肺癌化疗患者希望水平现状及影响因素研究

Study on the hope level status and its influence factors of lung cancer patients received chemotherapy

目的探究与分析肺癌化疗患者希望水平现状及影响因素。方法选取2017年6月—2018年3月入住本院的130例肺癌化疗患者为研究对象,将其均采用Herth希望量表进行希望水平的评估,比较不同性别、年龄、文化层次、一般自我效能感、社会支持程度、情绪状态、自尊水平、疾病分期及化疗次数的评分结果,同时采用多因素Logistic回归分析处理上述因素与肺癌化疗患者希望水平的关系。结果130例肺癌化疗患者中希望水平较低、中等及较高者分别为54例、46例及30例,占比分别为41.54%、35.38%及23.08%,不同性别及化疗次数的评估结果比较,差异无统计学意义(P>0.05);不同年龄、文化层次、一般自我效能感、社会支持程度、情绪状态、自尊水平及疾病分期者的评估结果比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、文化层次、一般自我效能感、社会支持程度、情绪状态、自尊水平及疾病分期是肺癌化疗患者希望水平的影响因素。结论肺癌化疗患者希望水平较低,影响因素较多,可将影响因素作为希望水平干预措施的参考依据。

Objective To investigate and analyze the hope level status and its influence factors of lung cancer patients received chemotherapy.Methods 130 cases of lung cancer patients received chemotherapy in the fifth affiliated hospital of Zhengzhou University from June 2017 to March 2018 were chosen for the study.The hope levels of patients were all evaluated by the Herth hope scale. The evaluation results of patients with different gender,ages,education degree,general self-efficacy,social support degree,emotional state,self-esteem level,disease stages and times of chemotherapy were compared,then the relationship between those factors and hope level of patients were analyzed with multivariate logistic regression analysis.Results The number of low,moderate and high hope level in 130 cases of lung cancer patients received chemotherapy were 54 cases,46 cases and 30 cases,respectively,and the rates were 41. 54%,35. 38% and 23. 08%,respectively. The evaluation results of patients with different gender and chemotherapy frequency were compared,the differences were not statistically significant( P > 0. 05). The differences of evaluation results of patients with different ages,education degree,general self-efficacy,social support degree,emotional state,self-esteem level and disease stages were statistically significant( P<0.05).Multivariate logistic regression analysis showed that the age,education degree,general selfefficacy,social support degree,emotional state,self-esteem level and disease stages were the influence factors of hope level of lung cancer patients received chemotherapy. Conclusions The hope level of patients received chemotherapy of lung cancer are relatively low,and numerous factors affect the hope level of patients,so the influence factors could be chose as the reference basis for the intervention measures.