中国临床护理2024,Vol.16Issue(11) :710-715.DOI:10.3969/j.issn.1674-3768.2024.11.012

结直肠癌化疗患者家庭抗逆力现状及其影响因素分析

Status quo of family resilience among colorectal cancer patients undergoing chemotherapy and its influencing factors

周艳华 李思凡 任海梅 黄梦英 禹闪珠 方艳春
中国临床护理2024,Vol.16Issue(11) :710-715.DOI:10.3969/j.issn.1674-3768.2024.11.012

结直肠癌化疗患者家庭抗逆力现状及其影响因素分析

Status quo of family resilience among colorectal cancer patients undergoing chemotherapy and its influencing factors

周艳华 1李思凡 2任海梅 3黄梦英 4禹闪珠 3方艳春5
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作者信息

  • 1. 南华大学护理学院,湖南衡阳 421000;邵阳市中医医院肿瘤内科,湖南邵阳 422000
  • 2. 邵阳市中医医院肿瘤内科,湖南邵阳 422000
  • 3. 邵阳市中心医院护理部,湖南邵阳 422000
  • 4. 湖南省中西医结合医院肿瘤内科,长沙 410000
  • 5. 南华大学护理学院,湖南衡阳 421000;邵阳市中心医院护理部,湖南邵阳 422000
  • 折叠

摘要

目的 探讨结直肠癌化疗患者家庭抗逆力水平及其影响因素,为有针对性地构建护理干预方案、促进良好家庭调适提供理论依据.方法 采用便利抽样法,于2023年11月-2024年4月选取湖南省3所三甲医院的结直肠癌化疗患者为调查对象,使用一般资料问卷、中文版家庭弹性量表简化版、医学应对问卷、慢病管理自我效能量表、家庭关怀度指数测评量表、社会支持量表对其进行问卷调查.结果 总共调查232个结直肠癌化疗患者,其家庭抗逆力得分为(87.48±12.72)分.多元线性回归分析显示,社会支持、家庭关怀度、医学应对方式、家庭经济水平是结直肠癌化疗患者家庭抗逆力水平的独立影响因素(R2=0.684,调整R2=0.674,F=69.231,P<0.001).结论 结直肠癌化疗患者家庭抗逆力水平处于中等水平,且影响因素众多,可通过提高社会支持水平、加强家庭关怀度、采取积极的应对方式、改善患者家庭经济水平等方法促进其家庭抗逆力水平的提高.

Abstract

Objective To explore the family resilience among colorectal cancer patients undergoing chemotherapy and its influencing factors,so as to provide theoretical basis for targeted nursing intervention plans and promoting good family adjustment.Methods Between November 2023 and April 2024,the colorectal cancer patients undergoing chemotherapy were selected from 3 grade-A tertiary hospitals using the convenience sampling method,and surveyed using a general information questionnaire,a shortened Chinese version of the family resilience scale,a medical coping modes questionnaire,a self-efficacy for managing chronic disease 6-item scale,a family concern index questionnaire and a social support rating scale.Results A total of 232 colorectal cancer chemotherapy patients were surveyed and their family resilience score was(87.48±12.72)points.Multiple linear regression analysis showed that social support,family care level,medical coping style and family economic level were the influencing factors of their family resilience level(R2=0.684,adjusted R2=0.674,F=69.231,P<0.001).Conclusion The family resilience of colorectal cancer patients with chemotherapy is at a moderate level,and affected various factors.Effective measures should be taken to better their family resilience by improving their social support,family care,coping strategies and economic levels.

关键词

结直肠癌/化疗/家庭抗逆力/横断面研究/影响因素

Key words

Colorectal cancer/Chemotherapy/Family resilience/Cross sectional study/Influencing factor

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出版年

2024
中国临床护理
中国医师协会 武汉市医学科学研究所

中国临床护理

影响因子:0.843
ISSN:1674-3768
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