鼻咽癌患者同步放化疗后自我管理积极度现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2022.15.009

摘要/Abstract

摘要：

目的了解鼻咽癌（nasopharyngeal carcinoma,NPC）患者同步放化疗后自我管理积极度现状并分析其影响因素。方法 2021年1月—6月,采用便利抽样法,选取南宁市某三级甲等医院NPC同步放化疗后患者作为调查对象,使用一般资料调查表、患者积极度量表、自我调节疲乏量表、疾病接受度量表进行调查,采用单因素分析及多元线性回归分析NPC患者同步放化疗后自我管理积极度的影响因素。结果 NPC同步放化疗后患者积极度量表得分为（59.78±13.58）分,处于中等水平。多元线性回归分析结果显示,文化程度、自我调节疲乏量表得分、疾病接受度量表得分是NPC患者同步放化疗后自我管理积极度的影响因素（P<0.05）。结论亟需关注NPC患者同步放化疗后自我管理积极度现状,并结合其文化程度、自我调节疲乏、疾病接受度,制订系统性、有效性的康复期自我管理积极度干预策略。

关键词: 鼻咽癌, 积极度, 自我调节疲乏, 疾病接受度, 康复护理

Abstract:

Objective To understand the current status and analyze the factors affecting the self-management motivation of patients recovering from nasopharyngeal carcinoma（NPC） after simultaneous radiotherapy. Methods From January to June 2021,223 patients who were followed up in the radiotherapy department of a tertiary A hospital in Nanning City during the recovery period after synchronous radiotherapy for NPC were selected as the study subjects. They were investigated using the General Information Questionnaire,Positivity Scale,Self-Regulation Fatigue Scale,and Disease Acceptance Scale,and the factors influencing the self-management positivity of patients during the recovery period after synchronous radiotherapy for NPC were analyzed using univariate analysis and multiple linear regression. Results The positivity score of patients in the recovery period after simultaneous radiotherapy for NPC was （59.78±13.58）,which was at a moderate level. The results of multiple linear regression analysis showed that patient literacy,self-regulation fatigue,and disease acceptance were factors influencing the self-management positivity of patients in the recovery period after simultaneous radiotherapy for NPC（P<0.05）. Conclusion There is an urgent need to focus on the current status of patient motivation during the recovery period after simultaneous radiotherapy for NPC. It is necessary to develop a systematic and effective intervention strategy for motivation during the recovery period,to take into account patients’ literacy,self-regulation fatigue,and disease acceptance in a comprehensive manner.

Key words: Nasopharyngeal Carcinoma, Patient Activation, Self-Regulatory Fatigue, Acceptance of Illness, Rehabilitation Nursing

张妍欣, 杨丽, 李家燕, 朱静文, 梁秋婷, 周溢, 叶夏兰, 廖婷婷, 邱丽燕, 卢佳美. 鼻咽癌患者同步放化疗后自我管理积极度现状及影响因素分析[J]. 中华护理杂志, 2022, 57(15): 1853-1858.

ZHANG Yanxin, YANG Li, LI Jiayan, ZHU Jingwen, LIANG Qiuting, ZHOU Yi, YE Xialan, LIAO Tingting, QIU Liyan, LU Jiamei. Analysis on the current situation and influencing factors of the self-management positivity of patients in the recovery period after simultaneous radiotherapy for nasopharyngeal carcinoma[J]. Chinese Journal of Nursing, 2022, 57(15): 1853-1858.

图/表 2

表1 调查对象的一般资料及自我管理积极度影响因素的单因素分析（n=223）

Table 1 The general information of the respondents and the results of the univariate analysis of the influencing factors of enthusiasm（n=223）

表2 调查对象自我管理积极度影响因素的多元线性回归分析结果（n=223）

Table 2 Results of multiple linear regression analysis of factors influencing the enthusiasm of survey respondents（n=223）

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