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晚期恶性肿瘤患者癌因性疲乏现状及其影响因素

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目的 了解晚期恶性肿瘤患者抗肿瘤治疗期间癌因性疲乏现状,并分析其影响因素,为临床护理干预提供依据.方法 采用便利抽样法,选取 2022 年 1 月至 8 月在北京市某三级甲等综合医院肿瘤内科住院并接受抗肿瘤治疗的 279例晚期恶性肿瘤患者作为研究对象,采用癌症疲乏量表(cancer fatigue scale,CFS)、化疗消化道症状量表(chemotherapy-related gastrointestinal symptoms inventory,CGISI)、营养风险筛查 2002 量表(nutritional risk screening 2002,NRS2002)进行调查,采用Logistic回归分析患者癌症疲乏得分的影响因素.结果 279 例患者均完成研究.204 例(73.1%)患者存在癌因性疲乏.Logistic回归分析显示,体质量指数(body mass index,BMI)、文化程度、家庭人均月收入和糖尿病均是癌因性疲乏的影响因素(均P<0.05).结论 晚期恶性肿瘤患者在抗肿瘤治疗期间癌因性疲乏发生率较高,BMI过低、文化程度低、家庭人均月收入较低及糖尿病为晚期恶性肿瘤患者癌因性疲乏的危险因素,可据此实施针对性干预,降低疲乏发生率.
Cancer-related fatigue in patients with advanced malignant tumours:current status and influencing factors
Objective To investigate the status quo of cancer-related fatigue(CRF)in patients with advanced malignant tumours during anti-tumour treatment,and explore the influencing factors so as to provide a reference for nursing intervention.Methods Between January and August 2022,a total of 279 patients with advanced malignant tumours who received anti-tumour therapies in the Department of Oncology of a general hospital in Beijing were selected as study subjects using convenience sampling method.General data questionnaire,cancer fatigue scale,chemotherapy-related gastrointestinal symptoms inventory,and nutritional risk screening 2002 were used for the investigation.Logistic regression analysis was conducted to determine the influencing factors of cancer-related fatigue.Results Toally 279 patients finished the study.A total of 204(73.12%)patients had cancer-related fatigue.Binary logistic regression analysis showed that BMI,education,monthly family income and diabetes were the influencing factors in cancer-related fatigue(all P<0.05).Conclusions The incidence of cancer-related fatigue is high in patients with advanced malignant tumours during anti-tumour therapy.Low BMI,poor education,low monthly family income and diabetes are the risk factors in cancer-related fatigue.Targeted interventions should be implemented based on the risk factors so as to reduce the incidence of cancer-related fatigue.

advanced malignant tumourcancer-related fatiguecross-sectional study

王培、孙超、胡慧秀、弓少华、赵雅洁、麻盛淼

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北京医院肿瘤科,北京,100730

北京医院护理部,北京,100730

北京医院神经内科,北京,100730

北京医院心内科,北京,100730

中国医学科学院北京协和医学院护理学院,北京,100144

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晚期恶性肿瘤 癌因性疲乏 横断面研究

北京医院指南专项泰康溢彩公卫基金年度资助课题

BJ-2022-082

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(1)
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