老年肿瘤患者急救与康复需求分析

Analysis on the needs of first aid and rehabilitation of elderly cancer patients

目的通过研究老年肿瘤患者急救需求,分析其治疗和康复需求情况。方法对2015年1月至2019年12月接诊的1756例老年恶性肿瘤病例进行数据整理,并使用SPSS 25.0软件进行数据分析,对逐年构成比采用趋势χ^(2)检验,当P<0.05时差异有统计学意义。结果按年为单位,去除单人每年多次接诊人次数193人次,2015年1月至2019年12月累计接诊1563人次,男女比例为1.77∶1,男女逐年构成比上差异无统计学意义(P>0.05);按年龄段划分,在年龄构成比上,65~74岁年龄组占比逐年增加,差异有统计学意义(P=0.023);因病需要呼叫救护车的恶性肿瘤其总出车数排名前五位的为支气管和肺恶性肿瘤、胃恶性肿瘤、肝和肝内胆管恶性肿瘤、结肠恶性肿瘤、前列腺恶性肿瘤,其中前列腺恶性肿瘤患者呼救数逐年构成比呈明显上升趋势,差异有统计学意义(P<0.05);因肿瘤原因导致呼叫救护车,排名前五位的的主诉分别是常规疗养、气喘/气促、腹痛/腹胀、心脏骤停、转往上级医院,其中常规疗养逐年构成比呈上升趋势,而气喘/气促逐年构成比呈下降趋势,差异有统计学意义(P<0.05)。结论加强对肿瘤针对性康复治疗体系的投入,让老年肿瘤患者的生活质量得以切实提高。

Objective To analyze the treatment and rehabilitation needs of elderly cancer patients by studying their emergency needs.Methods The data of 1756 elderly patients with malignant tumor from January 2015 to December 2019 were sorted out and analyzed by SPSS 25.0 software.The year-on-year constituent ratio was analyzed by trend chi square test.When P<0.05,the difference was statistically significant.Results According to the annual unit,excluding the number of multiple visits per year by single person,1563 person times were received from January 2015 to December 2019,and the ratio of male and female was 1.77∶1,and there was no significant difference in the composition ratio of male and female(P>0.05);according to the age group,the proportion of 65~74 year old age group increased year by year,the difference was statistically significant(P=0.023);calling due to illness was necessary The top five of the total number of ambulances were bronchial and lung malignant tumors,stomach malignant tumors,liver and intrahepatic bile duct malignant tumors,colon malignant tumors and prostate malignant tumors.The proportion of patients with prostate cancer calling for help showed an obvious upward trend year by year,the difference was statistically significant(P<0.05)The top five chief complaints were routine recuperation,asthma/shortness of breath,abdominal pain/abdominal distension,cardiac arrest and transfer to higher level hospitals.The proportion of routine recuperation increased year by year,while the proportion of asthma/shortness of breath decreased year by year,the difference was statistically significant(P<0.05).Conclusion Strengthening the investment in targeted rehabilitation treatment system can effectively improve the quality of life of elderly cancer patients.