胃癌术后患者癌因性疲乏与住院压力的相关研究
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摘要
了解胃癌患者手术后癌因性疲乏和承受住院压力状况,并探讨两者之间的关系。方法:使用癌症疲乏量表(CFS)和住院压力源量表对343例胃癌病人进行测量。结果:病人在胃癌手术后仍有不同程度的疲劳,有15.5%达到严重疲劳,达到中度疲劳的有71.7%,轻度疲劳的有12.8%;术后胃癌病人的住院压力水平均不相同。多元逐步回归分析发现,胃癌术后病人的住院压力与认知疲劳无关,其余住院压力维度与癌因性疲乏(CRF)各维度均存在相关(P<0.01)。结论:胃癌术后病人存在各种心理和社会压力,且住院压力对患者的CRF存在影响。对病人的CRF与压力及时评估,有针对性地进行干预,能够帮助其正确应对心理社会压力和缓解疲乏症状,促进其生存质量的提高。
Objective: To investigate the status of cancer-related fatigue and hospitalization stress in patients with gastric cancer after operation, and to explore the relationship between them. Methods: 343 patients with gastric cancer were measured by Cancer Fatigue Scale(CFS) and Hospitalization Stress Source Scale. Results:The patients still had different degrees of fatigue after the operation of gastric cancer, 15.5% of them had severe fatigue, 71.7% had moderate fatigue and 12.8% had mild fatigue. The level of hospitalization pressure of patients with gastric cancer after the operation was different.Multivariate stepwise regression analysis showed that there was no correlation between hospitalization stressand cognitive fatigue in patients with gastric cancer after operation. The other dimensions of hospitalization stress were correlated with all dimensions of cancer-related fatigue(CRF)(P < 0.01). Conclusion: There are various psychological and social pressures in patients with gastric cancer after operation, and hospitalization pressure has an effect on CRF. The timely assessment of CRF and stress and targeted intervention can help patients cope with psychosocial stress and alleviate fatigue symptoms, and improve the quality of life.
Objective: To investigate the status of cancer-related fatigue and hospitalization stress in patients with gastric cancer after operation, and to explore the relationship between them. Methods: 343 patients with gastric cancer were measured by Cancer Fatigue Scale(CFS) and Hospitalization Stress Source Scale. Results:The patients still had different degrees of fatigue after the operation of gastric cancer, 15.5% of them had severe fatigue, 71.7% had moderate fatigue and 12.8% had mild fatigue. The level of hospitalization pressure of patients with gastric cancer after the operation was different.Multivariate stepwise regression analysis showed that there was no correlation between hospitalization stressand cognitive fatigue in patients with gastric cancer after operation. The other dimensions of hospitalization stress were correlated with all dimensions of cancer-related fatigue(CRF)(P < 0.01). Conclusion: There are various psychological and social pressures in patients with gastric cancer after operation, and hospitalization pressure has an effect on CRF. The timely assessment of CRF and stress and targeted intervention can help patients cope with psychosocial stress and alleviate fatigue symptoms, and improve the quality of life.
引文
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[2]GLOBOCAN 2012,cancer incidence and mortality worldwide[OL]. Http://Goobocan.iarc.fr,2014-11-16.
[3]Cheung WY, Le LW, Zimmermann C. Symptom clusters in patients with advanced cancers[J]. Support Care Cancer,2009,17:1223-1230.
[4]张淼,王维利,赵江.消化系统肿瘤患者癌因性疲乏症状体验的质性研究[J].护理学报,2011(7):13-16.
[5]Gao W,Bennett M,Stark D,et al.Psychological distress in cancer from survivorshipto end of life care:Prevalence,associated factors and clinical implications[J].Eur J Cancer,2010, 46(11):2036-2044.
[6]王军霞.消化系统癌症患者心理困扰影响因素及干预效果研究[D].合肥:安徽医科大学,2014.
[7]安采华,杨琴,李莉.胃癌术后患者癌因性疲乏与自我效能感的相关性研究[J].现代预防医学.2016(13):2398-2401.
[8]Okuyama T, Akechi T, Kugaya A,et al. Factors correlated with fatigue in disease-free breast cancer patients:application of the cancer fatigue scale[J].Sup Care Cancer,2000,8(3):215-222.
[9]李小妹.护理学导论[M].北京:人民卫生出版社,2002(5):122-127.
[10]陈小平.胃癌病人癌因性疲乏与生活质量相关性分析[J].当代护士(专科版),2010(12):1-3.
[11]蒋超南,张美芬,张俊娥,等.胃癌术后病人化疗期间癌因性疲乏的调查分析[J].全科护理,2015,7(19):1890-1892.
[12]顾莉娟.癌因性疲乏的相关因素与应对方法的研究进展[J].中华现代护理杂志,2010,16(2):232-234.
[13]高青.癌因性疲乏的相关因素分析与护理对策[J].护理实践与研究,2011(1):109-111.
[14]王琦,李俊岭.癌因性疲乏的相关因素及发病机制[J].癌症进展,2011,9(1):85-88.