首页|肠癌化疗患者的社会疏离感现状及影响因素

肠癌化疗患者的社会疏离感现状及影响因素

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目的 探讨肠癌化疗患者社会疏离感现状及影响因素.方法 回顾性分析2021年1月~2022年12月本院收治的100例肠癌化疗患者的临床资料,使用一般情况调查问卷、一般疏离量表(General alienation scale,GAS)对其社会疏离感进行调查,并经多因素Logistic回归分析肠癌化疗患者社会疏离感发生的危险因素.结果 肠癌化疗患者GAS总分为(50.58±5.54),其中无力感(3.52±0.24)均分最高,自我疏远感(3.29±0.19)其次;不同性别、居住地、确诊时间的肠癌化疗患者的GAS得分差异无统计学意义(P>0.05),年龄66~80岁、人均月收入2 000~3 000元、初中及以下文化、疾病分期Ⅲ~Ⅳ期、化疗疗程>2次的肠癌化疗患者的GAS得分最高,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,年龄66~80岁、人均月收入2 000~3 000元、初中及以下文化、疾病分期Ⅲ~Ⅳ期、化疗疗程>2次是肠癌化疗患者社会疏离感的危险因素,均P<0.05.结论 肠癌化疗患者社会疏离感水平较高,年龄66~80岁、人均月收入2000~3000元、初中及以下文化、疾病分期Ⅲ~Ⅳ期、化疗疗程>2次是其危险因素,临床应予以密切关注.
The current status of social dissociation in colorectal cancer patients with chemotherapy and its influenc-ing factors
Objective To explore the current situation and influencing factors of social alienation in cancer che-motherapy patients.Methods A retrospective analysis was conducted on the clinical data of 100 colorectal cancer che-motherapy patients admitted to our hospital from January 2021 to December 2022.A general situation survey questionnaire and a general alienation scale(GAS)were used to investigate their sense of social alienation.Multivariate logistic regres-sion analysis was used to analyze the risk factors for social alienation in colorectal cancer chemotherapy patients.Results The total GAS score of cancer chemotherapy patients was(50.58±5.54),with the highest average score of powerlessness(3.52±0.24)and the second highest score of self alienation(3.29±0.19).There was no statistically significant differ-ence in the GAS scores of gender,residence,and diagnosis time among cancer chemotherapy patients(P>0.05).The GAS scores of cancer chemotherapy patients with age ranging from 66 to 80 years old,per capita monthly income ranging from 2000 to 3000 yuan,middle school education or below,disease stage Ⅲ-Ⅳ,and chemotherapy courses>2 times were the highest,and the difference was statistically significant(P<0.05).The results of multivariate logistic regression analysis showed that age 66-80 years old,per capita monthly income 2000-3000 yuan,education in junior high school or below,disease stage Ⅲ-Ⅳ,and chemotherapy course>2 times were risk factors for social alienation in colorectal cancer chemotherapy patients,with all P<0.05.Conclusion Patients with colorectal cancer undergoing chemotherapy have a relatively high level of social alienation,with age ranging from 66 to 80 years old,per capita monthly income ranging from 2000 to 3000 yuan,education in junior high school or below,disease stage Ⅲ to Ⅳ,and chemotherapy course>2 times being the influencing factors.Clinical attention should be paid closely.

Colorectal cancerChemotherapySocial alienation

赵国珍、蒋彩华、杨明、丁华芹

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江阴市中医院肿瘤科(江阴,214400)

肠癌 化疗 社会疏离感

江阴市卫生健康委科研项目

G202009

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(2)
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