摘要
目的探讨胃肠道恶性肿瘤患者术后癌因性疲乏的潜在类别,分析不同类别胃肠道恶性肿瘤术后患者癌因性疲乏的影响因素。方法采取便利抽样法选取120例胃肠道恶性肿瘤手术治疗患者为研究对象。采用一般情况量表、患者报告结局测量信息系统(PROMIS)癌因性疲乏8a简表(PROMIS疲乏简表)进行问卷调查。结果胃肠道恶性肿瘤术后患者在癌因性疲乏简表的T分数平均得分为(61.558±3.957)分,高于一般人群基线水平。胃肠道恶性肿瘤术后患者被分为高感知-低行动力疲乏组(48.9%),高感知-高行动力疲乏组(51.1%)。术前贫血、年龄、性别是其影响因素。结论胃肠道恶性肿瘤患者术后疲乏情况存在异质性,可分为2个类别,术前贫血、年龄、性别是其影响因素。医务人员应重点关注高感知-低行动力疲乏患者,正确识别不同类别的患者并提供针对性护理措施改善其疲乏状况。
Objective To explore the potential categories of cancer-related fatigue in patients with gastrointestinal malignancies after surgery and analyze the influencing factors of cancer-related fatigue in different categories of gastrointestinal malignancy patients.Methods The convenience sampling method was used to select 120 patients with gastrointestinal malignancies who underwent surgical treatment.General condition scale and patient-reported outcomes measurement information system(PROMIS)cancer fatigue 8a short form(PROMIS fatigue short form)were used for questionnaire survey.Results The average T-score of cancer-related fatigue in postoperative patients with gastrointestinal malignancies was(61.558±3.957),which was higher than the baseline level of the general population.Postoperative patients with gastrointestinal malignancies were divided into two groups:high-perception-low-action fatigue group(48.9%)and high-perception-high-action fatigue group(51.1%).The results showed that preoperative anemia,age,and gender were the influencing factors.Conclusion There is heterogeneity in postoperative fatigue among patients with gastrointestinal malignancies,which can be divided into two categories.Anemia,age,and gender are the influencing factors.Medical staff should pay attention to patients with high-perception-low-action fatigue,correctly identify patients in different categories,and provide targeted nursing measures to improve their fatigue status.
作者
邓艳楠
周希环
马莎莎
许红梅
DENG Yannan;ZHOU Xihuan;MA Shasha;XU Hongmei(School of Nursing,Binzhou Medical University,Yantai 264003,Shandong,P.R.China;Binzhou Medical University Hospital,Binzhou 256603,Shandong,P.R.China;Science and Technology Department,Binzhou Medical University,Yantai 264003,Shandong,P.R.China)
出处
《滨州医学院学报》
2024年第2期130-132,141,共4页
Journal of Binzhou Medical University
关键词
患者报告结局
胃肠道恶性肿瘤
癌因性疲乏
潜在类别分析
patient reports outcome
gastrointestinal malignancies
cancer-related fatigue
latent class analysis
