摘要
目的探讨胃癌及结直肠癌患者术后各阶段支持性照护需求状况及其影响因素,为不同术后阶段的患者制订医疗支持照护干预方案提供参考依据。方法2019年8月─2020年7月采用支持性照护需求调查简表及生命质量测定量表EORTC QLQ-C30和医院焦虑抑郁量表,对广州市某三级甲等肿瘤专科医院101例初次确诊胃癌及结直肠癌患者分别在入院当天,术后3 d、出院当天、术后1个月、术后3个月进行调查。分析患者生命质量及医院焦虑抑郁量表评分对患者支持性照护需求的影响。结果胃癌及结直肠癌患者支持性照护需求总分数在术后3 d内持续升高,在术后1个月到达峰值,随后下降,各阶段差异具有统计学意义(P<0.05)。单因素分析显示,出院当天患者支持性照护需求总分在不同家庭人均月收入间差异有统计学意义(P<0.05)。多因素分析显示,焦虑和抑郁与入院当天、术后3 d及术后3个月支持性照护需求有关,而生命质量除入院当天外,与各阶段支持性照护需求均为正相关关系(P<0.05)。结论胃癌及结直肠癌患者在术后不同阶段均有支持性照护需求,护理人员在临床中应全面分析患者需求,为患者提供相应的护理干预方案,满足患者支持性照护需求。
Objective To explore the supportive care needs of patients with gastric cancer and colorectal cancer in different postoperative stages and the influencing factors,to provide reference basis for patients to develop medical support care intervention programs.Methods From August 2019 to July 2020,101 patients with initial diagnosis in the Cancer Hospital of a GradeⅢhospital of Guangzhou were investigated in the day of admission,3 days after operation,the day of discharge,1 month after operation,and 3 months after operation respectively,taking the supporting care needs questionnaire,the quality of life measurement scale EORTC QLQ-C30 and the hospital anxiety and depression scale.To analyze the impact of gastric cancer and colorectal cancer patients'quality of life and hospital anxiety and depression scale scores on patients'supportive care needs.Results The total score of supportive care needs of patients with gastric cancer and colorectal cancer continued to increase within 3 days after operation,reached the peak in 1 month after operation,and then decreased,the difference between different stages was statistically significant(P<0.05).Univariate analysis showed that the total score of supportive care needs of patients on the day of discharge was significantly different among the average monthly income of different families(P<0.05).Multivariate analysis showed that anxiety and depression were related to the supportive care needs the day of admission,3 days after operation and 3 months after operation,while except the admission day,the quality of life department was positively related to the supportive care needs at all stages(P<0.05).Conclusion Patients with gastric cancer colorectal cancer had supportive care needs at different stages after surgery.Nursing staffs should comprehensively analyze the needs of patients in clinical practice,provide corresponding nursing intervention programs for patients,and meet the supportive care needs of patients.
作者
萧雪英
陈清钢
张莹莹
曹玉华
古菊
XIAO Xueying;CHEN Qinggang;ZHANG Yingying;CAO Yuhua;GU Ju(Affiliated Cancer Hospital and Institute of Guangzhou Medical University,Guangzhou,510000,China)
出处
《护理实践与研究》
2023年第5期636-642,共7页
Nursing Practice and Research
基金
广东省医学科学技术研究基金项目(编号:201942391236336)。
关键词
胃癌
结直肠癌
支持性照护需求
影响因素
生命质量
焦虑抑郁
Gastric cancer
Colorectal cancer
Supportive care needs
Influencing factors
Quality of life
Anxiety and depression
