淋巴瘤幸存者支持性照护需求的混合研究

Supportive care needs of lymphoma survivors:a mixed study

目的了解淋巴瘤幸存者的支持性照护需求现状和影响因素,为针对性干预提供参考。方法采用聚敛式混合研究,采用癌症患者支持性照护需求量表对260例患者进行面对面或电话问卷调查;采用质性研究对15例患者进行半结构化访谈。结果淋巴瘤幸存者的支持性照护需求总分72.63±16.14。多元回归分析显示,婚姻、距离治疗结束时间、家庭月均收入、文化程度是患者支持性照护需求的主要影响因素(P<0.05)。提炼出信息需求、心理需求、生理需求、照顾与支持需求、社会实际需求5个主题。结论淋巴瘤幸存者支持性照护需求呈中低水平,支持性照护需求多样。医护人员应针对主要影响因素和患者个性化需求提供持续性护理支持。

Objective To investigate the supportive care needs and associated factors among lymphoma survivors,and to provide reference for targeted intervention.Methods A convergent mixed methods design was used.A total of 260 lymphoma survivors received face-to-face or telephone survey to complete the Supportive Care Need Survey.Then semi-structured interviews were conducted among 15 participants.Results The sample scored 72.63±16.14 on supportive care needs.Multiple linear regression showed that marriage,duration after treatment completion,average monthly household income and education level were the influencing factors of supportive care needs(all P<0.05).Five themes were extracted from the interview data:information needs,psychological needs,physiological needs,caregiving and support needs,and actual social needs.Conclusion Supportive care needs of lymphoma survivors are at low to moderate level and are diversified.Healthcare workers should provide continuous supportive care based on the main influencing factors and individual needs of patients.