胃癌术后患者癌因性疲乏与住院压力的相关研究

Cancer-related Fatigue and Hospitalization Pressure in Patients with Gastric Cancer after Operation

了解胃癌患者手术后癌因性疲乏和承受住院压力状况,并探讨两者之间的关系。方法:使用癌症疲乏量表(CFS)和住院压力源量表对343例胃癌病人进行测量。结果:病人在胃癌手术后仍有不同程度的疲劳,有15.5%达到严重疲劳,达到中度疲劳的有71.7%,轻度疲劳的有12.8%;术后胃癌病人的住院压力水平均不相同。多元逐步回归分析发现,胃癌术后病人的住院压力与认知疲劳无关,其余住院压力维度与癌因性疲乏(CRF)各维度均存在相关(P<0.01)。结论:胃癌术后病人存在各种心理和社会压力,且住院压力对患者的CRF存在影响。对病人的CRF与压力及时评估,有针对性地进行干预,能够帮助其正确应对心理社会压力和缓解疲乏症状,促进其生存质量的提高。

Objective: To investigate the status of cancer-related fatigue and hospitalization stress in patients with gastric cancer after operation, and to explore the relationship between them. Methods: 343 patients with gastric cancer were measured by Cancer Fatigue Scale (CFS) and Hospitalization Stress Source Scale. Results: The patients still had different degrees of fatigue after the operation of gastric cancer, 15.5% of them had severe fatigue, 71.7% had moderate fatigue and 12.8% had mild fatigue. The level of hospitalization pressure of patients with gastric cancer after the operation was different. Multivariate stepwise regression analysis showed that there was no correlation between hospitalization stress and cognitive fatigue in patients with gastric cancer after operation. The other dimensions of hospitalization stress were correlated with all dimensions of cancer-related fatigue (CRF)(P < 0.01). Conclusion: There are various psychological and social pressures in patients with gastric cancer after operation, and hospitalization pressure has an effect on CRF. The timely assessment of CRF and stress and targeted intervention can help patients cope with psychosocial stress and alleviate fatigue symptoms, and improve the quality of life.