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结直肠癌患者化疗期间症状负担现状及其影响因素

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目的:分析结直肠癌患者化疗期间症状负担现状及其影响因素.方法:回顾性分析2022年1月至2023年1月该院收治的75例接受化疗的结直肠癌患者的临床资料,采用中文版安德森症状评估量表(MDASI-C)评估结直肠癌患者化疗期间症状负担现状,并比较不同基线资料患者MDASI-C评分,采用多元线性回归分析结直肠癌患者化疗期间症状负担重的影响因素.结果:75例结直肠癌患者化疗期间MDASI-C评分平均为(70.36±6.32)分;不同性别、年龄、文化程度、婚姻状态、社会支持度结直肠癌患者MDASI-C评分比较,差异均无统计学意义(P>0.05);不同病程、肿瘤分化程度、经济状况、临床分期、化疗次数、毒副反应分级结直肠癌患者MDASI-C评分比较,差异均有统计学意义(P<0.05);多元线性回归分析结果显示,病程≥1年、肿瘤低分化、经济状况较差、临床分期Ⅲ~Ⅳ期、化疗≥3次、毒副反应分级Ⅲ~Ⅳ级均为结直肠癌患者化疗期间症状负担重的危险因素(P<0.05).结论:病程≥1年、肿瘤低分化、经济状况较差、临床分期Ⅲ~Ⅳ期、化疗≥3次、毒副反应分级Ⅲ~Ⅳ级均为结直肠癌患者化疗期间症状负担重的危险因素.
Status and influencing factors of symptom burden of colorectal cancer patients during chemotherapy
Objective:To analyze status and influencing factors of symptom burden in patients with colorectal cancer during chemotherapy. Methods:The clinical data of 75 patients with colorectal cancer who received chemotherapy in this hospital from January 2022 to January 2023 were retrospectively analyzed. The Chinese version of the M. D. Anderson symptom inventory (MDASI-C) was used to assess the status of symptom burden during chemotherapy in the patients with colorectal cancer. The MDASI-C scores of the patients with different baseline data were compared. The influencing factors of symptom burden in the patients with colorectal cancer during chemotherapy were analyzed using multiple linear regression analysis. Results:The average MDASI-C score of the 75 patients with colorectal cancer during chemotherapy was (70.36±6.32). There was no significant difference in the MDASI-C score among the colorectal cancer patients with different gender,age,education level,marital status and social support (P>0.05). There were statistically significant differences in the MDASI-C scores among the colorectal cancer patients with different course of disease,degree of tumor differentiation,economic status,clinical stage,number of chemotherapy,and grade of toxic and side effects (P<0.05). The multiple linear regression analysis showed that the course of disease ≥ 1 year,low degree of tumor differentiation,poor economic status,clinical stage Ⅲ-Ⅳ,chemotherapy ≥ 3 times,and grade of toxic and side effects Ⅲ-Ⅳ were all risk factors for heavy symptom burden in the patients with colorectal cancer during chemotherapy (P<0.05). Conclusions:The course of disease ≥ 1 year,low degree of tumor differentiation,poor economic status,clinical stage Ⅲ-Ⅳ,chemotherapy ≥ 3 times,and grade of toxic and side effects Ⅲ-Ⅳ are the risk factors for the heavy symptom burden of the colorectal cancer patients during chemotherapy.

Colorectal cancerChemotherapySymptom burdenInfluencing factor

付丹丹、吴小妹、卢晶

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九江市第一人民医院肿瘤一科,江西 九江 332000

结直肠癌 化疗 症状负担 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(23)