中医肿瘤康复门诊患者就诊时间现状及影响因素分析  

Visit duration and associated factors for traditional chinese medicine tumor rehabilitation outpatients

作　　者：张勇[1] 雷铖 代一丁 田鑫 周湘玺 刘芳 石丘玲 ZHANG Yong;LEI Cheng;DAI Yiding;TIAN Xin;ZHOU Xiangxi;LIU Fang;SHI Qiuling(School of Public Health,Chongqing Medical University,Chongqing 400016,China;Department of Thoracic Surgery,Sichuan Cancer Hospital,Chengdu 610041,Sichuan,China;Department of Chinese and Western Medicine Combined,Sichuan Cancer Hospital,Chengdu 610041,Sichuan,China)

机构地区：[1]重庆医科大学公共卫生学院,重庆400016 [2]四川省肿瘤医院胸外科,四川成都610041 [3]四川省肿瘤医院中西医结合科,四川成都610041

出　　处：《中国现代医生》2025年第5期5-8,共4页China Modern Doctor

基　　金：国家科技部国家重点研发计划-政府间国际科技创新合作项目(2022YFE0133100);四川省科技厅项目(2023YFS0328)。

摘　　要：目的调查中医肿瘤康复门诊患者就诊时间现状,分析影响因素并探讨相应的提高策略。方法选取2023年2月至4月在四川省肿瘤医院中医肿瘤康复门诊就诊的患者317例作为研究对象,分析就诊患者的特征及症状负担,采用广义线性回归模型进行多因素分析影响因素。结果睡眠不安是最严重的症状,其次是疲乏、健忘、口干和食欲不振。怕冷是最严重的中医特异性症状。年龄、患者同行人数、体力状况较差或严重疲乏是患者就诊时间的主要影响因素。结论中医肿瘤康复门诊患者就诊时间长,其主要影响因素为年龄、患者同行人数、体力状况较差或严重疲乏。Objective To investigate the visit duration of patients attending traditional Chinese medicine(TCM)tumor rehabilitation outpatient clinic in a tertiary hospital,analyze its influencing factors and explore the corresponding improvement strategies.Methods A total of 317 patients in the TCM Tumor Rehabilitation Clinic of Sichuan Cancer Hospital from February to April 2023 were selected as study subjects.Patient characteristics and symptom burden were analyzed by using generalized linear regression model.Results Restless sleep were the most severe symptoms,followed by fatigue,forgetfulness,dry mouth,and loss of appetite.Fear of cold is the most serious TCM-specific symptom.Age,number of patient peers,and poor performance status or severe fatigue were the main factors influencing the duration of patients’visits.Conclusion TCM cancer rehabilitation outpatient patients have taken a long time and have a heavy symptom burden,the main influencing factors are age,number of patients,poor physical condition or severe fatigue.

关 键 词：肿瘤康复 中医药 门诊服务 就诊时间 

分 类 号：R730.9[医药卫生—肿瘤]