摘要
目的 探讨鼻咽癌质子重离子放疗后患者的自我感受负担(SPB)状况,明确易出现问题的人群,为改善患者的心理健康提供应对策略。方法 利用方便抽样法于2020年6月至2021年6月对在上海市质子重离子医院放疗后的鼻咽癌患者进行问卷调查,采用自制问卷及SPB量表测量患者的SPB状况。结果 120例鼻咽癌患者SPB均分为(19.72±7.96)分,近3/5患者为轻度SPB。logistic回归结果显示,男性(OR=3.177,P=0.037)、医疗费用经济承受能力较差(OR=6.657,P=0.014)、放疗同步免疫/靶向治疗的患者(OR=7.947,P=0.038)是中高水平SPB的危险人群。结论 鼻咽癌质子重离子放疗患者SPB总体呈轻到中度水平,但仍不能忽视SPB高危人群,可通过提供心理疏导、健康教育等干预措施,增加社会支持和完善医疗保障等来增强其心理韧性。
Objective To investigate the self-perceived burden(SPB)of patients with nasopharyngeal carcinoma(NPC)undergoing proton and heavy ion radiotherapy,to identify the groups that are prone to the problem and provide coping strategies for improving the psychological health of patients.Methods From June 2020 to June 2021,NPC patients admitted to Shanghai Proton and Heavy Ion Center were selected by convenient sampling,and required to complete a self-designed general information questionnaire and the SPB scale.Results The mean score of SPB in the 120 patients with NPC was(19.72 ± 7.96),and nearly three-fifths of patients had mild SPB.Logistic regression analysis showed that male patients(OR = 3.177,P = 0.037),with poor affordability of medical expenses(OR = 6.657,P = 0.014),treated with radiotherapy combined with target therapy or immunotherapy(OR = 7.947,P = 0.038)were at risk of moderate to high levels of SPB.Conclusion Most NPC patients treated with proton and heavy ion radiotherapy had mild to moderate SPB.However,the high-risk groups of SPB should not be ignored.It is recommended to enhance their psychological resilience through intervention measures such as psychological counselling and health education,as well as increasing social support and improving medical security.
作者
刘坤
蔡琼
徐蕾
周颖
李菁
宁仁利
LIU Kun;CAI Qiong;XU Lei;ZHOU Ying;LI Jing;NING Renli(Research and Development Department of Shanghai Proton and Heavy Ion Center,Shanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy,Shanghai Key Laboratory of Radiation Oncology,Shanghai 201315,China)
出处
《实用医学杂志》
CAS
北大核心
2023年第3期350-354,共5页
The Journal of Practical Medicine
基金
上海市卫生健康委员会卫生行业临床研究专项(编号:20194Y0376)
上海浦东新区卫生健康委员会科研项目(编号:PW2019A-33)。
关键词
质子重离子
放疗
鼻咽癌
自我感受负担
proton and heavy ion
radiotherapy
nasopharyngeal carcinoma
self⁃perceived burden
