摘要
目的探究胃癌患者根治术后疲劳综合征危险因素,旨为临床早期制定干预对策提供参考。方法选择2020年8月至2021年8月于本院行胃癌根治术治疗156例胃癌患者的病例资料,采用Piper-12疲乏调查量表调查患者术后疲劳综合征发生情况,并用多因素Logistic回归法分析影响疲劳综合征发生影响因素。结果据调查发现,156例胃癌患者根治术后发生疲劳综合征者45例、未发生疲劳综合征者111例,疲劳综合征发生率为28.9%(45/156);性别(女)、年龄(≥65岁)、术后焦虑/抑郁、术后营养不良、术后疼痛NRS评分(≥7分)、术后睡眠障碍、术后恢复时间(≤7 d)是胃癌根治术后疲劳综合征的影响因素(P<0.05)。结论胃癌根治术后疲劳综合征与患者性别、高龄、术后焦虑/抑郁、营养不良、疼痛及睡眠障碍及术后恢复时间≤7 d等因素相关,应早期识别疲劳综合征高危人群,针对性制定干预对策,降低术后疲劳综合征风险。
Objective To explore the cross-theoretical model motivational interview survey and its influencing factors of fatigue syndrome in patients with gastric cancer after radical gastrectomy,and to provide information for early clinical intervention.Methods 156 cases of patients with gastric cancer who underwent radical gastrectomy in our hospital from August 2020 to August 2021 were analyzed retrospectively.The Piper-12 fatigue scale was used to investigate the incidence of postoperative fatigue syndrome,and multivariate Logistic regression was used to analyze the influencing factors of fatigue syndrome.Results According to the survey,there were 45 cases of fatigue syndrome and 111 cases of no fatigue syndrome in 156 children with gastric cancer after radical gastrectomy,the incidence of fatigue syndrome was 28.85%(45/156).The gender(female),age(≥65 years),postoperative anxiety/depression,postoperative malnutrition,postoperative pain NRS score(≥7 points),postoperative sleep disorder,postoperative recovery time(≤7 d)were independent influencing factors of fatigue syndrome in patients with gastric cancer after radical surgery,the difference had statistical significance(P<0.05).Conclusion Fatigue syndrome after radical gastrectomy is related to gender,age,postoperative anxiety/depression,malnutrition,pain and sleep disorders,and postoperative recovery time≤7 days.Early identification of high-risk groups of fatigue syndrome and targeted intervention strategies to reduce the risk of postoperative fatigue syndrome are important.
出处
《浙江临床医学》
2023年第6期851-853,共3页
Zhejiang Clinical Medical Journal
基金
浙江省温州市科技计划项目(Y20210951)。
关键词
胃癌
胃癌根治术
疲劳综合征
影响因素
预防干预对策
Gastric cancer
Radical gastrectomy
Fatigue syndrome
Influencing factors
Preventive intervention strategy
