摘要
目的调查老年肺癌病人衰弱及其管理认知现状,为肿瘤专业医务人员管理老年衰弱提供参考。方法采用量性和质性研究方法,对南方医科大学珠江医院167例老年肺癌病人采用一般资料调查表、格列宁根衰弱量表(GFI)进行调查;对其中8例病人进行半结构式访谈。结果167例老年肺癌病人的衰弱发生率为70.1%,GFI衰弱总得分为(4.69±2.51);教育程度、居住地、收入对衰弱得分有影响(P<0.05);半结构式访谈共提炼4个主题和8个副主题即知识缺乏(对老年衰弱概念理解不全、对老年衰弱原因说法不一)、自我管理不足(信心不强、意识松散)、负性情绪积存(内心恐惧、无奈情绪)、资源保障不充分(时间限制、渴望支持)。结论肿瘤专业医务人员应重视低收入、低文化程度、农村老年肺癌病人衰弱筛查,并且要通过加强衰弱知识教育、提高自我管理能力等方法解决老年衰弱管理的问题。
Objective To investigate the status of frailty and management cognition in the elderly patients with lung cancer,so as to provide references for management of frailty in the elderly to the oncology medical staff.Methods A total of 167 elderly patients with lung cancer were surveyed with the general information questionnaire and Groningen Frailty Indicator Scale(GFI),and 8 cases of them were interviewed in a semi-structured way.Results The incidence rate of frailty among 167 elderly patients with lung cancer was 70.1%.The total score of GFI was 4.69±2.51.The education levels,residence,and income were the influencing factors of frailty score(P<0.05).Four themes and eight sub-themes were extracted from the semi-structured interview,including lack of knowledge(incomplete understanding of the concept of frailty in old age,different opinions on the causes of frailty in old age),insufficient self-management(low confidence,loose consciousness),accumulation of negative emotions(inner fear,helpless feeling),insufficient resource protection(time restrictions,longing for support).Conclusions Medical professionals in oncology should pay attention to the frailty screening of elderly lung cancer patients with low income,low education level or living at rural areas,and they also need to strengthen frailty knowledge education,improve self-management capabilities and other ways to solve the problem of frailty management in the elderly.
作者
沈影
毛惠娜
SHEN Ying;MAO Hui-na(School of Nursing,Southern Medical University,Guangzhou 510515,China;Department of Nursing Administration,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China)
出处
《实用老年医学》
CAS
2022年第11期1166-1169,共4页
Practical Geriatrics
基金
广州市海珠区科普项目(2018-62)。
关键词
肺癌
老年人
衰弱
管理
lung cancer
aged
frailty
management
