摘要
目的探讨鼻咽癌患者适形调强放疗后的自我怜悯水平及其影响因素。方法选取2019年1月—2022年1月福建省泉州市第一医院接受适形调强放疗的鼻咽癌患者110例作为研究对象,于适形调强放疗后采用自我怜悯量表(self-compassion scale,SCS)对患者自我怜悯水平进行评估,对比所有受试者一般资料及不同特征患者SCS总分,使用Spearman相关系数分析单因素分析结果与SCS总分的相关性,采用logistic回归分析影响鼻咽癌患者适形调强放疗后SCS总分的相关因素。结果受教育程度为高中及以下的鼻咽癌患者适形调强放疗后SCS总分显著高于大专及以上患者,毒副反应数≤3种的SCS总分显著高于>3种者,农民SCS总分显著低于职工及其他,家庭人均月收入<3000元的SCS总分显著低于家庭人均月收入≥3000元者,差异均有统计学意义(P<0.05)。鼻咽癌患者适形调强放疗后SCS总分为(78.16±5.25)分,处于中等水平,自我友善及自我批判分值较高,普遍人性及正念分值较低;经Spearman相关性分析显示,患者受教育程度、毒副反应数、职业、家庭人均月收入与SCS总分呈正相关(r=0.346、0.587、0.613、0.544,P=0.008、0.003、<0.001、0.002)。采用多因素logistic回归方法分析显示受教育程度、毒副反应数、职业、家庭人均月收入是鼻咽癌患者适形调强放疗后SCS总分的影响因素(P<0.05)。结论鼻咽癌患者适形调强放疗后自我怜悯水平处于中等水平,其水平与受教育程度、毒副反应数、职业、家庭人均月收入具有密切关系,临床可结合以上因素,对患者进行针对性的干预,以提高自我怜悯水平。
Objective To explore and explore the self pity level and influencing factors of nasopharyngeal carcinoma patients after conformal intensity modulated radiotherapy.Methods A total of 110 nasopharyngeal carcinoma patients who underwent conformal intensity modulated radiation therapy in Quanzhou First Hospital,Fujian Province from January 2019 to January 2022 were selected as the research subjects.After conformal intensity modulated radiation therapy,the self pity level of the patients was evaluated using the self compassion scale(SCS).The general information of all subjects and the total SCS scores of patients with different characteristics were analyzed and compared.The Spearman correlation coefficient was used to analyze the correlation between the results of univariate analysis and the total SCS scores,logistic regression analysis was used to analyze the relevant factors affecting the total SCS score of nasopharyngeal carcinoma patients after conformal intensity modulated radiotherapy.Results Nasopharyngeal cancer patients with education level of high school or below had significantly lower total SCS scores after conformal intensity modulated radiation therapy compared to patients with college or above.The total SCS scores of patients with≤3 types of toxic side effects were significantly higher than those with>3 types.The total SCS scores of farmers were significantly lower than those of employees and others,and those with a per capita monthly income of<3000 yuan were significantly lower than those with a per capita monthly income of≥3000 yuan,with significant differences(P<0.05).The total score of SCS in nasopharyngeal carcinoma patients after conformal intensity modulated radiotherapy was(78.16±5.25)points,which was at a moderate level,with high scores for selffriendliness and self-criticism,and generally low scores for human nature and mindfulness;According to Spearman correlation analysis,the patient's education level,number of toxic side effects,occupation,and per capita monthly income of the family are positively correlated with the total score of SCS(r=0.346,0.587,0.613,0.544,P=0.008,0.003,<0.001,0.002).Multiple factor logistic regression analysis showed that education level,number of toxic side effects,occupation,and per capita monthly income of families were the influencing factors for the total SCS score of nasopharyngeal carcinoma patients after conformal intensity modulated radiotherapy(IMRT)(P<0.05).Conclusion The self pity level of nasopharyngeal carcinoma patients after conformal intensity modulated radiation therapy is at a moderate level,which is closely related to education level,number of toxic side effects,occupation,and per capita monthly income of the family.Clinical interventions can be targeted based on the above factors to improve the self pity level of patients.
作者
王家强
洪芙蓉
彭清琴
WANG Jiaqiang;HONG Furong;PENG Qingqin(Department of Radiotherapy,Quanzhou First Hospital,Fujian Province,Quanzhou Fujian 362000,China)
出处
《中国卫生标准管理》
2024年第7期122-125,共4页
China Health Standard Management
关键词
适形调强放疗
鼻咽癌
自我怜悯
影响因素
相关性
毒副反应
conformal intensity modulated radiotherapy
nasopharyngeal cancer
self pity
influence factor
correlation
toxic side effects
