摘要
目的调查宫颈癌术后放化疗患者失志现状,并分析其影响因素,为制定针对性护理措施提供参考依据。方法采用便利抽样法,抽取2022年1月至4月新疆医科大学附属肿瘤医院的210例宫颈癌术后放化疗患者为研究对象。使用一般资料调查表、简化版失志量表(the short demoralization scale,DS-Ⅱ)、盆底功能障碍简表(pelvic floor distress inventory-short form 20,PFDI-20)、癌症治疗功能评价系统量表(functional assessment of cancer therapy generic scale,FACT-G)进行问卷调查,采用单因素分析、相关性分析和多元线性逐步回归分析方法对失志的影响因素进行筛选。结果204例患者完成调查。失志总分为15.0(9.0,18.0)分。单因素分析结果显示,不同年龄、文化程度、职业、子女数目、家庭人均月收入、手术方式和术前是否做过盆底康复训练的宫颈癌术后放化疗患者其失志得分比较,差异均有统计学意义(均P<0.05)。Spearman相关分析结果显示,失志与盆底功能障碍呈正相关(r=0.714,P<0.01),与生活质量呈负相关(r=-0.661,P<0.01)。多因素分析结果显示,文化程度、手术方式、盆底功能障碍和生活质量是失志的影响因素,共同解释失志水平总变异的76.3%(P<0.001)。结论宫颈癌术后放化疗患者失志处于中等水平,有待提升,医护工作者可根据影响因素进行干预,特别重视患者盆底功能障碍和生活质量差者,以降低其失志水平。
Objective To investigate the status quo and influencing factors of demoralisation in patients undergoing postoperative radiotherapy after cervical cancer surgery therefore to provide a reference for developing targeted patient care.Methods A total of 210 patients who had received postoperative radiotherapy after cervical cancer surgery in the Cancer Hospital,Xinjiang Medical University from January to April 2022 were conveniently selected for the study by using convenience sampling method.General information questionnaire,short demoralisation scale(DS-II),pelvic floor distress inventory-short form 20(PFDI-20),and functional assessment of cancer therapy generic scale(FACT-G)were used in the investigation.Single factor analysis,correlation analysis and multiple linear stepwise regression analysis were performed to screen the influencing factors in demoralisation.Results A total of 204 patients had completed the survey with a total demoralisation score at 15.0(9.0,18.0).Univariate analysis revealed that there were statistically significant differences in demoralisation scores in age,education,occupation,number of children,per capita monthly household income,surgical procedure and preoperative pelvic floor rehabilitation among the patients undergoing postoperative radiotherapy after cervical cancer surgery(all P<0.05).Spearman's correlation analysis showed that a demoralisation was positively correlated with pelvic floor dysfunction(r=0.714,P<0.01)and negatively correlated with quality of life(r=-0.661,P<0.01).The multifactorial analysis showed that the influencing factors of demoralisation were education,surgical procedure,pelvic floor dysfunction and quality of life,jointly explaining 76.3% of the total variance in demoralisation(P<0.001).Conclusions Demoralisation in patients undergoing radiotherapy and radiotherapy after cervical cancer surgery is moderate and further improvement is required.Healthcare workers should offer intervention to the patients who were in demoralisation according to the influencing factors.Special attention shall be paid to the pelvic floor dysfunction and quality of life of the patients in order to reduce the demoralisation.
作者
李月
姬春晖
蒋宇
周娟
杨聪
赖巧蓉
苏建萍
Li Yue;Ji Chunhui;Jiang Yu;Zhou Juan;Yang Cong;Lai Qiaorong;Su Jianping(School of Nursing,Xinjiang Medical University,Urumqi,830011;Ward One Department of Gynaecology,Cancer Hospital,Xinjiang Medical University,Urumqi,830000,China)
出处
《现代临床护理》
2023年第7期8-14,共7页
Modern Clinical Nursing
基金
新疆维吾尔自治区自然科学基金,项目编号为2020D01C154。
关键词
失志
盆底功能障碍
生活质量
宫颈癌
横断面研究
demoralisation
pelvic floor dysfunction
quality of life
cervical cancer
cross-sectional study
作者简介
李月(1996-),女,护师,硕士,主要从事肿瘤护理工作;通信作者:苏建萍,主任护师,教授,E-mail:971940592@qq.com。
