脑胶质瘤术后患者支持性照顾需求现状调查及影响因素分析

Current status and influencing factors of supportive care needs for postoperative patients with glioblastoma

目的:调查脑胶质瘤术后患者支持性照顾需求现状,并分析其影响因素。方法:采用便利抽样法,选取2022年1—5月在首都医科大学附属北京天坛医院住院的168例脑胶质瘤术后患者为研究对象,采用一般资料调查问卷、支持性照顾需求简明问卷、安德森症状评估量表-脑肿瘤特异模块、癌症患者疲乏量表对其进行调查。采用多重线性回归分析探讨脑胶质瘤术后患者支持性照顾需求的影响因素。结果:168例脑胶质瘤术后患者支持性照顾需求得分为(71.68±25.28)分。多重线性回归分析结果显示,居住地、职业状态、症状困扰程度、疲乏程度是脑胶质瘤术后患者支持性照顾需求的影响因素(P<0.05)。结论:脑胶质瘤术后患者存在未满足的支持性照顾需求,且受居住地、工作状态、疾病症状困扰及疲乏程度的影响,医护人员对术后患者进行个体化指导,帮助患者应对术后症状困扰,降低患者疲乏程度,满足患者的支持性照顾需求。

Objective To investigate the current situation of supportive care needs for patients with glioma after surgery and analyze its influencing factors.Methods Using the convenient sampling method,a total of 168 postoperative patients with glioblastoma admitted to Beijing Tiantan Hospital Affiliated with Capital Medical University from January to May 2022 were selected as the research objects.The general information questionnaire,Supportive Care Need Survey-34-item Short Form(SCNS-SF34),M.D.Anderson Symptom Inventory Brain Tumor Module(MDASI-BT)and Cancer Fatigue Scale(CFS)were used to investigate them.The multiple linear regression analysis was used to explore the influencing factors of supportive care needs in patients with glioma after surgery.Results The score for supportive care needs in 168 postoperative patients with glioblastoma was(71.68±25.28).The results of multiple linear regression analysis showed that place of residence,occupational status,degree of symptom distress and fatigue degree were the influencing factors for supportive care needs of glioma patients after surgery(P<0.05).Conclusions Patients with glioma after surgery have unmet supportive care needs,which are influenced by their place of residence,work status,disease symptoms and fatigue levels.Medical staff provide personalized guidance to postoperative patients to help them cope with postoperative symptoms,reduce fatigue levels and meet their supportive care needs.