鼻咽癌同步放化疗患者孤独感现状及影响因素分析

The status and determinants of loneliness in patients with nasopharyngeal carcinoma receiving concurrent chemoradiotherapy

目的了解鼻咽癌同步放化疗患者孤独感现状及影响因素,为针对性干预提供参考。方法对252例鼻咽癌同步放化疗患者,采用一般资料调查表、癌症孤独感量表、恐惧疾病进展简化量表、癌症疲乏量表进行调查,分析孤独感影响因素。结果患者癌症孤独感得分为19.82±3.03,多元线性回归分析结果显示,年龄、居住状态、症状数量、癌症疲乏、恐惧疾病进展为患者癌症孤独感的影响因素(调整R 2=0.552;P<0.05,P<0.01)。结论患者癌症孤独感处于中等水平,护理人员应予以重视,重点关注年龄较大、独居,存在多种并发症、疲乏、恐惧疾病进展患者,早评估、早干预,以缓解其癌症孤独感。

Objective To identify the level and determinants of loneliness in patients with nasopharyngeal carcinoma receiving concurrent chemoradiotherapy,and to provide reference for targeted intervention.Methods A total of 252 patients with nasopharyngeal carcinoma receiving concurrent chemoradiotherapy were surveyed by using a general information questionnaire,Cancer Loneliness Scale,Fear of Progression Questionnaire-Short Form,and Cancer Fatigue Scale.Results The score of cancer loneliness was(19.82±3.03).Multiple linear regression analysis showed that age,housing status,number of symptoms,cancer-related fatigue,and fear of disease progression were influencing factors of loneliness(adjusted R 2=0.552;P<0.05,P<0.01).Conclusion Patients with nasopharyngeal cancer experience moderate level of loneliness.Nursing staff should pay attention to this issue,particularly those who are older,who live alone,who have coexisting complications,who experience fatigue and fear of disease progression,to perform early assessment and intervention aiming to alleviate their loneliness.