妇科癌症患者癌因性疲乏与希望水平的相关性研究

发布时间：2017-12-31 15:32

本文关键词：妇科癌症患者癌因性疲乏与希望水平的相关性研究　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:了解和评价妇科癌症患者癌因性疲乏及希望水平现状,分析癌因性疲乏和希望水平的影响因素,探讨妇科癌症患者癌因性疲乏和希望水平二者之间的关系,为临床工作者有针对性地加强癌症患者的个体化护理提供理论支持和指导,从而提高妇科癌症患者希望水平,缓解其癌因性疲乏,改善患者的生存质量。研究方法:采取方便抽样的方法,选取2016年7月到2016年12月期间在长春市某三级甲等医院住院治疗的妇科癌症(宫颈癌、子宫内膜癌、卵巢癌)患者252例进行问卷调查。问卷是由自行设计的患者一般资料调查表、Piper疲乏评估修订量表(PFS-R)、Herth希望量表(HHI)三个部分组成。调查所得的数据双人录入Epidate数据管理软件,应用SPSS 20.0软件进行统计学分析,采用的统计学方法包括方差分析、t检验、Pearson相关分析及多元逐步回归分析。研究结果:1.癌因性疲乏普遍存在于妇科癌症患者中,中度疲乏的患者187例,占总数的74.2%,轻度疲乏的患者占9.5%,重度疲乏的患者占16.3%。妇科癌症患者癌因性疲乏整体条目平均得分4.97±1.24分,处于中度疲乏水平;四个维度条目平均得分由高至低排序为躯体感知疲乏维度6.02±1.58分、情感疲乏维度5.52±1.57分、行为疲乏维度5.13±1.39分、认知疲乏维度3.49±1.09分,其中,躯体感知疲乏处于重度疲乏,另三个维度属中度疲乏。2.单因素分析结果显示,妇科癌症患者的年龄、文化程度、医疗付费方式、家庭支付医疗费用能力、疾病分期、病程、治疗方式、有无癌痛、睡眠状况与癌因性疲乏有关。3.本研究调查的妇科癌症患者希望水平为高等水平的患者177例,占总数的70.2%,中等希望水平的患者占29.8%,未见低等希望水平的患者。希望水平整体平均得分为37.59±3.64分,处于高等希望水平;各维度得分从高到低依次为:采取的积极行动维度得分为12.81±1.42分、与他人保持亲密的关系维度12.62±1.32分、对现实与未来的积极态度维度12.17±1.39分。4.单因素分析结果显示,妇科癌症患者的年龄、医疗付费方式、家庭支付医疗费用能力、疾病分期、病程、合并症数量、有无癌痛、睡眠状况与希望水平有关。5.妇科癌症患者癌因性疲乏总分及各维度的得分与希望水平总分及各维度的得分呈显著负相关(P0.01)。6.多元逐步回归分析中,希望总分、有无癌痛、睡眠较好、单纯手术、年龄、手术联合放疗化疗六个变量进入回归方程,能够解释妇科癌症患者癌因性疲乏32.0%的变异(R2=0.320)。研究结论:1.癌因性疲乏在被调查的妇科癌症患者中存在很普遍,大多数患者为中度疲乏,影响因素包括年龄、文化程度、医疗付费方式、家庭支付医疗费用能力、疾病分期、病程、治疗方式、有无癌痛、睡眠状况。2.被调查的妇科癌症患者均处于中等及以上希望水平,希望水平的影响因素包括年龄、医疗付费方式、家庭支付医疗费用能力、疾病分期、病程、合并症数量、有无癌痛、睡眠状况。3.妇科癌症患者癌因性疲乏与希望水平存在负性相关,患者疲乏水平越高,希望水平越低。4.多元逐步回归分析结果显示:希望水平、有无癌痛、睡眠状况、单纯手术、年龄、手术联合放疗化疗是妇科癌症患者癌因性疲乏的主要影响因素。
[Abstract]:Objective: To investigate and evaluate the gynecologic cancer patients with cancer related fatigue and the level of hope, analysis of cancer-related fatigue and the factors affecting the level of hope, to explore the relationship between cancer patients with gynecologic cancer relatedfatigue and hope level two, for clinical workers of individual nursing some cancer patients to provide guidance the theoretical support and to improve the level of hope of gynecologic cancer patients, alleviate cancer-related fatigue, improve the quality of life of patients. Methods: using convenient sampling from July 2016 to December 2016 during Changchun a three level of first-class hospital treatment of gynecological cancer (cervical cancer, endometrial cancer, ovarian cancer) questionnaire the investigation of 252 cases of patients. Patients with general information questionnaire was developed by self-designed, Piper fatigue assessment scale (PFS-R), Herth Hope Scale (HHI) three parts. Regulating Check the data from the double input Epidate data management software, SPSS 20 software was used for statistical analysis, statistical methods including variance analysis, t test, Pearson correlation analysis and stepwise regression analysis. Results: 1. multiple cancer prevalent in gynecological cancer patients with cancer-related fatigue, 187 cases of patients with moderate to severe fatigue, accounted for 74.2% of the total, mild fatigue accounted for 9.5% of patients, severe fatigue patients accounted for 16.3%. of gynecologic cancer patients with cancer-related fatigue entries overall average score of 4.97 + 1.24, moderate level of fatigue; the four dimensions of entry average score from high to low order body perception fatigue dimension 6.02 + 1.58, 5.52 dimensions of emotional exhaustion + 1.57, 5.13 + 1.39 dimensions of fatigue behavior, fatigue, cognitive dimension 3.49 + 1.09, among them, the body perception fatigue in severe fatigue, the results of single factor.2. and the other three dimensions of moderate fatigue is Show, age, culture degree of gynecological cancer patients, medical payment, families pay for medical expenses, staging of disease, disease, treatment, there is no pain, sleep status and cancer-related fatigue related.3. this study investigated 177 cases of patients with gynecological cancer patients to high level level, accounting for 70.2% of the total I hope, medium level accounted for 29.8% of patients showed low level of hope. Hope with the overall level of the average score was 37.59 + 3.64, a higher level of hope; the scores from high to low is: take the positive action score was 12.81 + 1.42, and others maintain close relationship dimension 12.62. 1.32 points to the reality and the single factor positive attitude dimension of the next 12.17 + 1.39.4. analysis showed that the gynecological cancer patient's age, medical payment, families pay for medical expenses, staging of disease, disease, and And in quantity, there is no pain, sleep status and level of hope about.5. of gynecologic cancer patients with cancer-related fatigue score and each dimension scores and the hope was negatively related to the total score and each dimension scores (P0.01).6. multivariate stepwise regression analysis, there is no hope score, cancer pain, sleep better, simple operation age, surgery, radiotherapy and chemotherapy six variables into the regression equation, can explain the gynecological cancer patients with cancer related fatigue variability 32% (R2=0.320). Conclusions: 1. of cancer-related fatigue in the investigation of gynecological cancer patients are very common, most of the patients were moderate fatigue, cultural influence factors including age,, medical payment, families pay for medical expenses, staging of disease, disease, treatment, there is no pain, sleep status of.2. was investigated in gynecological cancer patients are in the middle and above level of hope, hope level The influence factors including age, medical payment, families pay for medical expenses, staging of disease, disease duration, number of comorbidities, there is no pain, sleep status of.3. patients with gynecologic cancer and cancer-related fatigue and hope are negative correlated with the level of fatigue level in patients with higher level of hope, the lower.4. multiple stepwise regression analysis showed that there is no hope, pain, sleep condition, simple operation, age, surgery combined with radiotherapy and chemotherapy in patients with gynecological cancer is due to the main influence factors of fatigue.

【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

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