首页|肺癌免疫治疗联合化疗患者出院准备度现状及影响因素分析

肺癌免疫治疗联合化疗患者出院准备度现状及影响因素分析

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目的 调查肺癌免疫治疗联合化疗患者的出院准备度现状,并分析其影响因素.方法 通过便利抽样法选取2023年2-3月在中国医学科学院北京协和医学院肿瘤医院治疗的262例接受免疫治疗联合化疗的肺癌患者为研究对象,由研究者在患者出院前发放调查问卷,采用一般资料问卷、出院准备度量表、中文版出院指导质量量表以及恐惧疾病进展简化量表对患者进行调查,分析出院准备度现状及其影响因素.结果 患者出院准备度总分为(99.27±14.92)分.多因素线性回归分析显示,患者性别(t=-3.038,P=0.003)、年龄(t=-2.651,P=0.009)、肺部放疗史(t=1.993,P=0.047)、出院指导质量(t=3.540,P<0.001)和恐惧疾病进展(t=-5.526,P<0.001)是肺癌免疫治疗联合化疗患者出院准备度的影响因素.结论 肺癌免疫治疗联合化疗患者出院准备度得分处于较高水平,男性、年龄<60岁、无肺部放疗史、高出院指导质量评分、低恐惧疾病进展评分能促进患者出院准备度的提高.
Current status and influencing factors of discharge readiness in lung cancer patients undergoing immu-notherapy combined with chemotherapy
Objective To analyze the current status of discharge readiness in lung cancer patients undergoing immuno-therapy combined with chemotherapy and identify its influencing factors.Methods A total of 262 lung cancer patients who received immunotherapy combined with chemotherapy at the Cancer Hospital,Chinese Academy of Medical Sciences and Pe-king Union Medical College from February to March 2023 were selected by convenience sampling.Questionnaires were dis-tributed to patients before discharge.The general information questionnaire,the Readiness for Hospital Discharge Scale,the Quality of Discharge Teaching Scale,and the Fear of Progression Questionnaire-Short Form were used to investigate and analyze discharge readiness and its influencing factors.Results The total score of discharge readiness was(99.27±14.92).Multiple linear regression analysis showed that gender(t=-3.038,P=0.003),age(t=-2.651,P=0.009),history of lung radiotherapy(t=1.993,P=0.047),quality of discharge teaching(t=3.540,P<0.001),and fear of disease progression(t=-5.526,P<0.001)were significant influencing factors for discharge readiness in lung cancer patients undergoing im-munotherapy combined with chemotherapy.Conclusion The discharge readiness score of lung cancer patients undergoing immunotherapy combined with chemotherapy is relatively high.Male patients,those younger than 60 years old,those with-out a history of lung radiotherapy,those with high discharge teaching quality scores,and those with low fear of disease pro-gression scores tend to have higher discharge readiness.

lung cancerimmunotherapy combined with chemotherapydischarge readinessinfluencing factors

赵阳、李秋月、翟敏峰、王洁、王艳

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国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京 100021

北京协和医学院护理学院,北京 100144

肺癌 免疫治疗联合化疗 出院准备度 影响因素

国家自然科学基金面上项目中国医学科学院肿瘤医院内科重点基金护理项目

82241229CICAMS-MONP2022002

2024

护理与康复
浙江省护理学会

护理与康复

影响因子:1.174
ISSN:1671-9875
年,卷(期):2024.23(7)