结直肠癌患者家庭环境与需求未满足相关性分析

Correlation analysis of unmet needs and family environment of colorectal cancer patients

目的了解结直肠癌(colorectal cancer,CRC)患者需求未满足水平及影响因素,并分析家庭环境与患者未满足水平的相关性。方法采取方便抽样法选取2022年11月至2023年10月金华市中心医院收治的206例CRC患者,通过基本资料调查问卷、癌症患者需求未满足量表、家庭环境调查量表对患者的资料进行分析。采用单因素分析和多元线性回归分析探讨CRC患者需求未满足的影响因素,通过Pearson相关性分析探讨CRC患者需求未满足与家庭环境现状的相关性。结果调查发现不同年龄、受教育程度、家庭人均收入水平、患者带管情况和化疗次数CRC患者需求未满足量表得分比较,差异有统计学意义(P<0.05)。CRC患者家庭矛盾处理与需求未满足呈正相关(P<0.05),亲密状况、情感表达、自主方式、知识情况、娱乐状况、组织情况与需求未满足呈负相关(P<0.05)。受教育程度、家庭人均收入水平、化疗次数和家庭环境是CRC患者需求未满足主要影响因素。结论CRC患者需求未满足水平仍较高,且与家庭环境之间密切相关,建议围绕CRC患者家庭环境实施个性化改善措施,重点关注患者的未满足需求,帮助其更好地适应社会。

Objective To understand the needs dissatisfaction of patients with colorectal cancer(CRC)and their influencing factors,and to analyze the correlation between family environment and the needs dissatisfaction of patients.Methods From November 2022 to October 2023,a total of 206 patients with CRC were investigated by basic data questionnaire,needs dissatisfaction of cancer patients scale and family environment questionnaire in Jinhua Municipal Central Hospital.Univariate analysis and multivariate logistic regression were used to analyze the influencing factors of the needs dissatisfaction of CRC patients,and Pearson correlation was used to analyze the correlation between the needs dissatisfaction of CRC patients and the family environment.Results It were found that there were significant differences in the needs dissatisfaction of CRC patients with different age,education level,family income per capita,tube-carrying status and frequency of chemotherapy(P<0.05).There was a positive correlation between conflict management and unmet needs(P<0.05),intimacy,emotional expression,self-determination,knowledge,entertainment and organization were negatively correlated with needs dissatisfaction(P<0.05).Education level,family income per capita,frequency of chemotherapy and family environment were the main influencing factors of the needs dissatisfaction of patients with CRC.Conclusion The needs dissatisfaction of patients with CRC are still relatively high and closely related to the family environment,suggesting individualized improvement measures around the family environment of patients with CRC,with a focus on the unmet needs of patients,help them adapt to society better.