肺癌化疗患者自我管理效能感因素及与癌因性疲乏的相关性

Analysis of self-management efficacy factors in patients with lung cancer chemotherapy and its correlation with cancer-related fatigue

目的 探究肺癌化疗患者自我管理效能感因素及与癌因性疲乏的相关性。方法 选取2020年3月~2023年3月于淮安市第一人民医院肿瘤科收治的160例肺癌化疗患者。使用癌症自我管理效能感量表(SUPHH)和Piper疲乏量表(PFS)对患者进行评估,分析SUPHH评分、PFS评分与患者临床资料的关系,logistic回归分析相关影响因素,采取Pearson法分析自我管理效能感与癌因性疲乏的相关性。结果 160例肺癌化疗患者的SUPHH平均评分为(64.98±5.14)分,PFS平均评分为(4.63±2.04)分。根据logistic回归分析,年龄(≥60岁)、文化程度(高中及以下)、化疗次数(≥3次)、付费方式(自费)是自我管理效能感的独立危险因数(P<0.05)。Pearson相关分析结果显示,自我减压、正性态度与癌因性疲乏评分表的感觉、认知呈正相关(P<0.05)。结论 年龄(≥60岁)、文化程度(高中及以下)、化疗次数(≥3次)、付费方式(自费)是自我管理效能感的独立危险因数,肺癌化疗患者自我管理效能感与癌因性疲乏具有一定的正相关关系,可以通过指导自我减压和提高正性态度等自我管理效能感程度,减轻癌因性疲乏程度。

Objective To explore the factors of self-management efficacy in patients with lung cancer chemotherapy and its correlation with cancer-related fatigue.Methods A total of 160 patients with lung cancer chemotherapy admitted to the Department of Oncology,Huai'an First People's Hospital from March 2020 to March 2023 were selected as the study subjects.Cancer self-management efficacy scale(SUPHH)and Piper fatigue scale(PFS)were used to evaluate the relationship between SUPHH score,PFS score and clinical data of patients.Logistic regression analysis was used to analyze the related influencing factors.Pearson method was used to analyze the correlation between self-management efficacy and cancer-related fatigue.Results The average SUPHH score of 160 patients with lung cancer chemotherapy was(64.98±5.14),and the average PFS score was(4.63±2.04).According to Logistic regression analysis,age(≥60 years old),education level(high school and below),number of chemotherapy(≥3 times),and payment method(at their own expense)were independent risk factors for self-management efficacy(P<0.05).Pearson correlation analysis showed that self-decompression and positive attitude were positively correlated with the feeling and cognition of cancer-related fatigue scale(P<0.05).Conclusion Age(≥60 years old),education level(high school and below),number of chemotherapy(≥3 times),and payment method(at their own expense)are independent risk factors for self-management efficacy.There is a certain positive correlation between self-management efficacy and cancer-related fatigue in patients with lung cancer chemotherapy.The degree of self-management efficacy,such as guiding self-decompression and improving positive attitudes,can reduce the degree of cancer-related fatigue.