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肺癌患者术后恐动症发生的现状分析及影响因素研究

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目的:调查肺癌患者术后恐动症的发生现状,分析导致术后恐动症的主要影响因素,并提出护理对策。方法:选取 2023 年 6 月—2024 年 4 月福建省医科大学附属协和医院收治的 160 例肺癌手术患者作为研究对象,根据中文版Tampa恐动症量表(Tampa scale of kinesiophobia,TSK)结果对患者进行分组,TSK评分<38 分为未发生恐动症,纳入未发生组(n=102),TSK评分≥38 分为发生恐动症,纳入恐动症组(n=58)。收集患者临床相关资料,调查肺癌患者术后恐动症发生现状,进行肺癌患者术后恐动症发生相关因素的单因素和多因素logistic分析。结果:160 例肺癌患者,58 例(36。25%)发生术后恐动症。两组年龄、性别、个人月收入、文化程度、外科手术史比较,差异无统计学意义(P>0。05);两组术后咳嗽、疼痛程度、癌因性疲乏、疾病应对方式比较,差异有统计学意义(P<0。05)。logistic回归分析结果显示,术后咳嗽、疼痛程度、癌因性疲乏为术后发生恐动症的危险因素(P<0。05)。结论:肺癌患者术后恐动症受多种因素影响,其中术后咳嗽、疼痛程度和癌因性疲乏为主要危险因素,针对这些危险因素,应采取相应的护理措施,以降低术后恐动症发生率,提高患者的生活质量,改善预后。
Analysis of Current Situation and Influencing Factors of Postoperative Kinesiophobia in Patients with Lung Cancer
Objective:To investigate the current situation of postoperative kinesiophobia in patients with lung cancer,to analyze the main influencing factors leading to postoperative kinesiophobia,and to put forward nursing countermeasures.Method:A total of 160 patients with lung cancer surgery who admitted to Fujian Medical University Union Hospital from June 2023 to April 2024 were selected as the research objects,the patients were grouped according to the Chinese version of Tampa scale of kinesiophobia(TSK),TSK score<38 points was divided into non-kinesiophobia and included in the non-occurrence group(n=102),TSK score≥38 points was divided into kinesiophobia and included in the kinesiophobia group(n=58).The clinical data of patients were collected to investigate the current situation of postoperative kinesiophobia in patients with lung cancer,and the univariate and multivariate logistic analysis of the related factors of postoperative kinesiophobia in patients with lung cancer were carried out.Result:Among 160 patients with lung cancer,58 patients(36.25%)had postoperative kinesiophobia.There were no significant difference in the age,gender,personal monthly income,educational level and surgical history between two groups(P>0.05);there were significant differences in the postoperative cough,pain,cancer-related fatigue and disease coping style between two groups(P<0.05).logistic regression analysis showed that postoperative cough,pain and cancer-related fatigue were risk factors for postoperative kinesiophobia(P<0.05).Conclusion:Postoperative kinesiophobia in lung cancer patients is influenced by multiple factors,primarily postoperative cough,pain,and cancer-related fatigue.Targeted nursing interventions should be implemented to mitigate these risks,enhancing quality of life and prognosis.

Lung cancerPostoperative kinesiophobiaRisk factorsNursing interventionsCoughPainCancer-related fatigue

王宝钗

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福建医科大学附属协和医院 福建 福州 350001

肺癌 术后恐动症 危险因素 护理对策 咳嗽 疼痛 癌因性疲乏

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)