摘要
目的基于结构方程模型探讨影响甲状腺癌(TC)术后患者癌因性疲乏的因素。方法选择2020年2月至2021年2月江苏省人民医院收治的120例TC术后患者,全部患者均于术后1个月时采用癌症疲乏量表(CFS)评估其癌因性疲乏水平。设计基线资料调查表,比较不同基线特征患者CFS评分的差异,分析TC术后患者癌因性疲乏水平的影响因素。结果本研究共发放120份问卷调查表,成功回收120份,成功回收率为100%。120例TC术后患者CFS(28.61±14.53)分,高中或中专及以上患者的CFS评分高于初中及以下患者,差异有统计学意义(P<0.05)。120例TC患者术后自我效能、社会支持、家庭功能及焦虑得分分别为(81.17±26.42)、(52.35±16.14)、(150.33±44.23)、(61.20±18.75)分。多元线性回归结果显示,自我效能(X_(1))、社会支持(X_(2))、家庭功能(X_(3))、焦虑(X_(4))及受教育程度(X_(5))是TC术后患者癌因性疲乏水平的影响因素,方程为Y=37.340-0.117X_(1)-0.258X_(2)+0.107X_(3)+0.046X_(4)+0.476X_(5)(F=7082.316,R2=0.997,调整后R2=0.997,P<0.05)。建立TC患者术后癌因性疲乏水平模型,结果显示,自我效能、社会支持、家庭功能、焦虑及受教育程度对TC患者术后癌因性疲乏水平的总效应分别为-0.049、-0.135、0.061、0.015、0.198。模型拟合优度符合参考标准,与数据拟合度较好(P<0.05)。结论TC术后患者癌因性疲乏水平受自我效能、社会支持、家庭功能、焦虑及受教育程度等多种因素的影响,临床中应予以重视,给予针对性干预。
Objective To explore the influencing factors of cancer-related fatigue in postoperative patients with thyroid carcinoma(TC)based on structural equation model.Methods A total of 120 postoperative patients with TC admitted to Jiangsu Provincial People’s Hospital from February 2020 to February 2021 were selected.The cancer fatigue scale(CFS)was used to evaluate the level of cancer-related fatigue in all patients at one month after surgery.Baseline data questionnaire was designed and the differences in CFS scores of patients with different baseline characteristics were compared,and the influencing factors of cancer-related fatigue in postoperative patients with TC were analyzed.Results A total of 120 questionnaires were distributed in this study,and 120 were successfully recovered with a successful recovery rate of 100%.The CFS score of 120 postoperative patients with TC was(28.61±14.53)points.The CFS score of high school or technical secondary school and above patients was higher than that of middle school and below patients,and the difference was statistically significant(P<0.05).The CFS scores of self-efficacy,social support,family function,and anxiety of 120 postoperative patients with TC were(81.17±26.42),(52.35±16.14),(150.33±44.23),and(61.20±18.75)points,respectively.Multiple linear regression results showed that self-efficacy(X_(1)),social support(X_(2)),family function(X_(3)),anxiety(X_(4)),and education level(X_(5))were the influencing factors of cancer-related fatigue in postoperative patients with TC.The equation was Y=37.340-0.117X_(1)-0.258X_(2)+0.107X_(3)+0.046X_(4)+0.476X_(5)(F=7082.316,R^(2)=0.997,adjusted R^(2)=0.997,P<0.05).The level model of cancer-related fatigue in postoperative patients with TC was established,the results showed that the total effects of self-efficacy,social support,family function,anxiety,and education level on cancer-related fatigue of postoperative patients with TC were-0.049,-0.135,0.061,0.015,and 0.198,respectively.The goodness of fit of the model was in line with the reference standard,and the fit of the model was good with the data(P<0.05).Conclusion The level of cancer-related fatigue in postoperative patients with TC is affected by self-efficacy,social support,family function,anxiety,education level,and other factors,which should be paid attention to and targeted intervention should be given in clinical practice.
作者
陆迎
寇美红
李金花
范伯强
夏燕燕
LU Ying;KOU Meihong;LI Jinhua;FAN Boqiang;XIA Yanyan(Department of Geriatric Oncology,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing 210029,China;Department of Thyroid and Breast Surgery,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing 210029,China;Department of Oncology,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing 210029,China;Department of Geriatrics,Jiangsu Provincial People’s Hospital,Jiangsu Province,Nanjing 210029,China)
出处
《中国医药导报》
CAS
2022年第29期73-76,89,共5页
China Medical Herald
关键词
甲状腺癌
癌因性疲乏
影响因素
结构方程
Thyroid carcinoma
Cancer-related fatigue
Influencing factors
Structural equation
