摘要
目的:对老年肺癌患者首次化疗后出院准备度现状进行调查,并分析其影响因素,为提高此类患者出院准备度提供理论依据。方法:采用一般资料问卷、出院准备度评估量表对天津市某三级甲等医院呼吸内科150例首次化疗的老年肺癌患者进行调查。结果:150例首次化疗的老年肺癌患者出院准备度总分为(87.62±16.39)分。多元回归分析显示居住方式、居住地、家庭人均月收入、视觉疼痛评分、化疗反应以及出院指导质量是肺癌化疗患者出院准备度的主要影响因素(P<0.05)。结论:老年肺癌患者首次化疗后出院准备度处于中等水平,护理人员应多关注首次化疗的老年患者的化疗反应、疾病症状以及应对措施。并针对老年化疗患者对家庭照护的需求,鼓励患者家属共同参与到出院指导方案的制定与实施中来,以提高此类患者出院准备度。
Objective:To investigate the status of discharge preparedness in elderly patients with lung cancer after the first chemotherapy,and analyze the influencing factors,so as to provide theoretical basis for improving the discharge preparedness in elderly patients with lung cancer after the first chemotherapy.Methods:A questionnaire survey was conducted among 150 elderly patients with lung cancer who received first chemotherapy in the respiratory department of a tertiary class A hospital in Tianjin with general information questionnaire and discharge preparedness scale.Results:The total score of discharge preparedness of 150 elderly patients with lung cancer after the first chemotherapy was 87.62±16.39.Multiple regression analysis showed that habitation mode,residence,monthly income per family,visual pain score,chemotherapy response and quality of discharge guidance were the major influencing factors of the discharge preparedness in elderly patients with lung cancer after the first chemotherapy(P<0.05).Conclusion:The discharge preparedness in the elderly patients with lung cancer after the first chemotherapy is in middle level.The nurses should pay more attention to the chemotherapy response,disease symptoms and solutions among the elderly patients with lung cancer after the first chemotherapy.According to the needs of home care in elderly patients receiving chemotherapy,family members should be encouraged to participate in the formulation and implementation of discharge guidance program to improve the discharge preparedness.
作者
徐鋆卉
冯琳
马玥
陈新
XU Junhui;FENG Lin;MA Yue;CHEN Xin(Tianjin Thoracic Hospital,Tianjin300222)
出处
《天津护理》
2022年第2期131-135,共5页
Tianjin Journal of Nursing
基金
天津市医院协会医院管理研究项目(2018zc15)。
关键词
老年患者
肺癌
化疗
出院准备度
Elderly patient
Lung neoplasms
First chemotherapy
Discharge preparedness
