肺癌术后患者自我感受负担的影响因素及与领悟社会支持的相关性分析

Influencing factors of self-perceived burden of postoperative lung cancer patients and their correlations with social support

目的探讨肺癌术后患者自我感受负担的的影响因素,并分析其与领悟社会支持的相关性。方法采用方便抽样的方法,选择2023年1—7月就诊于北京市某三级甲等肿瘤专科医院的182例肺癌术后患者为研究对象,采用一般资料调查表、患者自我感受负担量表(SPBS)和领悟社会支持量表进行调查。采用Pearson相关性分析探讨肺癌术后患者自我感受负担与领悟社会支持的相关性。肺癌术后患者自我感受负担影响因素的单因素分析采用t检验或方差分析。采用多元线性回归分析探讨肺癌术后患者自我感受负担的独立影响因素。结果182例肺癌术后患者的SPBS总分为(28.58±8.95)分,领悟社会支持量表总分为(61.18±0.48)分。Pearson相关性分析结果显示,182例肺癌术后患者的SPBS总分与领悟社会支持量表总分呈负相关(r=-0.39,P<0.001)。单因素分析结果显示,肺癌术后患者的SPBS得分与患者长期居住地、是否独居、家庭人均月收入、家庭关系状况以及病理分期有关(均P<0.05),而与患者的性别、年龄、婚姻状况、文化程度、吸烟史、病程、医疗费用主要支付方式、主要照顾者无关(均P>0.05)。多元线性回归分析结果显示,是否独居、家庭关系状况以及领悟社会支持量表总分是肺癌术后患者自我感受负担的独立影响因素(均P<0.05)。结论肺癌术后患者的自我感受负担与领悟社会支持呈负相关。是否独居、家庭关系状况以及领悟社会支持量表总分是肺癌术后患者自我感受负担的独立影响因素。

Objective To examine the influencing factors of self-perceived burden of postoperative lung cancer patients and to analyze their correlations with perceived social support.Methods A convenience sampling method was used to collect information from 182 postoperative lung cancer patients treated at a Grade A tertiary oncology hospital in Beijing from January to July 2023.Participants completed a general information questionnaire,the Self-Perceived Patient Burden Scale(SPBS)and the Perceived Social Support Scale.Pearson correlation analysis was used to examine the correlation between selfperceived burden and perceived social support in postoperative lung cancer patients.Univariate analysis of the factors affecting the self-perceived burden of postoperative lung cancer patients was performed with t-test or ANOVA.Multiple linear regression was used to analyze the independent influencing factors of self-perceived burden in postoperative lung cancer patients.Results The total SPBS score of 182 postoperative lung cancer patients was(28.58±8.95),and the total score of the Perceived Social Support Scale was(61.18±0.48).Pearson correlation analysis showed a negative correlation between the total score of SPBS and that of the Perceived Social Support Scale of the 182 postoperative lung cancer patients(r=-0.39,P<0.001).Univariate analysis showed that the SPBS scores of postoperative lung cancer patients were correlated with the long-term place of residence,living alone or not,per capita monthly family income,family relationship status,and pathological stage(all P<0.05),but not with the patients'gender,patients'age,marriage,literacy,smoking history,duration of the disease,main mode of payment for medical expenses,or main caregiver(all P>0.05).Multiple linear regression analysis showed that living alone or not,family relationships,and the total score of the Perceived Social Support Scale were independent influencing factors of the self-perceived burden of postoperative lung cancer patients(all P<0.05).Conclusion Self-perceived burden was negatively correlated with perceived social support in postoperative lung cancer patients.Living alone or not,family relationship status,and the total score of the Perceived Social Support Scale were independent influencing factors of the self-perceived burden of postoperative lung cancer patients.