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老年恶性肿瘤患者癌因性疲乏及应对方式的研究 被引量:8

Study on cancer related fatigue and coping mode of the elderly patients with cancer
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摘要 目的研究老年恶性肿瘤患者癌因性疲乏程度,探讨其与应对方式的关系,为减轻患者疲乏症状的临床干预提供依据。方法选择武汉大学人民医院2012年7月—2014年5月收治的老年癌症患者352例作为研究对象。采用癌症疲乏量表(CFS)对患者疲乏症状进行评价,采用医学应对问卷(MCMQ)收集患者应对疾病的方式。结果老年恶性肿瘤患者CFS平均得分为(26.93±7.44)分,MCMQ平均得分为(43.30±7.10)分。老年恶性肿瘤患者年龄越高,疲乏症状越严重(P≤0.05);"面对"应对方式可减轻老年恶性肿瘤患者疲乏症状,"回避"和"屈服"应对方式可加重患者疲乏症状(P≤0.05)。结论 CFS适用于临床上评价老年恶性肿瘤患者疲乏症状,医务人员应指导患者建立积极的面对方式,减轻患者疲乏程度。 [Objective]To study the cancer-related fatigue degree of the elderly malignant tumor patients and explore its relationship with coping style, and provide the basis for clinical intervention to reduce fatigue symptoms of patients.[Methods]A total of 352 cases of elderly cancer patients treated in Renmin Hospital of Wuhan University from July 2012-May 2014 were taken as the research object. The cancer fatigue scale (CFS) was used to evaluate fatigue symptoms in patients with cancer. Medical coping modes questionnaire (MCMQ) was used to collect patients coping modes with illness.[Results]The average score of CFS of the elderly malignant tumor patients was 26.93±7.44. The average score of MCMQ was 43.30±7.10. The older the patient was, the more serious fatigue symptom they had, P≤0.05;"Confrontation" coping style could lighten the elderly malignant tumor patients symptoms of fatigue, "avoidance" and "Acceptance-Resignation" coping styles could increase fatigue symptoms of patients with cancer, P±≤0.05.[Conclusion]The CFS is suitable for clinical evaluation of elderly malignant tumor patients fatigue symptoms. Medical staff should guide the patients to establish positive facing style to relieve fatigue degree.
出处 《职业与健康》 CAS 2015年第10期1356-1358,共3页 Occupation and Health
基金 湖北省自然科学基金(项目编号:2013BKB012)
关键词 应对方式 老年人 恶性肿瘤 癌因性疲乏 Coping mode The elderly Cancer Cancer-related fatigue
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