肾细胞癌患者就医延迟与家庭动力学特征的相关性研究
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摘要
目的研究肾细胞癌患者就医延迟与家庭动力学特征的相关性,为肾细胞癌患者的健康干预提供理论依据。方法采用自行设计的调查问卷,对129例肾细胞癌患者进行就医延迟与家庭动力学特征的问卷调查。结果就医延迟时间>3个月的有74人(57.36%);就医延迟患者的家庭气氛和疾病观念得分高于非就医延迟患者(P=0.013,P<0.001);肾细胞癌患者的疾病观念与就医延迟时间存在线性正相关关系(r=0.422,P_r<0.001),多元线性回归分析结果显示,肾细胞癌患者的疾病观念是影响就医延迟时间的主要因素(β=0.391,P_β<0.001)。结论就医延迟现象在肾细胞癌患者中较为普遍,患者的疾病观念是影响就医延迟的主要因素。
Objective To study the correlation between delay on hospitalizing and family dynamics for patients with renal cell carcinoma(RCC) and provide reference for patients' health intervention. Method Investigate 129 patients with RCC on delay on hospitalizing and family dynamics by self-designed questionnaire. Result 74(57.36%) patients delay for more than 3 months on hospitalizing. Score on family atmosphere and disease conception is higher for delay patients than non-delay patients(P=0.013, P<0.001). There is linear positive correlation between disease conception and delay time for patients with RCC(r=0.422,P_r<0.001).The results of multiple linear regression analysis indicate that the patients' diease conception is the main influencing factor of delayed on hospitalizing(β=0.391,P_β<0.001).Conclusion Delay on hospitalizing is common for patients with RCC, which is influenced by patients' disease conception.
Objective To study the correlation between delay on hospitalizing and family dynamics for patients with renal cell carcinoma(RCC) and provide reference for patients' health intervention. Method Investigate 129 patients with RCC on delay on hospitalizing and family dynamics by self-designed questionnaire. Result 74(57.36%) patients delay for more than 3 months on hospitalizing. Score on family atmosphere and disease conception is higher for delay patients than non-delay patients(P=0.013, P<0.001). There is linear positive correlation between disease conception and delay time for patients with RCC(r=0.422,P_r<0.001).The results of multiple linear regression analysis indicate that the patients' diease conception is the main influencing factor of delayed on hospitalizing(β=0.391,P_β<0.001).Conclusion Delay on hospitalizing is common for patients with RCC, which is influenced by patients' disease conception.
引文
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[2] 郭利洁,焦雪静,郑楠,等.癌症患者就医延迟影响因素的研究现状[J].护理学杂志,2015,30(3):104-107.
[3] 李沙沙,陈一心,詹明心,等.家庭动力学理论、评定与应用[J].中国心理卫生杂志,2012,26(4):262-266.
[4] 陈丽萍.宫颈癌患者就医延迟与家庭动力的相关性研究[J].护理学杂志,2013,28(10):7-9.
[5] 韩玉香.食管癌患者就医延迟与家庭动力学特征的相关研究[J].护理管理杂志,2014,14(11):776-777.
[6] 康传媛,赵旭东,许秀峰,等.系统家庭动力学自评问卷的初步编制及信效度分析[J].中国心理卫生杂志,2001,15(2):92-95.
[7] 杨建中,康传媛,赵旭东,等.系统家庭动力学自评问卷的编制及信效度分析[J].中国临床心理学杂志,2002,10(4):263-265.
[8] 赵振威,李延江.肾细胞癌流行病学的研究进展[J].山东医药,2013,53(7):95-97.
[9] 张茂山,王明,刘银,等.无症状肾癌与有症状肾癌的诊疗比较[J].重庆医科大学学报,2014,39(1):90-93.
[10] 李小攀,杨黎明,孙乔,等.上海市浦东新区居民肾癌患者生存率影响因素分析[J].中华肿瘤防治杂志,2013,20(21):1634-1637.
[11] CHOUEIRI T K,MOTZER R J.Systemic therapy for metastatic renal-cell carcinoma[J].N Engl J Med,2017,376(12):354-366.
[2] 郭利洁,焦雪静,郑楠,等.癌症患者就医延迟影响因素的研究现状[J].护理学杂志,2015,30(3):104-107.
[3] 李沙沙,陈一心,詹明心,等.家庭动力学理论、评定与应用[J].中国心理卫生杂志,2012,26(4):262-266.
[4] 陈丽萍.宫颈癌患者就医延迟与家庭动力的相关性研究[J].护理学杂志,2013,28(10):7-9.
[5] 韩玉香.食管癌患者就医延迟与家庭动力学特征的相关研究[J].护理管理杂志,2014,14(11):776-777.
[6] 康传媛,赵旭东,许秀峰,等.系统家庭动力学自评问卷的初步编制及信效度分析[J].中国心理卫生杂志,2001,15(2):92-95.
[7] 杨建中,康传媛,赵旭东,等.系统家庭动力学自评问卷的编制及信效度分析[J].中国临床心理学杂志,2002,10(4):263-265.
[8] 赵振威,李延江.肾细胞癌流行病学的研究进展[J].山东医药,2013,53(7):95-97.
[9] 张茂山,王明,刘银,等.无症状肾癌与有症状肾癌的诊疗比较[J].重庆医科大学学报,2014,39(1):90-93.
[10] 李小攀,杨黎明,孙乔,等.上海市浦东新区居民肾癌患者生存率影响因素分析[J].中华肿瘤防治杂志,2013,20(21):1634-1637.
[11] CHOUEIRI T K,MOTZER R J.Systemic therapy for metastatic renal-cell carcinoma[J].N Engl J Med,2017,376(12):354-366.