老年肝癌患者肝动脉化疗栓塞术后疲劳恢复影响因素的相关性研究

The influencing factors of postoperative fatigue recovery in elderly patients with liver cancer aftertranscatheter arterial chemoembolization

目的 探讨老年肝癌患者肝动脉化疗栓塞术后疲劳恢复情况及影响因素。方法 采用便利抽样法选取2020年10月~2022年3月在某三级甲等医院住院治疗的老年肝癌患者80例,使用简明围术期疲劳评测量表(ICFS-10)进行调查,分别评估术前1 d、术后1、3、7、14、28 d疲劳发生情况,分析患者术后疲劳恢复的影响因素。结果 80例患者中,术后1 d疲劳评分最高(33.88±7.03)分,此后逐渐下降,术后14、28 d疲劳评分[(23.55±6.21)、(22.09±6.23)分]恢复正常。logistic回归分析显示,年龄、肿瘤转移是老年肝癌患者肝动脉化疗栓塞术后疲劳恢复的影响因素(P <0.05)。结论 老年肝癌患者肝动脉化疗栓塞术后1 d疲劳分值最高,随后逐渐恢复,恢复情况与年龄、肿瘤是否转移密切相关,可以通过积极止痛、有效退热等方法促进患者术后疲劳恢复。

Objective To investigate the status and influencing factors of postoperative fatigue recovery in elderly patients with liver cancer after transcatheter arterial chemoembolization(TACE).Methods A total of 80 elderly patients with liver cancer who were hospitalized in a Grade A hospital were recruited by convenience sampling method from October 2020 to March 2022.Short form of the Identity-Consequence Fatigue Scale(ICFS-10)were used for investigation.The fatigue scores were assessed 1d before TACE and 1d,3d,7d,14d and 28d after TACE.Demographic data,disease information and surgery information were collected to analyze the risk factors.Results Among the 80 patients,the fatigue score of 1 day after TACE was the highest(33.88±7.03),and then recovered(23.55±6.21 and 22.09±6.23)during 14 to 28 days after TACE.Logistic regression analysis identified age and tumor metastasisas risk factors of postoperative fatigue recovery(P<0.05).Conclusions The fatigue score of 1 day in elderly patients with liver cancer after TACE is the highest.The recovery is closely related to age and tumor metastasis.Active analgesia and effective antipyretic methods can be used to promote fatigue recovery.