摘要
目的:探讨消化道系统癌症患者化疗依从性与其一般状况、化疗期症状、情绪体验及心理弹性的关系。方法:采用一般资料调查表、安德森症状评估量表,癌症患者化疗依从性问卷和心理弹性量表对165例消化道系统癌症化疗患者进行调查。结果:(1)消化道系统癌症患者化疗依从性评分为(14.551±7.402)分;其化疗依从性受年龄、医疗支付方式、是否参与锻炼3个因素的影响(P<0.05)。(2)患者化疗依从性评分与安德森症状评估总分呈正相关(r=0.812),与心理弹性量表总分呈负相关(r=-0.177);(3)患者的安德森症状评估和心理弹性总分及其2个因子分进入其化疗依从性的多元回归方程。结论:患者化疗期症状、情绪体验和心理弹性水平是影响其化疗依从性的重要因素,需要医护人员及相关部门采取有效的应对措施以提高患者化疗依从性。
AIM： To investigate the relationship between the chemotherapy compliance and general status, symptoms of chemotherapy, emotional expe- rience and resilience of patients with digestive sys- tem cancer. METHODS： The Connor-Davidson Resilience Scale （CD-RISC） , MD Anderson Symp- tom Inventory （MDASI） and chemotherapy compli- ance questionnaire were used to assess the 165 di- gestive system cancer patients. RESULTS： The score of chemotherapy compliance was （15 ± 7 ） points, which was influenced by such factors as age of patients, mode of payment and participation in exercise （P 〈 0.05）. Score of chemotherapy com- pliance was significantly positively correlated with score of MDASI （ r = 0. 812 ） , while significantly negatively correlated with CD-RISC （r = - 0. 177 ）. The scores of CD-RISC and MDASI as well as two factors of MDASI were applied to the multiple re- gression equation. CONCLUSION ： Patient＇s symp- toms during chemotherapy, emotional experience and resilience are important factors influencing chemotherapy compliance. Medical staff and rele- vant departments are required to take effective meas- ures to improve the chemotherapy compliance of patients.
出处
《中国临床药理学与治疗学》
CAS
CSCD
2017年第5期565-569,共5页
Chinese Journal of Clinical Pharmacology and Therapeutics
基金
安徽省教育厅人文社会科学重点研究项目(sk2016A0956)
皖南医学院博士科研基金启动项目(WK2014RC04)
关键词
消化道系统癌症
化疗依从性
心理弹性
安德森症状
digestive system cancer
chemo- therapy compliance
resilience
MD Anderson Symptom
