老年癌症患者的自我感受负担现状及其影响因素分析

Current situation and influencing factors of self-perceived burden in elderly patients with cancer

目的探讨老年癌症患者自我感受负担现状，并分析其影响因素。方法采用横断面调查法选取2016年5月1日-2017年9月30日在哈尔滨医科大学附属肿瘤医院住院的240例老年癌症患者作为研究对象，使用一般资料调查问卷、自我感受负担量表（SPBS）对研究对象进行调查，使用多因素回归分析探讨老年癌症患者自我感受负担的影响因素。结果老年癌症患者自我感受负担总分为（37．11±5．15）分，处于中等水平。医疗费用支付方式、治疗方式、病程以及合并慢性病数量是老年癌症患者自我感受负担的主要影响因素。结论老年癌症患者自我感受负担得分总体处于中等水平，医护人员应根据患者具体情况，制定个体化方案来降低老年癌症患者自我感受负担，最大程度改善患者生活质量。

Objective To investigate the current situation of self-perceived burden and the related influencing factors in elderly patients with cancer. Methods A total of 240 elderly patients with cancer who were treated in Harbin Medical University Cancer Hospital from 1st May 2016 to 30th September 2017 were collected in the cross-sectional survey. The general survey questionnaire and Self-Perceived Burden Scale （SPBS） were used to investigate the participants. The multivariate regression analysis was performed to explore the influencing factors for self-perceived burden. Results The total score of self-perceived burden was at a moderate level of （37.11 ± 5.15）. The multivariate analysis showed that the main influencing factors for self-perceived burden included medical expenses payment, treatment method, duration of disease, and number of combined chronic diseases. Conclusions The self-perceived burden of elderly cancer patients is generally at a moderate level. Medical Staffs should formulate individualized plans to reduce the self-perceived burden of cancer in elderly patients and improve the quality of life according to their specific conditions.