陪护对化疗患者恢复的影响

The effect of caregiver on the recovery of patient after chemotherapy

目的观察肿瘤患者化疗后陪护人员的需求及对患者生理和心理的影响。方法将纳入化疗1或2疗程的60例肿瘤患者作为研究对象。按有无陪护理将患者分为有陪护37例和无陪护组23例,患者在化疗后进行鹿特丹症状量表的评估(RSCL)。结果 62%的患者需要陪护。有陪护和无陪护两组患者年龄比较无统计学差异(P>0.05),有陪护患者中男性患者少于女性患者(P<0.05),无陪护患者男性和女性之间没有统计学差异(P>0.05),男性患者有陪护和无陪护两组之间没有统计学差异(P>0.05),女性患者有陪护患者多于无陪护患者(P<0.05)。有陪护患者化疗后RSCL评分生理调查和心理调查高于无陪护患者(P<0.05)。结论研究结果提示50%以上化疗后患者在恢复期需要陪护,并且女性患者比男性患者更需要陪护人员的帮助,陪护可对肿瘤化疗患者生理和心理产生较大影响。但陪护的照顾并不能减轻患者化疗后的临床症状。

Objective To investigate the availability of caregiver in the recovery of patients after chemotherapy and the differences between patients with and without caregiver in the symptoms.Methods 60 patients were recruited during cycles 1or 2of adjuvant chemotherapy.Participants completed a modified version of the Rotterdam Symptom Checklist（RSCL）the day after chemotherapy.Results 62% patients needed caregiver.More women（68%）than man（52%）had a caregiver（P〈0.05）.The extend to which overall physical and phychological symptoms were experienced was higher for patients with caregiver than without（P〈0.05）.Conclusion These findings highlights that more than half of the patients after chemotherapy need caregiver.The female patients need caregiver more than male.But the caregiver cannot make the extend of symptoms to a lower degree.