老年晚期肺癌患者累赘感知影响因素分析及与预期性悲伤和自尊的相关性研究

Analysis of influencing factors of perceived burdensomeness in elderly patients with advanced lung cancer and its correlation with preparatory grief and self-esteem

目的调查老年晚期肺癌患者累赘感知现状及影响因素。方法选取286例老年晚期肺癌患者,评估累赘感知、预期性悲伤和自尊水平,分析累赘感知与预期性悲伤和自尊的相关性。采用多元线性回归分析累赘感知的影响因素。结果老年晚期肺癌患者累赘感知评分、预期性悲伤总分和自尊评分分别为(21.63±5.44)分、(48.75±4.78)分和(27.12±5.26)分。Pearson相关性分析显示,患者累赘感知评分与预期性悲伤总分正相关(r=0.512),与自尊评分负相关(r=-0.560),P均<0.05。回归分析显示,预期性悲伤总分(B=0.340)、自尊评分(B=-0.307)、婚姻状况(B=1.891)、吸烟史(B=1.271)、是否有经济来源(B=1.280)、家庭月收入(B=-1.223,-1.711)和病程(B=1.242,2.117)是累赘感知评分的影响因素(P均<0.05)。结论老年晚期肺癌患者累赘感知处于较高水平,与预期性悲伤水平正相关,与自尊水平负相关。预期性悲伤、自尊、婚姻状况、吸烟、是否有经济来源、家庭月收入和病程均是老年晚期肺癌患者累赘感知的影响因素,应根据影响因素进行个体化干预。

Objective To investigate the status of perceived burdensomeness and to analyze it′s influencing factors in elderly patients with advanced lung cancer.Methods 286 elderly patients with advanced lung cancer were selected as the subjects,and the levels of perceived burdensomeness,preparatory grief,and self-esteem were evaluated.Correlation between patients′perceived burdensomeness and preparatory grief and self-esteem was analyzed.Multivariate linear regression was used to analyze the influencing factors of perceived burdensomeness.Results The score of perceived burdensomeness,the total score of preparatory grief,and a score of self-esteem in elderly patients with advanced lung cancer were(21.63±5.44)points,(48.75±4.78)points,and(27.12±5.26)points,respectively.Pearson correlation analysis showed that the score of perceived burdensomeness was positively correlated with the total score of preparatory grief(r=0.512)and negatively correlated with the self-esteem score(r=-0.560),all P<0.05.Linear regression analysis showed that the total score of preparatory grief(B=0.340),self-esteem score(B=-0.307),marital status(B=1.891),smoking history(B=1.271),whether there is an economic source(B=1.280),family monthly income(B=-1.223,-1.711),and course of disease(B=1.242,2.117)were all influencing factors of perceived burdensomeness(all P<0.05).Conclusion The perceived burdensomeness in elderly patients with advanced lung cancer is at a high level,which is positively related to the level of preparatory grief and negatively related to the level of self-esteem.Anticipatory grief,self-esteem,marital status,smoking,whether there is an economic source,family monthly income,and the course of the disease are all influencing factors for perceived burdensomeness,and we should carry out individualized intervention according to influencing factors.