摘要
目的描述肺癌患者化疗期间的症状体验特点,探讨其影响因素。方法运用安德森症状评估量表,便利抽取西安市3家三级甲等医院的123例肺癌化疗患者,调查分析其化疗期间的症状体验及相关因素。结果本组的主要症状依次为:疲乏(6.26±1.62)分、苦恼(4.25±1.88)分、胃口差(4.96±2.07)分、睡眠不安(4.48±2.01)分,发生率均在90%以上;给患者的工作、一般活动、生活乐趣带来较大的困扰,其得分分别是(7.03±1.85)分、(5.42±1.69)分、(4.64±1.60)分。症状体验受在职与否、家庭人均月收入、性别、疾病临床分期4个因素的影响(P<0.05)。结论肺癌患者化疗期间症状发生频率均高于50%,处于轻中度水平,受疾病的临床分期、性别等的影响,给患者带来较大的症状困扰。提示临床护士应对肺癌化疗患者进行症状评估,并给予管理和控制。
Objective To describe the characteristics of symptom experience of patients with lung cancer during chemotherapy and to explore its related factors. Methods By convenient sampling, 123 patients with lung cancer during chemotherapy from three hospitals in Xi＇an were recruited into this study. A demographic questionnaire and M. D. Anderson Symptom Inventory were used to measure the level of symptom experience. The data were analyzed with SPSS 13.0. Results During chemotherapy, the patients with lung cancer experienced many symptoms including lack of energy （6.26±1.62）, distress （4.25±1.88）, lack of appetite （4.96±2.07） and sleeping difficulty （4.48±2.01） with incidence all above 90% and they exerted great negative influence on patients＇ work （7.03±1.85）, general activity （5.42±1.69） and enjoyment of life （4.64±1.60）. The symptom experience in patients with lung cancer during chemotherapy was influenced by work （on duty or not）, family income, gender and stage of disease （P〈0.05）. Conclusion The level of symptoms of lung cancer patients with chemotherapy is mild-to-moderate, which influences patients greatly. Symptoms should be assessed timely and accurately for their controlling and relieving to improve patients＇ quality of life.
出处
《护理学报》
2013年第3期1-4,共4页
Journal of Nursing（China）
基金
陕西省科技攻关项目(2012SF2-08-4)
关键词
肺癌
化疗
症状
安德森症状评估量表
护理
lung cancer
chemotherapy
symptom
M. D. Anderson Symptom Inventory
nursing care
