肺癌患者家属照护需求现状及影响因素分析

Analysis of the Status and Influencing Factors of Family Care Needs of Lung Cancer Patients

目的:探讨肺癌患者家属照护需求现状及影响因素,为临床针对性护理干预提供理论依据。方法:选取2021年3月—2022年12月河南省人民医院收治的180例肺癌患者家属作为研究对象,采用一般资料调查表和危重症患者家属需求量表对患者家属进行调查,并对影响肺癌患者家属照护需求的影响因素进行分析。结果:肺癌患者家属各维度照护需求得分为:获得支持维度(41.07±4.17)分,亲近患者需求维度(33.21±3.51)分,获取信息维度(30.15±5.32)分,病情保证维度(25.18±4.43)分,自身舒适维度(19.66±4.36)分,总分为(149.27±21.79)分;不同性别、婚姻状况、文化程度、家庭收入水平、医疗支付方式、既往照护经历、照护时间得分比较,差异有统计学意义(P<0.05);Spearman相关性分析结果显示,肺癌患者家属获得支持维度、亲近患者需求维度、获取信息维度、病情保证维度、自身舒适维度与照护需求呈正相关,差异有统计学意义(P<0.05);文化程度、家庭收入、医疗支付方式、既往照护经历是肺癌患者家属照护需求的影响因素,差异有统计学意义(P<0.05)。结论:肺癌患者家属的照护需求较高,文化程度、家庭收入、医疗支付方式、既往照护经历是影响其照护需求的主要因素。

Objective:To investigate and analyze the current situation and influencing factors of family care needs of patients with lung cancer to provide reference for targeted nursing intervention.Methods:180 family members of lung cancer patients who were admitted to the hospital from March 2021 to December 2022 were investigated by general data questionnaire and Family Needs scale of critically ill patients(CCFNI),and the influencing factors of family care needs of lung cancer patients were analyzed.Results:The scores of care needs in each dimension of family members were:support dimension(41.07±4.17),patient need dimension(33.21±3.51),access to information dimension(30.15±5.32),disease assurance dimension(25.18±4.43),and comfort dimension(19.66±4.36).The total score was(149.27±21.79).There were significant differences in scores of gender,education level,marital status,family income,medical payment method,duration of care and previous care experience(P<0.05).The results of Spearman correlation analysis showed that the support dimension,the need dimension of close relationship with patients,the information acquisition,the condition assurance dimension and the self-comfort dimension were positively correlated with the nursing needs,with statistically significant difference(P<0.05).Education level,family income,medical payment method,previous care experience were correlated with care demand score(P<0.05).Conclusion:The family members of patients with lung cancer have a high demand for nursing care.The main factors influencing the demand are education level,family income,medical payment mode and previous nursing experience.