摘要
目的分析肺癌化疗患者癌因性疲乏的影响因素并制订相应的护理对策。方法纳入2022年1月—2023年12月在医院接受化疗的90例肺癌患者。通过一般资料调查量表收集患者基本信息,使用Piper疲乏修订量表(RPFS)评估患者的癌因性疲乏状况。利用多因素Logistic回归分析模型,筛选出肺癌化疗患者癌因性疲乏的影响因素,并制订针对性的护理对策。结果90例患者中,中重度组癌因性疲乏49例(54.44%),轻度组癌因性疲乏41(45.56%)例。单因素分析结果显示,年龄、婚姻状况、疼痛(VAS)评分、合并慢性病种类、家庭功能(APGAR)评分、抑郁、TNM分期、社会支持(SSRS)评分比较差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、婚姻、VAS评分、合并慢性病种类、APGAR评分、抑郁、TNM分期、SSRS评分是肺癌化疗患者癌因性疲乏的影响因素(P<0.05)。结论肺癌化疗患者普遍存在不同程度的癌因性疲乏,特别是在年龄较大、无配偶、疼痛评分过高、多种慢性病、家庭功能障碍、抑郁症状、晚期癌症分期及低社会支持的患者中更为明显。对这些影响因素加强针对性护理干预措施,以减轻患者的癌因性疲乏程度。
Objective To analyse the influencing factors of cancer-caused fatigue in lung cancer chemotherapy patients and develop corresponding nursing countermeasures.Methods Ninety lung cancer patients who received chemotherapy in the hospital from January 2022 to December 2023 were included.Patients'general information was collected through a general information questionnaire,and the Revised Piper Fatigue Scale(RPFS)was used to assess the cancer-caused fatigue status.A multifactor Logistic regression analysis model was used to screen out the influencing factors and to develop targeted nursing countermeasures.Results Among 90 patients,49 cases(54.44%)of cancer-caused fatigue were found in the moderately severe group,and 41 cases(45.56%)of cancer-caused fatigue were found in the mild group.The results of univariate analysis showed statistically significant differences in the comparison of age,marital status,pain(VAS)score,type of comorbid chronic disease,family function(APGAR)score,depression,TNM staging,and social support(SSRS)scores(P<0.05).Multifactor Logistic regression analysis showed that age,marriage,VAS score,type of comorbid chronic disease,APGAR score,depression,TNM stage,and SSRS score were the influencing factors of cancer-caused fatigue in lung cancer chemotherapy patients(P<0.05).Conclusion Cancer-caused fatigue was prevalent in lung cancer chemotherapy patients to varying degrees,older,without spouses,with high pain scores,multiple chronic diseases,family dysfunction,depressive symptoms,advanced cancer stage,and low social support.Enhanced targeted nursing interventions for these influencing factors are needed to reduce cancer-caused fatigue in patients.
作者
崔晓静
黄秀
周丽
陈澄澄
张丹
赵岚
CUI Xiaojing;HUANG Xiu;ZHOU Li;CHEN Chengcheng;ZHANG Dan;ZHAO Lan(Xuzhou Traditional Chinese Medicine Hospital,Xuzhou 221003,China)
出处
《护理实践与研究》
2025年第6期849-854,共6页
Nursing Practice and Research
基金
江苏省卫生健康委员会医学科研立项项目(编号:M2022007)。
关键词
肺癌
化疗
癌因性疲乏
影响因素
护理对策
Lung cancer
Chemotherapy
Cancer-caused fatigue
Influencing factors
Nursing countermeasures
