鼻咽癌放化疗患者预期性悲伤水平及其相关影响因素分析

Analysis of Anticipatory Sadness Level and Related Influencing Factors in Patients with Nasopharyngeal Carcinoma Treated with Radiotherapy and Chemotherapy

目的观察鼻咽癌(NPC)放化疗患者预期性悲伤水平,并分析其相关影响因素。方法选取2020年1月-2022年8月医院收治的73例NPC放化疗患者,采用癌症患者预期性悲伤问卷(PGAC)对患者预期性悲伤水平进行评估,经线性回归分析NPC放化疗患者预期性悲伤水平的影响因素。结果73例NPC放化疗患者经评估,PGAC评分平均为(45.13±4.81)分;不同家庭月平均收入、肿瘤转移、社会支持、希望水平资料的患者PGAC评分比较(P<0.05);其他不同资料的患者PGAC评分比,无统计学差异(P>0.05)。经线性回归分析,结果显示,家庭月平均收入<3000元、肿瘤转移、社会支持低水平、希望水平低是NPC放化疗患者预期性悲伤水平的影响因素(P<0.05)。结论NPC放化疗患者预期性悲伤水平较高,可能受家庭经济差、社会支持少、希望水平低、肿瘤转移等因素影响。

Objective To observe the level of anticipatory sadness in patients with nasopharyngeal carcinoma(NPC)and to analyze its related factors.Methods A total of 73 cases of NPC patients admitted to the hospital from January 2020 to August 2022 were selected to evaluate the level of anticipatory sadness by using the anticipatory sadness Questionnaire for cancer patients(PGAC),and the factors influencing the level of anticipatory sadness in NPC patients were analyzed by linear regression.Results The average PGAC score of 73 NPC patients was(45.13±4.81).PGAC score of patients with different family mean monthly income,tumor metastasis,social support and hope level data was compared(P<0.05);There was no significant difference in PGAC score ratio among patients with different data(P>0.05).Through linear regression analysis,the results showed that the average monthly family income<3000 yuan,tumor metastasis,low level of social support and low level of hope were the influential factors for the level of anticipatory sadness in NPC patients with radiotherapy and chemotherapy(P<0.05).Conclusion The high level of anticipatory sadness in NPC patients with chemoradiotherapy may be influenced by poor family economy,little social support,low level of hope,tumor metastasis and other factors.