晚期消化道恶性肿瘤患者尊严现状及影响因素分析  

Status and influencing factors of dignity among patients with terminal gastrointestinal malignant tumor

作　　者：肖红英[1] 杨飞霞[1] 陈绿梅 Xiao Hongying;Yang Feixia;Chen Lvmei(Department of Cancer Emergency,Sichuan Cancer Hospital,Chengdu 610041,China)

机构地区：[1]四川省肿瘤医院肿瘤急诊综合科,成都610041

出　　处：《中华现代护理杂志》2018年第30期3651-3654,共4页Chinese Journal of Modern Nursing

基　　金：四川省卫生计生委科研课题(16PJ516).

摘　　要：目的 调查晚期消化道恶性肿瘤患者尊严现状并分析其影响因素.方法 采用便利抽样法,选取2016年6月—2017年12月在某三甲医院住院治疗的240例晚期消化道恶性肿瘤患者作为研究对象,采用患者尊严量表(PDI)评价患者的尊严水平现状.采用单因素分析和多元线性回归分析患者尊严水平的影响因素.结果 晚期消化道恶性肿瘤患者尊严水平平均得分为(58.43±15.43)分.在5个维度中,生存困境得分(16.13±4.61)分,症状压力得分(13.93±4.29)分,社会支持得分(7.38±1.53)分,心境平和得分(5.43±2.70)分,独立性得分(6.23±15.43)分.家庭月收入、是否进行手术、是否进行放化疗以及患者体能状态是影响患者尊严水平的因素(P<0.05).结论 晚期消化道恶性肿瘤患者尊严水平处于中等,医护人员应对此情况给予重视,并需结合患者实际情况制定更有针对性的干预措施,保护患者的尊严感,提高患者生活质量.Objective To explore the status and influencing factors of dignity among patients with terminal gastrointestinal malignant tumor.Methods From June 2016 to December 2017,We selected 240 inpatients of a Class Ⅲ Grade A hospital with terminal gastrointestinal malignant tumor as subjects by convenient sampling.The dignity of patients was assessed with the Patient Dignity Inventory (PDI)and its influencing factors were explored.Single factor analysis and multiple linear regression were used to analyze the influencing factors of patient dignity.Results The average score of dignity level of patients with terminal gastrointestinal malignant tumor was (58.43±15.43).Among the five dimensions,the scores of existential distress,symptom distress, social support,peace of mind and dependency were (16.13±4.61),(13.93±4.29),(7.38±1.53),(5.43±2.70) and (6.23±15.43)respectively.The main influencing factors of patient dignity included family monthly earning, whether to undergo surgery,whether to receive radiotherapy and chemotherapy as well as patients' physical agility (P<0.05).Conclusions Patients with terminal gastrointestinal malignant tumor have the intermediate level of dignity,which should be paid attention to by medical staff.Medical staff should also formulate targeted intervention based on patients'actual situation to protect the dignity and improve the quality of life of patients.

关 键 词：肿瘤 晚期 消化道 尊严 影响因素 

分 类 号：R735[医药卫生—肿瘤]