[1]佟丹阳,王晨霞,白雪红,等.癌症患者自我报告的症状负担及影响因素分析[J].西部中医药,2024,37(05):79-85.[doi:10.12174/j.issn.2096-9600.2024.05.15]
　TONG Danyang,WANG Chenxia,BAI Xuehong,et al.Symptom Burden and Influencing Factors of Patient-reported Outcomes in Cancer Patients[J].Western Journal of Traditional Chinese Medicine,2024,37(05):79-85.[doi:10.12174/j.issn.2096-9600.2024.05.15]
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癌症患者自我报告的症状负担及影响因素分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年05期
页码:
79-85
栏目:
调查分析
出版日期:
2024-05-15

文章信息/Info

Title:
Symptom Burden and Influencing Factors of Patient-reported Outcomes in Cancer Patients
作者:
佟丹阳1, 王晨霞2, 白雪红2, 徐凤卿2, 丁婷婷2, 罗占林2
1.兰州大学护理学院，甘肃 兰州 730000
2.甘肃省人民医院，甘肃 兰州 730000
Author(s):
TONG Danyang1, WANG Chenxia2, BAI Xuehong2, XU Fengqing2, DING Tingting2, LUO Zhanlin2
1.School of Nursing, Lanzhou University, Lanzhou 730000, China
2.Gansu Provincial People's Hospital, Lanzhou 730000, China
关键词:
癌症; 症状负担; 患者自我报告结局; 埃德蒙顿症状评估量表
Keywords:
cancer; symptom burden; patient-reported outcome; edmonton symptom assessment scale
分类号:
R273
DOI:
10.12174/j.issn.2096-9600.2024.05.15
文献标志码:
A
摘要:
目的评估住院癌症患者的症状负担，探析癌症患者的症状负担现状及其影响因素。 方法通过方便抽样方法确定样本量，采用埃德蒙顿症状评估量表（edmonton symptom assessment scale，ESAS），于2022年10月至2023年5月对甘肃省人民医院放疗中心的343例癌症住院患者进行横断面描述性调查。 结果最终纳入统计的343例癌症患者中，60.1%（206/343）的患者身体症状负担报告为中重度，21.6%（74/343）的患者心理症状负担报告为中重度；个体症状中，最普遍的中重度症状是乏力（47.2%，162/343），最少报告的症状是呼吸困难（16.0%，55/343）；多变量回归分析显示，女性更有可能出现中重度身体症状（P=0.048），呼吸系统肿瘤患者更容易出现中重度疼痛（P=0.021）；中晚期肿瘤、放射治疗与中重度症状评分相关（P＜0.05）。 结论目前癌症患者的症状负担较重，且身体症状较心理症状更明显，而患者年龄、家庭月收入、居住地与症状强度无关。
Abstract:
ObjectiveTo assess symptom burden of the inpatients with cancer, and explore the current state of symptom burden in cancer patients and its influencing factors. MethodsCross-sectional descriptive survey of 343 inpatients with cancer admitted to radiotherapy center, Gansu provincial hospital, were carried out between October, 2022 and May, 2023 using ESAS, and the sample size was determined through convenience sampling method. ResultsAmong 343 patients included in the statistics consequently, 60.1% (206/343) of the patients reported moderate to severe physical symptom burden, 21.6% (74/343) of the patients reported moderate to severe psychological symptom burden; among the individual symptoms, the common moderate to severe symptom was fatigue (47.2%, 162/343), the minimally reported symptom was dyspnea (16.0%, 55/343); in multivariate regression analysis, women were more likely to have moderate to severe symptoms (P=0.048), the patients suffering respiratory tumor were more likely to have moderate to severe pain (P=0.021); moderate to severe tumor and radiotherapy were related to the scores of moderate to severe symptoms (P=0.021). ConclusionAt present, cancer patients suffer heavier symptom burden, and physiological symptoms are more obvious than psychological symptoms, while the patients' age, monthly household income and place of residence are irrelevant to the symptoms.

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备注/Memo

备注/Memo:
佟丹阳（1999—），女，在读硕士研究生。研究方向：护理管理。甘肃省自然科学基金（22JR5RA697）。
更新日期/Last Update: 2024-05-15