老年胸部肿瘤住院患者自我感受负担与生活质量、社会支持的关系

Relation of Self-Perceived Burden to Quality of Life and Social Support in Hospitalized Elderly Patients with Thoracic Tumor

目的:调查住院老年胸部肿瘤患者的自我感受负担、生活质量及社会支持现状,并探讨其相关关系及影响因素。方法:选取2018年4月至2019年12月在我院干部病房住院治疗的128例年龄≥65岁胸部肿瘤患者作为研究对象,采用癌症患者自我感受负担量表(Self-Perceived Burden Scale for Cancer Patients,SPBS-CP)、生活质量评估量表(World Health Organization Quality of Life-100,WHOQOL-100)和社会支持问卷(Social Support Revalued Scale,SSRS)分别评价患者的自我感受负担、生活质量及社会支持水平。组间比较采用t检验,相关性分析采用Pearson相关检验。结果:住院老年胸部肿瘤患者的SPBS-CP量表总分为(79.5±20.6)分,自我感受负担各因子排序依次为:照护负担、家庭负担、经济负担、治疗负担、心理/情感负担。住院老年胸部肿瘤患者的总体健康状况和生活质量评分,以及生理维度、心理维度、独立性维度、社会关系维度、环境维度和精神/宗教信仰维度得分均明显低于常模组,差异均有统计学意义(均P<0.05)。住院老年胸部肿瘤患者的社会支持度处于中度水平,其客观支持维度、主观支持维度和对社会支持的利用维度得分均明显低于常模组,差异均有统计学意义(均P<0.05)。住院老年胸部肿瘤患者自我感受负担总分及照护负担、经济负担、家庭负担、心理/情感负担、治疗负担各维度分与生活质量、社会支持度得分之间均呈负相关关系(均P<0.05)。结论:住院老年胸部肿瘤患者的自我感受负担、生活质量普遍偏低,生活质量及社会支持与患者的自我感受负担相关。

Objective:To investigate the status of self-perceived burden,quality of life and social support of hospitalized elderly patients with thoracic tumor,and explore their correlations and influencing factors.Methods:128 elderly patients with thoracic tumor aged 65 years and older who were hospitalized in the cadre ward of our hospital from April 2018 to December 2019 were selected as the research objects.The Self-Perceived Burden Scale for Cancer Patients(SPBS-CP),the World Health Organization Quality of Life-100(WHOQOL-100)and Social Support Revalued Scale were used to evaluate self-perceived burden,quality of life and social support,respectively.t test was used for the comparison between groups,and Pearson correlation test was used for correlation a nalysis.Results:The total score of the SPBS-CP scale for elderly inpatients with thoracic tumors was 79.5±20.6.The SPBS-CP consists of five domains:caring burden,family burden,economic burden,treatment burden and psychological burden.Scores in the overall quality of life and general health,the physical health domain,the psychological domain,the level of independence domain,the social relationships domain,the environment domain and the spirituality/religion/personal be-liefs domain exceeded those in the norm,and the differences were statistically significant(P<0.05).The social support of hospitalized elderly patients with thoracic tumor was at a moderate level.Scores in objective support,subjective support,and the utilization of support exceeded those of the norm,and the difference was statistically significant(P<0.05).Scores of self-perceived burden of all dimensions were negatively correlated to quality of life and social support of hospitalized elderly patients with thoracic tumor(P<0.05).Conclusion:Self-perceived burden and quality of life of hospitalized elderly patients with tho-racic tumor are generally low,quality of life and social support have impacts on self perceived burden of patients.