摘要
目的研究影响卵巢癌患者术后遵医行为的因素和护理对策。方法选取哈尔滨医科大学附属肿瘤医院2014年6月—2016年2月间接受卵巢癌切除术患者107例作为研究对象,统计所有患者的年龄、经济收入、文化程度、临床分期、药物不良反应、医药花费、社会支持及负面情绪等资料,并对患者术后遵医行为进行评定,采用单因素和多因素Logistic回归分析术后遵医行为的影响因素,同时研究临床护理对策。结果单因素分析显示年龄大、初中文化及以下、月收入低(<2 000元)、药物不良反应、自付医药费、社会支持差、焦虑抑郁情绪、相关知识匮乏等因素均是卵巢癌术后遵医行为的影响因素(均P<0.05);多因素Logistic回归分析,年龄大(OR=4.632,P=0.011)、存在药物不良反应(OR=6.344,P<0.001),焦虑抑郁情绪(OR=3.196,P=0.002)、自付医药费(OR=4.468,P=0.020)、社会支持差(OR=3.414,P=0.015)、月收入低(OR=3.466,P=0.005)、相关知识匮乏(OR=4.217,P=0.012)等均是卵巢癌患者术后遵医行为差的独立危险因素。结论影响卵巢癌患者术后遵医行为的因素较多,常见的包括年龄、社会支持、负面情绪、药物不良反应、经济收入等因素,针对各因素采取有效的护理干预,能明显提高患者术后的遵医行为,具有重要的临床价值。
Objective To study the influencing factors and nursing countermeasures of the compliance behavior of patients with ovarian cancer after operation. Methods We chose 107 cases of ovarian cancer resection patients in our hospital from June, 2014 to February, 2016, collected statistics of all the patients＇ age, income, education level, clinical stage, drug adverse reactions, medical costs, social support and negative emotion information, evaluated the compliance behavior of patients using univariate and multivariate logistic regression analysis of factors influencing the compliance behavior after operation, and investigated the clinical nursing countermeasure. Results Univariate analysis showed that age, junior high school level of education and below, low monthly income, adverse drug reactions, uncovered medical expenses, poor social support, anxiety and depression, the relevant factors of lack of knowledge and other factors are the compliance behavior of ovarian cancer after operation （ P 〈 0. 05 ） ; multivariate logistic regression analysis showed that the older age （ OR = 3.71, P = 0. 011 ）, anxiety and depression （ OR = 3.34, P = 0. 002 ）, self-paid medical expenses （ OR =2.93, P = 0. 020）, poor social support （ OR = 3. 16, P = 0. 015 ）, low monthly income （ OR = 3.09, P = 0. 005 ）, lack of related knowledge （ OR = 3.25, P = 0. 012） are independent factors influencing the compliance behavior of ovarian cancer patients after operation. Conclusion There are many factors affecting the compliance behavior of patients with ovarian cancer, commonly involving age, social support, negative emotions, adverse drug reactions, income and other factors. To take effective nursing intervention for each factor can significantly improve the compliance behavior of patients, and has important clinical values.
作者
赵洪梅
董卓
徐爱丽
ZHAO Hong-mei;DONG Zhuo;XU Ai-li(Department of Gynecology, Cancer Hospital Affiliated to Harbin Medical University, Harbin, Heilongjiang 150081, China)
出处
《中华全科医学》
2018年第8期1403-1405,共3页
Chinese Journal of General Practice
基金
黑龙江省卫生厅课题(2011-063)
关键词
卵巢癌
术后
遵医行为
护理对策
Ovarian cancer
Postoperative
Compliance behavior
Nursing strategy
