肿瘤化疗患者癌因性疲乏状况及其影响因素的研究

发布时间：2018-05-25 01:24

本文选题：辅助化疗 + 癌因性疲乏　；参考：《石河子大学》2015年硕士论文

【摘要】：目的:通过对住院肿瘤化疗患者的癌因性疲乏(CRF)现状的调查,描述肿瘤化疗患者CRF的状况及主要影响因素,探讨社会支持及一般自我效能与肿瘤化疗患者CRF之间的关系,为癌症护理工作中针对性的开展肿瘤专科护理及心理干预提供理论依据,为更好的评估和改善CRF提供参考。方法:采用描述性研究设计,采取便利抽样的方法,调查了新疆某地区某三甲医院肿瘤内科病房的200名肿瘤化疗患者。采用问卷调查法,问卷由自行设计的一般资料调查表、Piper疲乏量表中文修订版、社会支持评定量表(SSRS)、一般自我效能量表(GSES)四部分组成。采用SPSS17.0软件对资料进行统计分析。结果:1.90%的患者存在癌因性疲乏,整体疲乏及其行为维度、情感维度、感知维度、认知维度疲乏的平均得分在6.19±2.64-5.16±2.20分之间,均处于中度疲乏程度;2.癌因性疲乏与主观支持、支持利用度、社会支持总分存在负相关,其中客观支持与行为、情感维度的疲乏呈正相关,支持利用度与认知维度的疲乏呈负相关(P0.01或P0.05);3.肿瘤化疗患者癌因性疲乏各维度均与一般自我效能感呈负相关(P0.05或P0.01);4.单因素分析显示,居住方式、化疗周期、自我效能感、社会支持及其客观支持、主观支持、支持的利用度分别与整体疲乏或各维度疲乏有显著相关。多因素分析结果表明在整体疲乏方面,社会支持中主观支持及客观支持、自我效能对肿瘤化疗患者的疲乏程度有显著影响。结论:本地区肿瘤化疗患者癌因性疲乏的发生率较高;疲乏的平均水平属于中度疲乏;中重度疲乏的患者居多;影响癌因性疲乏的主要因素是社会支持中主观支持及客观支持、自我效能等。建议医务工作者应着重干预主要因素,从而减轻患者癌因性疲乏的程度。
[Abstract]:Objective: to investigate the current status of cancer related fatigue (CRF) in cancer chemotherapy patients, to describe the status and main influencing factors of CRF in cancer chemotherapy patients, and to explore the relationship between social support and general self-efficacy and CRF of tumor chemotherapy patients. To provide theoretical basis for cancer nursing and psychological intervention, and to provide reference for better evaluation and improvement of CRF. Methods: a descriptive design was used to investigate 200 cancer chemotherapy patients in the department of internal medicine of a third class hospital in Xinjiang. The questionnaire was composed of four parts: Piper fatigue scale, SSRSU, GSES, and Piper fatigue scale. The data were analyzed by SPSS17.0 software. Results the mean scores of cancer fatigue, global fatigue, behavioral dimension, emotion dimension, perception dimension and cognitive fatigue dimension were 6.19 卤2.64-5.16 卤2.20, all in moderate fatigue degree. There was a negative correlation between cancer related fatigue and subjective support, support utilization, and total score of social support, among which objective support was positively correlated with behavior and fatigue of emotional dimension, and support utilization was negatively correlated with fatigue of cognitive dimension (P0.01 or P0.05). All dimensions of carcinogenic fatigue in cancer chemotherapy patients were negatively correlated with general self efficacy (P 0.05 or P 0.01). Univariate analysis showed that living style, chemotherapy cycle, self-efficacy, social support and its objective support, subjective support and the utilization of support were significantly correlated with overall fatigue or dimension fatigue. The results of multivariate analysis showed that subjective and objective support in social support and self-efficacy had a significant effect on the fatigue degree of patients with cancer chemotherapy in the aspect of overall fatigue. Conclusion: the incidence of carcinogenic fatigue in cancer patients with chemotherapy is higher, the average level of fatigue is moderate fatigue, the majority of patients with moderate and severe fatigue, the main factors affecting cancer related fatigue are subjective and objective support in social support. Self-efficacy, etc. It is suggested that medical workers should focus on the intervention of major factors in order to reduce the degree of cancer-related fatigue in patients.
【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.73

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