肿瘤患者实施化疗依从性的影响因素临床分析

Clinical analysis of influencing factors of chemotherapy compliance in patients with tumor

目的分析肿瘤患者实施化疗依从性的影响因素。方法选择2016年1月~2016年12月实施化疗的120例恶性肿瘤患者作为研究对象,进行随访,评估化疗依从性情况,比较依从性好与依从性差的患者自身因素包括年龄、性别、经济收入、肿瘤认知程度、家庭支持、心理反应、化疗药物不良反应等因素上的差异。结果 120例患者化疗依从性优60例、依从性可20例、依从性差40例,依从性好占66.67%,依从性差占33.33%。依从性差组肿瘤认知差55.00%、心理反应差40.00%、药物不良反应90.00%,高于依从性好组的25.00%、20.00%、75.00%(P<0.05),依从性差组患者月收入平均低于依从性好组(P<0.05)。结论肿瘤患者化疗过程中部分患者依从性差,影响因素复杂,应实施相应措施化疗依从性。

Objective To analyze the influencing factors of chemotherapy compliance in patients with tumor.Methods Choosing 120 cases of malignant tumor patients with chemotherapy as the research objects,following them up and evaluating their compliance of chemotherapy.Comparing the differences between the patients with good compliance and those with bad compliance from their personal factors,including age,gender,income,tumor awareness,family support,psychological reaction and adverse reaction of drug treatment.Results There are 60 cases in 120 have excellent chemotherapy compliance.20 cases have general compliance and 40 cases with poor compliance.It means that the good compliance and the poor compliance accounts for 66.67%and 33.33%respectively.In the group with poor compliance,the figures for cognitive impairment(55%),inferior psychological response(90%)and adverse drug reactions(40%)are higher than those in the good compliance group 25.00%,20.00%,75.00%(P<0.05).Poor compliance patients’average monthly income is(2 509.40±197.39)yuan,less than the good compliance group(3 428.20±204.28)yuan(P<0.05).Conclusion In the course of chemotherapy,some patients’complianceare poor and the influencing factors are complex.Corresponding measures should be taken to comply with chemotherapy.