200例鼻咽癌同步放化疗患者负面社会期望现状及影响因素分析

Status quo and influencing factors of negative social expectation of patients with nasopharyngeal carcinoma undergoing concurrent radiotherapy and chemotherapy:a 200-case study

目的调查鼻咽癌同步放化疗患者负面社会期望现状,分析其影响因素。方法采用便利抽样法,于2021年1—6月选取在广西医科大学第一附属医院放疗科住院治疗符合纳排标准的200例鼻咽癌同步放化疗患者作为研究对象。采用一般资料调查表、癌症负面社会期望量表、领悟社会支持量表、疾病接受度量表对其进行调查,采用多重线性回归分析负面社会期望的影响因素。结果本组鼻咽癌同步放化疗患者负面社会期望得分总分为(18.00±5.64)分,多重线性回归分析结果显示,领悟社会支持(B=-0.354,P<0.001)、临床分期(B=1.108,P=0.019)、疾病接受度(B=-0.350,P<0.001)、症状数量(B=0.918,P=0.009)、鼻咽癌放疗次数(B=1.246,P<0.001)、无陪护及护工陪护(B=2.831,1.686;P<0.001,P=0.026)进入回归方程,共解释鼻咽癌同步放化疗患者负面社会期望水平总变异的60.8%。结论本组鼻咽癌同步放化疗患者负面社会期望得分处于中等水平,领悟社会支持、临床分期、疾病接受度、症状数量、鼻咽癌放疗次数、陪护状况是鼻咽癌同步放化疗患者负面社会期望水平的影响因素。临床护理工作者应重视并及时加以评估及干预,构建负面社会期望临床护理方案,降低患者负面社会期望水平。

Objective To investigate the status quo of negative social expectation of nasopharyngeal carcinoma patients undergoing concurrent radiotherapy and chemotherapy,and to analyze its influencing factors.Methods With convenient sampling,200 patients with nasopharyngeal carcinoma hospitalized in the radiotherapy department of the First Affiliated Hospital of Guangxi Medical University were selected from January to June 2021,and were surveyed by using General Information Questionnaire,Cancer-related Negative Social Expectation Scale,Perceived Social Support Scale,and the Acceptance of Illness Scale.Multiple linear regression was used to analyze the influencing factors of negative social expectation.Results The total score of negative social expectation in this group was 18.00±5.64.Multiple linear regression analysis showed that perceived social support(B=-0.354,P<0.001),clinical stage(B=1.108,P=0.019),disease acceptance(B=-0.350,P<0.001),number of symptoms(B=0.918,P=0.009),number of radiotherapy for nasopharyngeal carcinoma(B=1.246,P<0.001),and without accompanying and accompanied by nursing workers(B=2.831,1.686;P<0.001,P=0.026)entered the regression equation(P<0.05),which explained 60.8%of the total variation.Conclusion The score of negative social expectation of the patients with nasopharyngeal carcinoma undergoing concurrent radiotherapy and chemotherapy is at the middle level.Perceived social support,clinical stage,disease acceptance,number of symptoms,radiotherapy frequency of nasopharyngeal carcinoma,without accompanying and accompanied by nursing workers are the influencing factors of the negative social expectation.Timely assessment and intervention and clinical nursing plan for negative social expectations are conducive to reducing patients’negative social expectation.