中晚期肺癌患者自我感受负担现状及其影响因素的调查分析

Study on status of self-perceived burden and its influencing factors among patients with advanced lung cancer

目的：描述中晚期肺癌患者自我感受负担（SPB）的现状，分析其影响因素，为采取针对性的护理措施提供理论依据。方法采取方便抽样的方法，选取山东省3家医院的102例肺癌住院患者为调查对象，使用本课题组编制的癌症患者自我感受负担量表（SPBS-CP）对其进行调查。结果中晚期肺癌患者SPB总分为（60.31±17.06）分，处于中度水平；其中经济/家庭负担维度得分最高，为（22.04±6.72）分；治疗负担维度得分最低，为（10.28±3.62）分。单因素和回归分析结果显示，不同工作状况、不同病程对肺癌患者SPB有影响。结论中晚期肺癌患者存在中等以上水平的SPB，护理人员应注重评估患者的心理状况，根据病程和工作状况采取积极的干预措施缓解这种负性情感体验。

Objective To describe the level of self-perceived burden (SPB) and analyze its influencing factors among the patients with advanced lung cancer, in order to provide a theoretical basis for individualized nursing care. Methods A total of 102 hospitalized patients with lung cancer from 3 hospitals in Shandong province were investigated by the Self-Perceived Burden Scale for Cancer Patient (SPBS-CP). Results The total score of the SPBS-CP was (60.31±17.06) points, which indicated at a moderate level. Those patients rated the highest score on the sub-scale of economic/family burden (22.04±6.72) points, the lowest score on the sub scale of care burden (10.28±3.62) points. Single factor analysis and regression results showed that different work conditions, different stages were related with SPB. Conclusions Patients with moderate and advanced lung cancer had a moderate or higher level of SPB. Staff nurses should focus on the psychological status of the patients and take positive interventions to release the negative emotional experiences.