结直肠癌术后患者化疗期间舒适水平现状及其影响因素研究  

Status quo and influencing factors of comfort levels in patients receiving chemotherapy after surgery for colorectal cancer

作　　者：陈思[1] 迟红丽[2] 王立杰[1] 张海佳 Chen Si;Chi Hongli;Wang Lijie;Zhang Haijia(Department of Colorectal and Anal Surgery,the First Affiliated Hospital of Jilin University,Jilin 130021,China;Emergency Intensive Care Unit,the First Affiliated Hospital of Jilin University,Jilin 130021,China)

机构地区：[1]吉林大学第一医院结直肠肛门外科,吉林130021 [2]吉林大学第一医院急诊EICU科,吉林130021

出　　处：《中华现代护理杂志》2019年第7期896-899,共4页Chinese Journal of Modern Nursing

摘　　要：目的调查结直肠癌术后化疗患者舒适水平现状并探讨其影响因素。方法采用便利抽样法,选取2017年1月-2018 年2 月在某市三甲医院进行结直肠癌术后化疗患者150 例作为研究对象。采用一般资料调查表、化疗患者舒适量表及社会支持评定量表对化疗患者进行问卷调查。采用单因素分析、Pearson 相关分析、多元线性回归分析探讨患者舒适水平的影响因素。结果结直肠癌术后化疗患者舒适总得分为(72.36±9.34)分。舒适水平与社会支持呈正相关(P<0.05)。多元线性回归分析显示,文化程度、是否行肠造口术、是否出现并发症、化疗方案以及社会支持度是影响患者舒适水平的主要因素。结论结直肠癌术后化疗患者舒适感处于中等水平,医护人员应该提高患者社会支持度,并根据患者的实际情况,采取更有针对性的干预方案来提高患者舒适感,改善患者生活质量。Objective To explore the status quo and influencing factors of comfort levels in patients receiving chemotherapy after surgery for colorectal cancer. Methods Totally 150 patients who received chemotherapy after surgery for colorectal cancer in a Class Ⅲ Grade A hospital in a city from January 2017 to February 2018 were selected as convenient sampling and investigated with the general information questionnaire, Chemotherapy Patient Comfort Scale and Social Support Rating Scale( SSRS). Univariate analysis, Pearson correlation analysis and multivariate linear regression analysis were used to explore the factors affecting the patients' comfort levels. Results The comfort level of these patients with colorectal cancer after surgery totaled( 72.36±9.34). Comfort levels were positively correlated with social support(P<0.05). Multivariate linear regression analysis showed that educational background, enterostomy received or not, complication, treatment protocol and social support were the main factors affecting the patients' comfort level. Conclusions The comfort level of patients receiving chemotherapy after surgery for colorectal cancer stands at a medium level. Medical and nursing workers should improve social support for the patients and take more targeted interventions based on the patients' actual situation to improve their comfort levels and quality of life.

关 键 词：结直肠肿瘤 社会支持 化疗 舒适水平 影响因素 

分 类 号：R473.73[医药卫生—护理学]