食管癌放疗患者自我感受负担现状调查及影响因素分析

Survey of self-perceived burden status and analysis of its influencing factors in patients with esophageal cancer undergoing radiotherapy

目的:调查食管癌放疗患者自我感受负担现状,并分析其影响因素。方法:回顾性分析2019年9月至2021年9月该院162例食管癌放疗患者的临床资料,采用自我感受负担量表(SPBS)评估患者自我感受负担现状,统计有自我感受负担(SPBS评分≥20分)和无自我感受负担(SPBS评分<20分)患者的基线资料,采用Logistic回归分析食管癌放疗患者自我感受负担的影响因素。结果:162例食管癌放疗患者SPBS评分为16~47分,平均(33.14±5.91)分,其中103例患者有自我感受负担,占63.58%(103/162),59例患者无自我感受负担,占36.42%(59/162);有自我感受负担与无自我感受负担患者的性别、体质量指数、吸烟史、饮酒史、婚姻状况、医保、月收入占比比较,差异均无统计学意义(P>0.05);有自我感受负担患者的年龄≥60岁、文化水平为初中及以下、主要照顾者为家属、合并慢性疾病、放疗并发症>1种、同步化疗占比均高于无自我感受负担患者,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄≥60岁、主要照顾者为家属、合并慢性疾病、放疗并发症>1种、同步化疗均为影响食管癌放疗患者有自我感受负担的危险因素,文化水平较高为保护因素(P<0.05)。结论:年龄≥60岁、主要照顾者为家属、合并慢性疾病、放疗并发症>1种、同步化疗均为影响食管癌放疗患者有自我感受负担的危险因素,文化水平较高为保护因素。

Objective:To investigate self-perceived burden status and analysis of its influencing factors in patients with esophageal cancer undergoing radiotherapy.Methods:The clinical data of 162 patients with esophageal cancer undergoing radiotherapy in the hospital from September 2019 to September 2021 were retrospectively analyzed.The self-perceived burden scale(SPBS)score was used to evaluate the status of patients’self-perceived burden.The baseline data of the patients with self-perceived burden(SPBS score≥20 points)and those without self-perceived burden(SPBS score<20 points)were statistically analyzed.Logistic regression was used to analyze the influencing factors of self-perceived burden in the patients with esophageal cancer undergoing radiotherapy.Results:The SPBS score of the 162 patients with esophageal cancer undergoing radiotherapy was 16-47 points with an average of(33.14±5.91)points.Among them,103 patients had SPBS score≥20 points and had self-perceived burden,accounting for 63.58%(103/162),and 59 patients had SPBS score<20 points and had no self-perceived burden,accounting for 36.42%(59/162).There were no significant differences in gender,body mass index,smoking history,drinking history,marital status,medical insurance and monthly income among the patients with and without self-perceived burden(P>0.05).The proportions of the patients with self-perceived burden of≥60 years old,junior high school and below,family members as the main caregivers,chronic diseases,more than one radiotherapy complications,and concurrent chemotherapy were higher than those of the patients without self-perceived burden,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age≥60 years old,main caregivers,combined with chronic diseases,more than one radiotherapy complications,and concurrent chemotherapy were risk factors for self-perceived burden in the patients with esophageal cancer undergoing radiotherapy,and higher education level was a protective factor(P<0.05).Conclusions:Age≥60 years old,primary caregivers,chronic diseases,radiotherapy complications,and concurrent chemotherapy are all the risk factors for self-perceived burden in the patients with esophageal cancer undergoing radiotherapy,and higher education level is the protective factor.