摘要
目的:探讨胶质瘤术后患者支持性照顾需求与症状困扰现状的相互关系,为制定针对性的干预提供理论依据。方法:选取医院收治的168例胶质瘤患者,采用自制的一般资料调查表收集人口学及疾病特征资料,采用34项支持性照顾需求量表(SCNS-SF-34)及安德森症状评估量表-脑肿瘤特异模块,调查分析患者术后支持性照顾需求及症状困扰的现状,采用Spearman相关性分析法分析胶质瘤患者支持性照顾需求与症状严重程度、症状困扰程度的相关性。结果:168例胶质瘤患者术后支持性照顾需求总分为(71.68±25.28)分,各维度按照条目均分由高到低,依次为卫生系统与信息需求、照顾与支持需求、心理需求、生理与日常生活需求及性需求。患者症状总分为18(8,43)分,发生率最高的症状为睡眠不安105例(占62.5%)。症状困扰程度总分为3(0,12)分,主要表现为对情绪80例(占47.6%)、工作及家务劳动75例(占44.6%)的困扰。支持性照顾需求总分、生理与日常生活需求、心理需求、性需求和照顾与支持需求得分与患者症状严重程度和症状困扰程度均呈正相关(r_(症状严重程度)=0.381,r=0.604,r=0.334,r=0.394,r=0.269;r_(症状困扰程度)=0.401,r=0.583,r=0.413,r=0.357,r=0.241;P<0.05)。结论:胶质瘤患者术后普遍存在未满足的支持性照顾需求,主要表现为卫生系统与信息需求和照顾与支持需求;患者术后症状及其困扰程度越高,支持性照顾需求水平越高,医护人员应加强患者的症状管理与评估与实施针对性干预,以满足患者需求。
Objective:To understand the current situation of supportive care needs and symptom distress of postoperative patients with glioma,and to explore the correlations of them,so as to provide theoretical basis for formulating the targeted interventions.Methods:A total of 168 patients with glioma were selected,and the general information questionnaire,the concise questionnaire on Supportive Care Need and the Anderson Symptom Assessment Scale-Brain Tumor Specific Module were adopted to investigate and analyze the current situation of postoperatively supportive care needs and symptom distress of patients.Spearman correlation analysis was used to analyze the correlations between supportive care needs and the severities of symptom,and the degree of symptom distress of patients with glioma.Results:The overall score of postoperative supportive care needs of 168 patients with glioma was(71.68±25.28)scores.According to the average score of the items,the orders of different dimensions were successively health system and information needs,care and support needs,psychological needs,physiological and daily life needs and sexual needs,which scores were from high to low.The overall score of the symptoms of patients was 18(8,43)scores and the symptom with the highest incidence was restless sleep(62.5%).The overall score of symptom distress was 3(0,12)scores,and the main performances were the distresses of emotions(47.6%)and work/housework(44.6%).The overall score of supportive care needs,and the scores of physiological and daily life needs,psychological needs,sexual needs and care and support needs were positive correlations with the degrees of symptom severity and symptom distress of patients(r_(degree of symptom severity)=0.381,r=0.604,r=0.334,r=0.394,r=0.269,r_(degree of symptom distress)=0.401,r=0.583,r=0.413,r=0.357,r=0.241,P<0.05),respectively.Conclusion:The unsatisfied supportive care needs widely present in postoperative patients with glioma,which main appearances are health system and information needs,and care and support
作者
范艳竹
郝淑煜
黄娜
王德江
FAN Yan-zhu;HAO Shu-yu;HANG Na(Neurosurgery Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;不详)
出处
《中国医学装备》
2023年第11期113-117,共5页
China Medical Equipment
基金
国家自然科学基金(81872052)“PP2A抑制剂协同NK细胞抑制恶性脑膜瘤生长和侵袭的机制研究”。
