应用3LNQ评估卵巢癌患者姑息治疗的需求

Application of three-levels-of-needs questionnaire for assessing palliative treatment needs in patients with ovarian cancer

目的应用三层次需求调查问卷(3LNQ)评估卵巢癌患者肿瘤相关症状存在的情况及相应需求,为在临床护理工作中实施更具针对性的姑息性辅助治疗方案提供客观依据,从而提升治疗卵巢癌的整体疗效。方法选取2014年3月至2016年9月该院妇科病房收治的住院治疗的卵巢癌患者93例。排除因沟通不良导致问卷结果不可靠3例,在工作人员协助下仍无法完成问卷4例,最终获得有效问卷86例。应用基本信息采集表、简明健康状况调查问卷、3LNQ等对86例卵巢癌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及相应需求。结果 86例卵巢癌患者平均年龄(57.00±7.37)岁,肿瘤分期为2期40例(46.5%),3~4期46例(53.5%);目前没有任何性行为65例(75.6%),对性行为没有渴望63例(73.3%),认为身体状况和医学治疗影响了性生活24例(27.9%);感觉自己增加了家庭负担70例(81.4%),感到孤独31例(36.0%)。患者最普遍存在且常被忽视的症状是疲劳。结论卵巢癌患者性需求降低、疲劳发生率较高,且并未得到及时的指导和干预,亟待在临床护理工作中为之提供更具针对性的姑息治疗方案,以满足卵巢癌患者的需求,从而最大限度地提升疗效和患者生活质量。

Objective To apply the three levels of needs questionnaire（3LNQ）to assess the existence situation of tumor-related symptoms and corresponding needs to provide the objective evidences for implementing more targeted palliative adjuvant therapeutic scheme,thus increase the overall treatment effects of ovarian cancer.MethodsA total of 93 inpatients with ovarian cancer in the department of gynecology and obstetrics of this hospital from March 2014 to September were selected.Three cases were excluded due to unreliable questionnaires caused by poor communication.Four cases still did not complete the questionnaire under the staff′s assistance.Finally 86 cases of effective questionnaire were obtained.The basic information collection table,concise health status questionnaire and 3LNQ were used to conduct the cross-sectional investigation on 86 patients with ovarian cancer,meanwhile the existence situation of tumor-related symptoms and corresponding needs were understood.ResultsThe mean age in 86 cases of ovarian cancer was（57.00±7.37）years old,in the tumor stage,40 cases（46.5%）were stage 2 and 46 cases（53.5%）were stage 3-4.Among them,65 cases（75.6%）had no sexual behavior,63 cases（73.3%）had no thirst for sexual behavior,24 cases（27.9%）thought that the body status and medical treatment affected the sexual life,70 cases（81.4%）felt that oneself increased the family burden,31 cases（36.0%）felt lonely.The most prevalent and easily neglected symptom in the patients was tiredness.Conclusion The sexual need is decreased in the patients with ovarian cancer,the tiredness occurrence rate is higher,moreover which do not obtain timely direction and intervention.It is urgently need to offer more targeted palliative therapeutic scheme in the clinical nursing works for satisfying their demands,thus maximally elevate the curative effect and living quality.