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老年肺癌化疗患者生命质量现状与影响因素分析

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目的 调查老年肺癌化疗患者生命质量现状,并分析其影响因素,以期提高老年肺癌化疗患者的生命质量。方法 使用一般资料问卷、肺癌患者生命质量测定量表、自我感受负担量表、恐惧疾病进展量表、家庭关怀度指数问卷,对 2023年 2-4月在中国医学科学院肿瘤医院住院的 387例老年肺癌化疗患者进行调查,分析其生命质量现状及影响因素。结果 老年肺癌化疗患者生命质量总分为(96。31±15。29)分。用药方案、年龄是老年肺癌化疗患者生命质量的主要影响因素(P<0。05)。相关分析结果显示,生命质量总分与自我感受、恐惧疾病进展负担呈负相关(r值分别为-0。268 和-0。497,均 P<0。01),与家庭功能(r=0。121,P<0。05)、出院准备度总分(r=0。464,P<0。01)呈正相关。多元线性回归分析显示,出院准备度、恐惧疾病进展水平是老年肺癌化疗患者生命质量的独立危险因素(P<0。001)。结论 护理人员要重视老年肺癌化疗患者的生命质量,采取针对性的、个性化的护理措施,提高其出院准备度水平,并给予心理支持以改善老年肺癌化疗患者的生命质量。
Analysis of the quality of life and influencing factors in elderly patients with lung cancer undergoing chemotherapy
Objective To investigate the current quality of life of elderly patients with lung cancer undergoing chemotherapy and analyze the influencing factors,with the aim of improving their quality of life.Methods A survey was conducted on 387 elderly lung cancer patients receiving chemotherapy at the Cancer Hospital of the Chinese Academy of Medical Sciences from February to April 2023.The survey utilized a general information questionnaire,the Quality of Life Scale for Lung Cancer Patients,the Self-Perceived Burden Scale,the Fear of Disease Progression Scale,and the Family Care Index.The current quality of life and its influencing factors were analyzed.Results The total score for the quality of life of elderly lung cancer patients undergoing chemotherapy was(96.31±15.29).The treatment regimen and age were identified as the main influencing factors(P<0.05).Correlation analysis showed that the total quality of life score was negatively correlated with self-perception and fear of disease progression(r values of-0.268 and-0.497,respectively,both P<0.01),and positively correlated with family function(r=0.121,P<0.05)and discharge readiness(r=0.464,P<0.01).Multiple linear regression analysis indicated that discharge readiness and fear of disease progression were independent risk factors affecting the quality of life of elderly lung cancer patients(P<0.001).Conclusions Healthcare professionals should prioritize the quality of life of elderly lung cancer patients undergoing chemotherapy by implementing targeted and personalized nursing interventions.Improving discharge readiness and providing psychological support are essential to enhance the quality of life for these patients.

Elderly patientsLung cancerChemotherapyQuality of lifeInfluence factor

翟敏峰、李秋月、赵阳、王艳、李晋平

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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内科,北京 100021

国家心血管疾病中心 心血管疾病国家重点实验室中国医学科学院阜外医院,北京 100037

肺癌 老年患者 化疗 生命质量 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中国医学科学院肿瘤医院中青年医师培育项目

82241229CICAMS-MONP2022002CICAMS-MOY&M-202404

2024

中国肿瘤临床与康复
中国癌症研究基金会

中国肿瘤临床与康复

影响因子:0.887
ISSN:1005-8664
年,卷(期):2024.31(8)