摘要
目的探讨妇科恶性肿瘤患者治疗期间支持性照顾的需求状况及其影响因素。方法采用癌症患者支持性照顾需求问卷（SCNS）对正在接受治疗的100例妇科恶性肿瘤患者进行调查。结果妇科恶性肿瘤患者支持性照顾需求程度得分依次为照顾与支持维度（3．51±0．47）分，健康信息维度（3．25±0．51）分、生理与日常生活维度（2．22±0．68）分、心理维度（2．21±0．59）分、性维度（1．74±1．24）分。有医保、已婚、教育程度较高的患者健康信息需求较高（F=16．415，P〈0．05，R2=0．321）；复发患者、无家族史的患者心理需求较高（F=19．335，P〈0．05，R2=0．295）；年轻、已婚患者性方面需求较高（F=19．840，P〈0．05，R2=0．414）。结论妇科恶性肿瘤患者治疗期间对照顾和支持、健康信息方面的需求程度较高；心理方面需求或感受程度差异较大。护士有必要采取相关的护理措施满足患者各方面的需求，促进患者身心整体康复。
Objective To identify the status and influential factors of supportive care needs in patients with gynecologic cancer undergoing treatment. Methods 100 women diagnosed with gynecologic cancer participated in this descriptive study by completing a serf-report questionnaire （ Supportive Care Needs Survey）. Results The women in this study reported experiencing issues across all five domains： patient support and care （3.51 ±0.47）, health system and information （3.25 ± 0.51 ）, physical and daily living （2.22 ± 0.68）, psychological （2.21±0.59）, and sexuality （ 1.74±1.24）. Multiple linear regression analysis showed that the patients with medical insurance, married, and well-educated were inclined to have more needs in health system and information domain（ F = 16. 415, P 〈 0. 05, R2 = 0. 321 ） ; the person who had tumor recurrence or family history tended to have higher mental pressure（ F = 19. 335, P 〈 0. 05 ,R2 = 0. 295 ） ; the persons who were junior or married tended to have more sexual needs （ F = 19. 840, P 〈 0. 05 R2 = 0. 0414）. Conclusions There is a higher level of supportive care needs and health system and information needs in undergoing treatment; and there is significantly different in the psychological needs and experience. Nurses must identify the supportive care needs of women with gynecologic cancer adequately and correctly, and provide assist timely according to their expectation in order to meet the patients＇ needs and to accelerate the recovery.
出处
《中华现代护理杂志》
2011年第23期2733-2737,共5页
Chinese Journal of Modern Nursing
