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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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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.
Symptom Burden and Influencing Factors of Patient-reported Outcomes in Cancer Patients
Objective:To assess symptom burden of the inpatients with cancer,and explore the current state of symptom burden in cancer patients and its influencing factors.Methods:Cross-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.Results:Among 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).Conclusion:At 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.

cancersymptom burdenpatient-reported outcomeedmonton symptom assessment scale

佟丹阳、王晨霞、白雪红、徐凤卿、丁婷婷、罗占林

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兰州大学护理学院,甘肃 兰州 730000

甘肃省人民医院,甘肃 兰州 730000

癌症 症状负担 患者自我报告结局 埃德蒙顿症状评估量表

甘肃省自然科学基金

22JR5RA697

2024

西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
年,卷(期):2024.37(5)
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