 months in 10 third - class comprehensive hospitals in Beijing and Tangshan from March 2012 to April 2013, and then Selfperceived Burden Scale for Cancer Patients （SPBS- CP） was employed for the evaluation. Results The scores of the total scale of the gastrointestinal malignant tumor patients at end - stage were （53.92 ± 18.37）, indicating a moderate degree of self- perceived burden. The score of the dimension concerning financial/family burden was the highest （69.17 ±8.21）, while the score of the dimension concerning treatment burden was the lowest （38.91 ± 5.92）. Offspring as caregivers, household monthly income, gender, educational background, the degree of understanding of the disease and diagnosis the time of confirmed were the factors influencing the self- perceived burden of the patients （P 〈 0.05 ）. Conclusions The self perceived burden of patients with gastrointestinal malignant tumor at end stage is higher; and hence, clinical staff should explore the targeted nursing interventions so as to reduce the patients＇ self perceived burden.
出处
《实用预防医学》
CAS
2015年第11期1308-1310,共3页
Practical Preventive Medicine
基金
河北省科技厅科技支撑计划项目(11276103D-33)
关键词
胃肠道恶性肿瘤
自我感受负担
临终阶段
Gastrointestinal malignant tumor
Self-perceived burden
End-stage
