肺癌患者认知功能的现状及影响因素分析  

Status quo and influencing factors of cognitive function in lung cancer patients

作　　者：骆佳慧 罗园园 方庆虹 叶艳欣 刘素婷 杨智慧[1] 缪景霞[2] 张立力[1] LUO Jia-hui;LUO Yuan-yuan;FANG Qing-hong;YE Yan-xin;LIU Su-ting;YANG Zhi-hui;MIAO Jing-xia;ZHANG Li-li(School of Nursing,Southern Medical University,Guangzhou 510515,China;Dept.of Medical Oncology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学护理学院,广东广州510515 [2]南方医科大学南方医院肿瘤内科,广东广州510515

出　　处：《护理学报》2023年第18期1-5,共5页Journal of Nursing（China）

基　　金：2022年广东省大学生创新训练项目(S202212121146);广州市科学研究计划(201904010129)。

摘　　要：目的 调查肺癌患者认知功能的现状及影响因素,为识别和管理癌症相关认知障碍提供主客观依据。方法 便利选取2021年10月—2022年8月收治于某院的390例肺癌患者作为研究对象。采用一般资料调查表、癌症治疗功能评估-认知功能量表、安德森症状评估量表、营养风险评分表等进行调查。将肺癌患者认知功能得分进行基于秩次的逆正态变换后,采用多元线性回归探索其影响因素。结果 390例肺癌患者的认知功能得分为121.00(107.00,126.00)分。年龄、性别、精神情绪症状群、确诊时间、休闲活动、营养风险评分进入回归方程(P<0.05),共解释总变异的42.4%。结论 本研究中肺癌患者自我报告的认知功能较好。精神情绪症状群、确诊时间、营养风险、休闲活动、年龄、性别是主要的影响因素。医护人员应重点评估以上因素,及时管理肺癌患者的认知功能,从而提升其生活质量。Objective To investigate the status quo and influencing factors of cognitive function in lung cancer patients,and to provide subjective and objective reference for cancer-related cognitive impairment.Methods Convenience sampling was used to select 390 lung cancer patients admitted to Nanfang Hospital from October 2021 to August 2022,and the patients were surveyed by using general information questionnaire,Functional Assessment of Cancer Therapy-Cognitive Functioning Scale(FACT-Cog),M.D.Anderson Symptom Inventory,and Nutritional Risk Rating Scale.After performing a rank-based inverse-normal transformation of the cognitive function score,multiple linear regression was used to analyze the influencing factors.Results The score of FACT-Cog of lung cancer patients was 121.00(107.00,126.00).Mental-emotional symptom cluster score,diagnosed time,leisure activity,NRS2002 score,sex,and age entered the regression equation,accounting for 42.4%of the total variation(P<0.05).Conclusion Self-reported cognitive function of lung cancer patients in this study maintains good.Mental-emotional symptom clusters,diagnosed time,nutritional risk,leisure activities,age,and sex are the influencing factors.Timely assessment of these factors and management of cognitive function of lung cancer patients are critical to enhancing their quality of life.

关 键 词：肺癌 认知功能 症状群 营养风险 休闲活动 

分 类 号：R473.73[医药卫生—护理学]