机器人辅助前列腺癌根治术患者支持性照护未满足需求现状及影响因素研究

The current situation and influencing factors of unmet demand for supportive care in patients undergoing robot-assisted radical prostatectomy

目的调查机器人辅助前列腺癌根治术后患者支持性照护未满足需求现状,分析其影响因素。方法采用一般资料调查表、癌症患者未满足需求简明量表、医学应对方式问卷、医院焦虑抑郁量表对上海市某三级甲等综合性医院的248例机器人辅助腹腔镜前列腺癌根治术后患者进行调查。结果患者术后未满足照护需求得分为(61.96±16.82)分;患者应对方式、焦虑、抑郁与癌症患者未满足需求得分呈正相关(P<0.05);多元线性回归分析显示,Gleason评分、回避、焦虑、抑郁是前列腺癌术后患者未满足需求的主要影响因素(P<0.05)。结论机器人辅助前列腺癌根治术后患者未满足的支持性照护需求处于中等水平,可针对焦虑、抑郁评分高、Gleason评分高、采用回避应对方式的患者进行个体化干预与管理。

Objective To investigate the unment need for supportive care in patients undergoing robot-assisted laparoscopic radical resection for prostate cancer and analysis its influencing factors.Methods A total of 248 prostate cancer patients from a grade A general hospital in Shanghai was investigated through the general information questionnaire,the Short-Form Survivor Unmet Needs Survey(SF-SUNS),Medical Coping Modes Questionnaire(MCMQ)and Hospital Anxiety and Depression Scale(HADS)after radical robot-assisted laparoscopic surgery.Results The total score of unmet care need was(61.96±16.82),which was positively correlated with patients'coping style,the status of anxiety and depression(P<0.05).The regression analyses revealed that Gleason score,avoidance coping,anxiety and depression were the main influencing factors for unmet needs of supportive care in prostate cancer patients(P<0.05).Conclusion Unmet supportive care needs of patients after robot-assisted laparoscopic radical prostatectomy for prostate cancer is at a moderate level,and individualized interventions and management can be targeted at patients with high anxiety and depression,high Gleason scores,and those who used avoidant coping styles.