宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素  

Influencing factors of discharge readiness for interval of chemotherapy with intravenous infusion port in patients with cervical cancer

作　　者：袁琳[1] 肖静静 张潇允 谢娅[1] 田洋洋 YUAN Lin;XIAO Jing-jing;ZHANG Xiao-yun;XIE Ya;TIAN Yang-yang(Department of Gynecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院妇科,河南郑州450000

出　　处：《海南医学》2023年第17期2576-2579,共4页Hainan Medical Journal

基　　金：河南省医学科技攻关计划省部共建重点项目(编号:SBGJ202102096)。

摘　　要：目的分析宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素,以期为临床改善宫颈癌患者的预后提供依据。方法选取2020年1月至2022年1月期间郑州大学第一附属医院妇科收治的141例宫颈癌患者作为研究对象,所有患者均行静脉输液港化疗,通过调查问卷的方式统计宫颈癌静脉输液港化疗间歇期患者的出院准备度[出院准备度评估量表(RHDS)]评分,单因素和多元线性回归模型分析宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素。结果宫颈癌静脉输液港化疗间歇期患者的RHDS总分值为(158.33±20.14)分,其中可获得社会支持评分为(31.23±2.60)分,出院后应对能力评分为(21.38±2.38)分,疾病知识评分为(55.24±8.23)分,自身状况评分为(50.48±6.45)分。经单因素分析结果显示,不同学历水平、月收入、医疗费用支付方法、化疗次数、临床分期、积极应对评分、消极应对评分的宫颈癌静脉输液港化疗间歇期患者的RHDS评分比较差异均有统计学意义(P<0.05);经多元线性回归模型分析结果显示,临床分期、化疗次数、医疗费用支付方式、月收入、学历水平、积极应对评分和消极应对评分均为宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素(P<0.05)。结论宫颈癌静脉输液港化疗间歇期患者出院准备度受多个因素影响,临床可从影响因素入手来制定干预方式,以提高出院准备度,有助于提高宫颈癌化疗效果,改善患者的预后。Objective To analyze the influencing factors of discharge readiness for interval of chemotherapy with intravenous infusion port in patients with cervical cancer,in order to provide a basis for the prognosis of cervical cancer patients.Methods A total of 141 patients with cervical cancer admitted to Department of Gynecology,the First Affiliated Hospital of Zhengzhou University from January 2020 to January 2022 were selected as the study subjects.All patients received chemotherapy with intravenous infusion port.The score of discharge readiness for interval of chemotherapy with intravenous infusion port in the patients was calculated by Readiness for Hospital Discharge Scale(RHDS).Univariate and multiple linear regression models were used to analyze the influencing factors of discharge readiness of the patients.Results The total RHDS score of the patients was(158.33±20.14)points,with social support score of(31.23±2.60)points,coping ability score after discharge of(21.38±2.38)points,disease knowledge score of(55.24±8.23)points,and apersonal condition score of(50.48±6.45)points.Univariate analysis showed that there were statistically significant differences in RHDS scores among cervical cancer patients with different educational levels,monthly income,medical expense payment methods,chemotherapy frequency,clinical staging,positive coping score,and negative coping score(P<0.05).Multiple linear regression model analysis showed that clinical staging,chemotherapy frequency,medical expense payment method,monthly income,educational level,positive coping score,and negative coping score were all influencing factors for discharge readiness of cervical cancer patients during chemotherapy interval(P<0.05).Conclusion The discharge readiness for interval of chemotherapy with intravenous infusion port in patients with cervical cancer is affected by multiple factors.Clinical intervention methods can be developed based on the influencing factors to improve discharge readiness,which helps to improve the chemotherapy effect of cerv

关 键 词：宫颈癌 静脉输液港 化疗 间歇期 医学应对方式 出院准备度 

分 类 号：R473.73[医药卫生—护理学]