摘要
目的调查宫颈癌放疗患者家庭功能和癌因性疲乏的现况,分析癌因性疲乏的影响因素。方法应用一般情况调查表、疾病相关因素调查表、家庭功能评定量表和疲劳评定量表,采用配额抽样法对新疆乌鲁木齐市3所三级甲等医院放疗科的124例宫颈癌患者进行调查。结果 85例患者存在中、重度家庭功能障碍,72例患者存在中、重度癌因性疲乏,患者的家庭功能总分与癌因性疲乏总分呈正相关(r=0.759,P<0.05)。多元逐步回归分析显示,家庭功能、年龄、医疗付费方式、血清钾水平、工作情况、健康教育、放疗不良反应和白细胞水平是宫颈癌放疗患者癌因性疲乏的主要影响因素(P<0.05);结论宫颈癌放疗患者家庭功能越低,患者的癌因性疲乏程度越重。提高家庭成员对患者的关爱,对于高龄、自费、文化程度偏低及治疗期间继续工作的患者和合并代谢紊乱并伴有放疗不良反应的患者,早期应考虑对其癌因性疲乏实施干预,帮助她们预防和减轻疲乏。
Objective To survey the current status of family functioning and cancer-related fatigue of patients with cervical cancer and to analyze the influence factors of cancer-related fatigue. Methods With general questionnaires, disease-related factors questionnaires, Family Assessment Device and Fatigue Assessment Instrument, we employed a quota sampling method to investigate 124 cervical cancer patients in radiotherapy departments of Class Ⅲ GradeⅠ hospitals in Urumqi, Xinjiang. Results Medium and heavy family dysfunction was found among 85 patients and medium and heavy cancer-related fatigue among 75 patients. Pearson correlation analysis showed there was a positive correlation between patients ’ family function and cancer related fatigue (r=0.759, P〈0.01). Multiple regression analysis showed that family functioning, age, medical payment method, serum potassium level, jobs, health education, side effects of chemotherapy, family care and white blood cell level were the main influence factors of cancer related fatigue(P〈0.05). Conclusion The lower the family function of patients with cervical cancer, the heavier the patients with cancer-related fatigue. More care from family members contributes to the improvement of cancer-related fatigue. For those with advanced age, at their own expense, with less education, those continuing to work during chemotherapy and those with metabolic disorders accompanied by adverse reaction, early intervention would help them prevent and reduce fatigue.
出处
《护理学报》
2014年第19期15-18,共4页
Journal of Nursing(China)
基金
新疆维吾尔自治区科技支撑计划项目(201142165)
关键词
宫颈癌
癌因性疲乏
家庭功能
cervical cancer
cancer-related fatigue
family functioning