结直肠癌术后幸存者支持性照护需求调查及相关影响因素  

Survey of supportive care needs of survivors after colorectal cancer surgery and related influencing factors

作　　者：余小芳 陈玲淑 YU Xiaofang;CHEN Lingshu(Department of Gastroenterology,Wenzhou Central Hospital,Wenzhou 325000,Zhejiang,China;Department of Cardiology,Wenzhou Central Hospital,Wenzhou 325000,Zhejiang,China)

机构地区：[1]温州市中心医院消化内科,浙江温州325000 [2]温州市中心医院心内科,浙江温州3250001

出　　处：《中国现代医生》2025年第9期1-4,70,共5页China Modern Doctor

基　　金：浙江省温州市基础性科研项目(Y2023591)。

摘　　要：目的探讨结直肠癌(colorectal cancer,CRC)术后幸存者支持性照护需求及相关影响因素。方法采用便利抽样法选取2023年5月至2024年5月就诊于温州市中心医院的CRC术后幸存者为研究对象,以临床资料调查表、癌症幸存者未满足需求量表(cancer survivors’unmet needs measure,CaSUN)、医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)、自我接纳问卷(self-acceptance questionnaire,SAQ)、领悟社会支持量表(multidimensional scale of perceived social support,MSPSS)对CRC术后幸存者进行调查。结果本研究共发放200份问卷,有效问卷回收率为91.5%。183例CRC术后幸存者CaSUN总分(88.79±11.53)分,HADS总分(22.36±4.48)分,SAQ总分(37.59±6.56)分,MSPSS总分(47.12±7.80)分。Pearson相关性分析显示CRC术后幸存者支持性照护需求与焦虑抑郁症状呈正相关(r=0.439,P<0.05),与自我接纳程度、社会支持水平呈负相关(r=–0.517,r=–0.324,P<0.05)。多元线性回归分析显示,家庭月收入、造口情况、焦虑抑郁症状、自我接纳程度、社会支持水平是CRC术后幸存者支持性照护需求的影响因素,可解释CRC术后幸存者支持性照护需求46.1%的变化。结论CRC术后幸存者存在相当程度的支持性照护需求,家庭月收入、造口情况、焦虑抑郁症状、自我接纳程度、社会支持水平均可影响患者的支持性照护需求,临床应从多方面评估考虑,予以针对性管理支持。Objective To investigate the supportive care needs and related influencing factors of postoperative survivors of colorectal cancer(CRC).Methods Convenience sampling method was used to select CRC postoperative survivors who received medical treatment from May 2023 to May 2024 as the study objects.Clinical data questionnaire,cancer survivors’unmet needs measure(CaSUN),hospital anxiety and depression scale(HADS),self-acceptance questionnaire(SAQ)and multidimensional scale of perceived social support(MSPSS)were used to investigate the survivors after CRC.Results 200 questionnaires were sent out in this study,and the effective response rate was 91.5%.The total score of CaSUN,HADS,SAQ and MSPSS of 183 CRC survivors was(88.79±11.53),(22.36±4.48),(37.59±6.56)and(47.12±7.80)scores respectively.Pearson correlation analysis showed that the need for supportive care was positively correlated with anxiety and depression symptoms(r=0.439,P<0.05),and negatively correlated with self-acceptance and social support level(r=–0.517,r=–0.324,P<0.05).Multiple linear regression analysis showed that monthly family income,stomy status,anxiety and depression symptoms,self-acceptance and social support level were factors influencing the degree of supportive care need of survivors after CRC surgery,and could explain 46.1%of the change in the degree of supportive care need of survivors after CRC surgery.Conclusion There is a considerable degree of supportive care needs in survivors after CRC surgery.Monthly family income,stomy status,anxiety and depression symptoms,self-acceptance and social support level can all affect the supportive care needs of patients,and targeted management support should be considered in clinical evaluation from various aspects.

关 键 词：结直肠癌 术后幸存者 支持性照护需求 影响因素 

分 类 号：R735.3[医药卫生—肿瘤] R473[医药卫生—临床医学]