鼻咽癌住院患者支持性照顾需求影响因素的路径分析  

Path Analysis of Influencing Factors for Supportive Care Needs Among Inpatients with Nasopharyngeal Carcinoma

作　　者：张树芳 胡晓林[2] Zhang Shufang;Hu Xiaolin(Department of Critical Care Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041;West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院重症医学科,四川成都610041 [2]四川大学华西护理学院,四川成都610041

出　　处：《四川医学》2024年第3期234-239,共6页Sichuan Medical Journal

基　　金：四川省科技厅重点研发项目(编号:2022YFSY0012);四川大学华西护理学科发展专项基金重点项目(编号:HXHL21008)。

摘　　要：目的了解鼻咽癌(NPC)住院患者支持性照顾需求(SCN)状况并研究各影响因素间的作用路径关系和大小。方法便利抽取2021年3月至9月在我院住院治疗的227例NPC患者。选择一般资料调查表、SCN简明量表、一般自我效能感量表、领悟社会支持量表及安德森症状调查表头颈部模块进行调查,采用路径分析方法分析SCN影响因素间的相互关系。结果227例NPC住院患者SCN总分为(94.47±18.76)分,性别、是否有合并症、领悟社会支持、头颈部特异性症状严重程度、症状困扰程度对SCN有直接影响(P<0.05)。领悟社会支持可通过头颈部特异性症状严重程度间接影响SCN,而头颈部特异性症状可通过症状对日常生活困扰程度对SCN产生间接影响(P<0.05)。结论NPC住院患者SCN总体处在中等水平,性别、是否有合并症、领悟社会支持、头颈部特异性症状严重程度、症状对日常生活困扰程度是其主要影响因素。Objective To describe supportive care needs of hospitalized patients with nasopharyngeal carcinoma(NPC),and to explore relationship and magnitude of effects among factors influencing supportive care needs(SCN)by using path analytic methods.Methods During March to September 2021,227 inpatients with NPC who received therapy in our hospital were selected.General information questionnaire,34-item supportive care needs survey,general self-efficacy scale,perceived social support scale,and M.D.Anderson symptom inventory-head and neck module were used for investigation.Path analysis was performed to analyze the interrelationship among in fluencing factors of SCN.Results 34-item supportive care needs scale mean score among 227 inpatients with NPC was(94.47±18.76).Gender,comorbidity,perceived social support,severity of head and neck specific symptoms,and symptom interference have a direct impact on SCN(P<0.05).The perceived social support could indirectly affect SCN by changing severity of head and neck specific symptoms,and severity of head and neck specific symptom could indirectly affect SCN by changing the symptom interference(P<0.05).Conclusion The SCN of inpatients with NPC were overall at a moderate level.There would be some primary influencing factors,including gender,presence of comorbidities,perceived social support,severity of head and neck specific symptoms,and symptom interference.

关 键 词：鼻咽癌 住院患者 支持性照顾需求 影响因素 路径分析 

分 类 号：R473.73[医药卫生—护理学]