妇科恶性肿瘤患者不同治疗阶段支持性照顾需求的调查分析

A study on the supportive care needs of gynecological malignant tumors

目的了解不同治疗阶段妇科恶性肿瘤患者支持性照顾需求变化,为制订针对性干预策略提供依据。方法采用一般资料调查表和支持性照顾需求问卷对重庆市3所三级甲等医院的138例初诊妇科恶性肿瘤患者于确诊时、确诊后3个月、确诊后6个月进行跟踪调查。结果妇科恶性肿瘤患者支持性照顾需求各维度除生理与日常生活需求、心理需求维度外,各维度得分在确诊后3个月均呈下降趋势,照顾与支持需求及性需求维度在确诊后6个月出现回升趋势,各维度3个时间点差异均具有统计学意义(P<0.01或P<0.05)。结论妇科恶性肿瘤患者在疾病进展和治疗过程中支持性照顾需求呈现动态变化趋势,建议动态评估患者需求,做好每一阶段相关症状的预防和针对性护理工作。

Objective To investigate the dynamic changes of supportive care needs of gynecologiea in different treatment stages, so as to provide basis for developing intervention strategies. Methods A total of 138 gynecologic malignant tumors in three 3A - level hospitals of Chongqing were investigated with a self - designed general information questionnaire and supportive care needs questionnaire at newly diagnosed ,3 months after diagnosis and 6 months after dagnosis. Results Except the physical and daily living domain and psychological domain, the supportive caring needs domains showed a decreased trend at 3 months after diagnosis ,patient care and support domain showed a increased trend at 6 months after diagnosis. The score of supportive earing needs in gynecologic malignant tumors among three time points showed significant difference （ P 〈 0.01 or P 〈 0.05 ）. Conclusion Gynecologic malignant tumors in the course of disease pro- gression and treatment supportive care needs show a dynamic change trend, medical staff should grasp the clinical features of supportive care needs and provide targeted nursing to improve the life quality of the patients.