| 陈雪娟,刘 洁,胡芳娟,高亚娜,李雅红,刘 俊.大肠癌患者尊严受损的影响因素及与症状群和生活质量的关系分析[J].,2021,(19):3709-3713 |
| 大肠癌患者尊严受损的影响因素及与症状群和生活质量的关系分析 |
| Influencing Factors of Impaired Dignity in Patients with Colorectal Cancer and Its Relationship with Symptom Groups and Quality of Life |
| 投稿时间：2021-03-09 修订日期：2021-03-31 |
| DOI：10.13241/j.cnki.pmb.2021.19.022 |
| 中文关键词: 大肠癌 尊严受损 症状群 生活质量 影响因素 |
| 英文关键词: Colorectal cancer Impaired dignity Symptom groups Quality of Life Influencing factors |
| 基金项目:陕西省卫生和计划生育委员会科研项目（2016D085） |
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| 中文摘要: |
| 摘要 目的：探讨大肠癌患者尊严受损的影响因素，并分析其与症状群和生活质量的关系。方法：纳入我院2018年6月～2020年4月收治的大肠癌患者110例，经患者尊严量表（PDI）评估尊严受损情况，并据此分成受损组（PDI＞50分）和未受损组（PDI≤50分），经单因素和Logistic多元回归模型分析患者尊严受损的影响因素。利用安德森症状评估量表评估两组患者的症状，提取主因子分析症状群变化，采用简明生活质量量表（SF-36）评估两组生活质量并进行比较。结果：在110例患者中，尊严受损发生率为29.09%。受损组独立性、症状困扰、社会支持、生存困扰、平和心态评分及PDI总分高于未受损组（P＜0.05）。Logistic多元回归分析提示，患者临床分期Ⅳ期（OR=2.577，95%CI：1.385-4.795）、文化程度小学及以下（OR=2.996，95%CI：1.395-6.434）、家庭月收入<1000元（OR=2.068，95%CI：1.316-3.250）、肿瘤转移（OR=3.412，95%CI：1.498-7.772）、病程≥12个月（OR=3.898，95%CI：1.425-10.663）是大肠癌患者尊严受损的影响因素（P＜0.05）。受损组核心症状、症状对正常生活干扰程度评分及总分高于未受损组，但受损组躯体功能、躯体疼痛、躯体角色功能、心理健康、情绪角色功能、总体健康评分低于未受损组（P＜0.05）。结论：大肠癌患者尊严受损发生率较高，且与多种因素有关，尊严受损者的症状群明显加重，生活质量下降。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the influencing factors of impaired dignity in patients with colorectal cancer, and analyze its relationship with symptom groups and quality of life. Methods: A total of 110 cases of patients with colorectal cancer who were admitted to our hospital from June 2018 to April 2020 were enrolled. The impaired dignity was assessed by the Patient Dignity Inventory (PDI), and they were divided into impaired group (PDI>50 scores) and unimpaired group (PDI≤50 scores). Univariate and logistic regression models were used to analyze the influencing factors of patients' dignity impairment. The M.D.Anderson Symptom Inventory was used to evaluate the symptom scores of the two groups of patients, the main factors were extracted to analyze the changes in the symptom groups, and the 36-item medical outcomes study short-form (SF-36) was used to evaluate and compare the quality of life of the two groups. Results: Among 110 patients, the incidence rate of impaired dignity was 29.09%. The independence, symptom distress, social support, survival distress, peace of mind score and PDI total score of the impaired group were higher than those of the unimpaired group (P<0.05). Logistic multiple regression analysis indicated that the patient's clinical stage was stage IV (OR=2.577, 95%CI: 1.385-4.795), elementary school education and below (OR=2.996, 95%CI: 1.395-6.434), family monthly income <1000 yuan (OR=2.068, 95%CI: 1.316-3.250), tumor metastasis (OR=3.412, 95%CI: 1.498-7.772), disease course ≥12 months (OR=3.898, 95%CI: 1.425-10.663) were the influencing factors of impaired dignity in patients with colorectal cancer (P＜0.05). The scores of core symptoms, the degree of disturbance of symptoms to normal life and the total scores of the impaired group were higher than those of the unimpaired group, but the scores of physical function, body pain, body role function, mental health, emotional role function and general health of the impaired group were lower than those of the unimpaired group (P<0.05). Conclusion: Patients with colorectal cancer have a higher rate of impaired dignity, and which is related to many factors. The symptom groups of impaired dignity are significantly aggravated, and the quality of life is decreased. |
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