中华护理杂志 ›› 2023, Vol. 58 ›› Issue (18): 2230-2237.DOI: 10.3761/j.issn.0254-1769.2023.18.008
叶艳欣(), 秦岚, 骆佳慧, 曾凯, 刘素婷, 于雅, 梁静文, 张立力(
)
收稿日期:
2022-10-11
出版日期:
2023-09-20
发布日期:
2023-09-22
通讯作者:
张立力,E-mail:zhanglili_gz@126.com作者简介:
叶艳欣:女,硕士,护士,E-mail:1299431289@qq.com
基金资助:
YE Yanxin(), QIN Lan, LUO Jiahui, ZENG Kai, LIU Suting, YU Ya, LIANG Jingwen, ZHANG Lili(
)
Received:
2022-10-11
Online:
2023-09-20
Published:
2023-09-22
摘要:
目的 了解肺癌患者化疗相关症状群的发生现状及其潜在类别,并比较各类别患者在社会、疾病、生理和行为4个方面的差异,分析潜在类别的影响因素。 方法 采用便利抽样法,选取2020年10月—2021年11月在广州市某三级甲等医院就诊的肺癌化疗患者作为调查对象。采用一般资料调查表、国际体力活动问卷-短卷、锻炼自我效能量表、简明疼痛量表、简明疲乏量表、阿森斯失眠量表、患者健康问卷-抑郁筛查量表收集资料。采用Mplus 8.3软件进行潜在类别分析,并应用SPSS 25.0软件进行单因素和Logistic回归分析,确定潜在类别的影响因素。 结果 回收有效问卷294份,有效问卷回收率为91.88%,其中84.4%的肺癌患者存在化疗相关症状群。潜在类别分析结果显示,存在高症状组(53.6%)和低症状组(46.4%)2个类别。Logistic回归分析结果显示,工作状况、BMI、体力活动水平、锻炼自我效能量表得分、确诊时间和白蛋白浓度是肺癌患者化疗相关症状群潜在类别的影响因素。 结论 肺癌患者化疗相关症状群的发生率较高,症状特征存在异质性,可分为2个潜在类别。无业、BMI<18.5以及每周体力活动水平、锻炼自我效能、白蛋白浓度较低的患者出现相关症状的概率较大。
叶艳欣, 秦岚, 骆佳慧, 曾凯, 刘素婷, 于雅, 梁静文, 张立力. 肺癌患者化疗相关症状群的发生现状及影响因素分析[J]. 中华护理杂志, 2023, 58(18): 2230-2237.
YE Yanxin, QIN Lan, LUO Jiahui, ZENG Kai, LIU Suting, YU Ya, LIANG Jingwen, ZHANG Lili. Study on status and influencing factors of chemotherapy related symptom cluster among lung cancer patients[J]. Chinese Journal of Nursing, 2023, 58(18): 2230-2237.
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表4 肺癌患者化疗相关症状群潜在类别的Logistic回归分析结果(n=248)
Table 4 Logistic regression model of latent classes of chemotherapy related symptom cluster in lung cancer patients(n=248)
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