摘要
目的分析鼻咽癌放疗患者社会限制的特点及影响因素。方法通过便利抽样法抽取广西某三级甲等医院放疗科204例鼻咽癌患者作为研究对象,采用一般资料调查表、社会限制量表、医疗社会支持量表、医院焦虑抑郁量表进行问卷调查。对鼻咽癌放疗患者社会限制进行潜在剖面分析,并通过单因素分析和多因素Logistic回归模型分析患者潜在剖面的影响因素。结果鼻咽癌放疗患者的社会限制呈中等偏低水平。鼻咽癌放疗患者的社会限制可分为2个潜在剖面,分别命名为低社会限制-有效劝说型(81.4%)、高社会限制-逃避沟通型(18.6%)。年龄、文化程度、医疗保险情况、陪护情况、社会支持水平、焦虑和抑郁水平是鼻咽癌放疗患者社会限制潜在剖面的影响因素(P<0.05)。结论鼻咽癌放疗患者社会限制存在异质性,临床医护人员可根据患者的不同社会限制特征及影响因素给予个性化干预,以降低患者社会限制水平。
Objective To analyze the characteristics and influencing factors for social constrains in patients undergoing radiotherapy for nasopharyngeal carcinoma.Methods A total of 204 patients with nasopharyngeal carcinoma in the Department of Radiotherapy of a ClassⅢLevel A Hospital in Guangxi were selected as the research subjects by the convenience sampling method.General data inventory,Social Constraints Scale,Medical Outcomes Study Social Support Scale,and Hospital Anxiety and Depression Scale were employed to perform questionnaire investigation.The latent profiles analysis was performed on social constrains in patients undergoing radiotherapy for nasopharyngeal carcinoma,and the influencing factors for latent profiles of patients were analyzed by the univariate analysis and multivariate Logistic regression model.Results Social constrains of patients undergoing radiotherapy for nasopharyngeal carcinoma presented as medium⁃low level.Social constrains of patients undergoing radiotherapy for nasopharyngeal carcinoma could be assigned to 2 latent profiles,and they were named as low social constrains⁃effective persuasion type(81.4%)and high social constrains⁃avoidance communication type(18.6%),respectively.Age,educational level,medical insurance status,nursing status,social support level,anxiety and depression levels were the influencing factors for social constrain latent profiles in patients undergoing radiotherapy for nasopharyngeal carcinoma(P<0.05).Conclusion There is heterogeneity in social constrains of patients undergoing radiotherapy for nasopharyngeal carcinoma.Clinical medical and nursing personnel can provide individualized intervention according to different social constrains characteristics and influencing factors of patients,so as to decrease the level of social constrains of patients.
作者
陈欣
杨丽
李丹妮
谭铮可可
张妍欣
梁秋婷
CHEN Xin;YANG Li;LI Danni;TAN Zhengkeke;ZHANG Yanxin;LIANG Qiuting(Department of Nursing,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China;Department of Radiotherapy,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China;Operating Room,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)
出处
《广西医学》
CAS
2024年第10期1477-1483,共7页
Guangxi Medical Journal
基金
中华护理学会科研课题(ZHKY201919)
广西医疗卫生适宜技术开发与推广应用项目(S2022069)。
关键词
鼻咽癌
放疗
社会限制
潜在剖面
影响因素
Nasopharyngeal carcinoma
Radiotherapy
Social constrains
Latent profiles
Influencing factors
