子宫内膜癌患者化疗期间主观幸福感调查

Investigation on Subjective Well-being of Endometrial Cancer Patients during Chemotherapy

目的:调查子宫内膜癌(EC)患者化疗期间主观幸福感现状。方法:选取2022年1月—2023年2月于华中科技大学同济医学院附属同济医院实施化疗的93例EC患者,收集患者基本资料,采用中文版主观真实-持续幸福感量表(SA-DHS)评估主观幸福感,并进行单因素分析与多元线性回归分析EC患者化疗期间主观幸福感影响因素。结果:93例EC患者化疗期间SA-DHS得分为(39.20±4.18)分;初中及以下文化程度、肿瘤分期Ⅲ期和Ⅳ期、化疗次数>2次、有不良反应、人均月收入<4000元、消极应对、家庭关怀度低EC患者SA-DHS得分更低,差异有统计学意义(P<0.05);多元线性回归分析结果显示,初中及以下文化程度、肿瘤分期Ⅲ期和Ⅳ期、化疗次数>2次、不良反应、人均月收入<4000元、消极应对、家庭关怀度低是EC患者化疗期间主观幸福感的独立影响因素(P<0.05)。结论:EC患者化疗期间主观幸福感处于中等水平,其与文化程度、肿瘤分期、化疗次数、不良反应、人均月收入、应对方式、家庭关怀度等因素相关,应加强健康教育与心理疏导,采取相关应对措施,促进患者主观幸福感提升。

Objective:To explore the subjective well-being status of endometrial cancer(EC)patients during chemotherapy.Method:A total of 93 EC patients who received chemotherapy in Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 2022 to February 2023 were selected,their basic data were collected,subjective well-being was assessed using the Chinese version of the subjective authenticity-continuing happiness scale(SA-DHS),and univariate analysis and multiple linear regression analysis were used to analyze the factors affecting subjective well-being during chemotherapy in EC patients.Result:The SA-DHS score of 93 EC patients during chemotherapy was(39.20±4.18)points;the SA-DHS scores of EC patients with education level in junior high school or below,tumor stageⅢandⅣ,chemotherapy frequency>2 times,adverse reactions,per capita monthly income<4000 yuan,negative coping,low family care were lower,the differences were statistically significant(P<0.05);the results of multiple linear regression analysis showed that the independent influencing factors for subjective well-being of EC patients during chemotherapy were education level in junior high school or below,tumor stageⅢandⅣ,chemotherapy frequency>2 times,adverse reactions,per capita monthly income<4000 yuan,negative coping,and low family care(P<0.05).Conclusion:The subjective well-being of EC patients during chemotherapy is at a moderate level,which is related to factors such as education level,tumor staging,chemotherapy frequency,adverse reactions,per capita monthly income,coping styles and family care,health education and psychological counseling should be strengthened,and relevant coping measures should be taken to promote the improvement of patients'subjective well-being.