三层次需求调查问卷对终末期妇科恶性肿瘤姑息治疗需求的调查

A survey of palliative care needs for patients with end-stage gynaecologic cancer by using the three-levels-of needs questionnaire

目的通过运用三层次需求调查问卷(the three levels of needs questionnaire,3LNQ)评估妇科恶性肿瘤终末期患者肿瘤相关症状存在的情况以及相应的需求,为护理临床实施有效的终末期姑息治疗方案提供客观依据,从而提升妇科恶性肿瘤终末期患者的生存质量。方法运用基本信息采集表、健康状况简表(SF-36)、3LNQ陆续对70例妇科恶性肿瘤3期及4期患者进行横断面调查研究,同时了解其肿瘤相关症状存在的情况以及相应的需求。结果受访患者的平均年龄(61±9.26)岁,其中65.7%被诊断为卵巢癌。在这些患者中,87.1%感觉自己是家庭的负担。最普遍存在的症状是疲劳,且很大程度上并未得到足够的重视和及时的干预。结论终末期妇科恶性肿瘤患者普遍感觉疲劳且大多存在一定程度上的精神困扰,在问卷调查结果基础上有针对性的姑息治疗方案有益于提高终末期妇科恶性肿瘤患者的生存质量。

Objective To identity the status of cancer-related symptoms and needs of patients with end-stage gynaecologic cancer by using a three-levels-of-needs questionnaire （3LNQ） in order to provide the objective evidences for effective end-stage pallia- tive care protocols in clinical nursing, and to improve life quality of the patients. Methods A total of 70 patients with III-IV stage gynaecologic cancer were included in the cross-sectional study. A data collection form, a short-form medical outcomes health survey （SF-36） ,and 3LNQ were used to collect data and identify the cancer-related symptoms and palliative care needs. Results The mean age of participants was （61 ± 9. 26） years old. 65.7% of these patients were diagnosed as ovarian cancer. Further,87. 1% of these pa- tients expressed feeling that they burdened their families. The most prevalent problems were tiredness. The symptoms got no close atten- tion and timely intervention to a great extent. Conclusion The most prevalent problems found among end-stage gynaecologic cancer pa- tients were tiredness, and most of them had spiritual distress to a certain extent. Based on questionnaire results, targeted palliative care is beneficial to improve life quality of the patients.