肺癌化疗患者自我怜悯现状调查及影响因素分析  

Investigation on the status quo and influencing factors of self-compassion in patients with lung cancer undergoing chemotherapy

作　　者：胡晓玲 高利兰 陈燕[1] HU Xiaoling;GAO Lilan;CHEN Yan(Department of Thoracic Medical Oncology,Clinical Oncology School of Fujian Medical University,Fujian Cancer Hospital,Fuzhou 350014,Fujian,China)

机构地区：[1]福建医科大学肿瘤临床医学院/福建省肿瘤医院胸部肿瘤内科,福建福州350014

出　　处：《中国现代医生》2024年第25期57-60,65,共5页China Modern Doctor

摘　　要：目的评估肺癌化疗患者的自我怜悯水平并识别其影响因素,以便为临床护理实践提供针对性的干预策略。方法采用便利抽样法,选取2022年1月至2023年12月于福建省肿瘤医院住院化疗的110例肺癌患者为研究对象,采用一般资料调查表、自我怜悯量表、安德森症状评估量表-肺癌模块、领悟社会支持量表进行调查。结果肺癌化疗患者的自我怜悯总分(76.81±9.49)分,症状负担总分(112.05±35.98)分,社会支持总分(38.98±2.49)分,自我怜悯与症状负担呈负相关(r=–0.849,P<0.001),与社会支持呈正相关(r=0.881,P<0.001)。多元线性回归分析显示,年龄、性别、症状负担及社会支持均是影响肺癌化疗患者自我怜悯的影响因素(P<0.05)。结论肺癌化疗患者自我怜悯水平中等偏低。年龄、性别、症状负担及社会支持均是肺癌化疗患者自我怜悯的影响因素。护理人员应结合人口学特征,通过降低症状负担、改善其社会支持等方式,提高患者自我怜悯水平,降低负性情绪,改善其生活质量。Objective To assess the level of self-compassion in patients with lung cancer undergoing chemotherapy and identify its influencing factors in order to provide targeted intervention strategies for clinical nursing practice.Methods Using a convenience sampling method,a total of 110 patients with lung cancer who were hospitalized for chemotherapy in Fujian Cancer Hospital from January 2022 to December 2023 were selected.A general information questionnaire,self-compassion scale,M.D.Anderson symptom inventory-lung cancer,and perceived social support scale were used to investigate.Results The total score for self-compassion among lung cancer chemotherapy patients was(76.81±9.49)points,the total score for symptom burden was(112.05±35.98)points,and the total score for social support was(38.98±2.49)points.Self-compassion was negatively correlated with symptom burden(r=–0.849,P<0.001)and positively correlated with social support(r=0.881,P<0.001).Multiple linear regression analysis showed that age,gender,symptom burden and social support were the influencing factors of self-compassion in patients with lung cancer chemotherapy(P<0.05).Conclusion The level of self-compassion among lung cancer chemotherapy patients is moderately low.Age,gender,symptom burden and social support were the factors influencing self-compassion of patients with lung cancer chemotherapy.Nursing staff should consider demographic characteristics and use strategies such as reducing symptom burden and improving social support to enhance self-compassion levels,thereby reducing negative emotions and improving the quality of life.

关 键 词：肺癌 化疗 自我怜悯 症状负担 社会支持 影响因素 

分 类 号：R473.73[医药卫生—护理学]