天津护理 ›› 2024, Vol. 32 ›› Issue (1): 49-54.DOI: 10.3969/j.issn.1006-9143.2024.01.010

• 论著 • 上一篇    下一篇

新确诊头颈肿瘤患者治疗前支持性照护需求现状及其影响因素研究

宋正扬1 边继萍2 王聪1 王申3   

  1. (1.天津医科大学一中心临床学院,天津  300192;2.天津中医药大学研究生院; 3.天津市第一中心医院)
  • 出版日期:2024-02-28 发布日期:2024-03-06

The current status and influencing factors of supportive care needs of  newly diagnosed patients$with head and neck tumor before treatment

SONG Zhengyang1, BIAN Jiping2, WANG Cong1, WANG Shen3   

  1. (1.The First Central Clinical School of Tianjin Medical University, Tianjin 300192; 2.Tianjin University of Traditional Chinese Medicine; 3.Tianjin First Central Hospital)
  • Online:2024-02-28 Published:2024-03-06

摘要: 目的:探究新确诊头颈肿瘤患者治疗前支持性照护需求现状并分析影响因素,为制定相关照护方案提供依据。方法:采用一般资料问卷、癌症患者支持性照护需求量表(SCNS-SF34)、安德森头颈症状调查表(MDASI-H&N)、社会支持量表(SSRS)及医院焦虑抑郁量表(HADS)对184 例头颈肿瘤患者进行调查。结果:支持性照护需求得分前3 位的维度为生理和日常生活需求(2.95± 0.75)分、医疗服务与信息需求(2.92±0.46)分、心理需求(2.64±0.65)分。多元线性回归分析显示,职业、疾病部位、治疗方式、社会支持、焦虑、症状负担是支持性照护各维度需求的影响因素(P<0.05)。结论:新确诊头颈肿瘤患者治疗前生理和日常生活需求、医疗服务与信息需求、心理需求较高。医护人员应重点依据职业、疾病部位、治疗方式、社会支持、焦虑、症状负担状况制定并调整支持性照护方案,以提高患者支持性照护需求满足度。

关键词: 头颈肿瘤, 支持性照护需求, 症状负担, 社会支持, 焦虑

Abstract: Objective: To explore the current status of supportive care needs of newly diagnosed patients with head and neck tumor before treatment and analyze influencing factors, in order to provide a basis for formulating relevant care plans. Methods: A total of 184 patients with head and neck tumors were included and the general information questionnaire, Cancer Patient Supportive Care Needs Scale (SCNS-SF34), Anderson Head and Neck Symptom Questionnaire (MDASI-H&N), Social Support Rating Scale (SSRS), and Hospital Anxiety and Depression Scale (HADS) were used in the investigation. Results: The top three supportive care needs were physiological and daily life needs with a score of 2.95± 0.75, medical service and information needs with a score of 2.92±0.46, and psychological needs with a score of 2.64±0.65. Multiple linear regression analysis showed that occupation, disease location, treatment methods, social support, anxiety, and symptom burden were the influencing factors forvarious dimensions of supportive care needs (P<0.05). Conclusion: Newly diagnosed patients with head and neck tumors have high physiological, medical services, information, and psychological needs before treatment. Medical staff should focus on developing and adjusting supportive care plans based on occupation, disease location, treatment methods, social support, anxiety, and symptom burden, in order to improve the satisfaction of patients′ supportive care needs. 

Key words: Head and neck tumor, Supportive care needs, Symptoms burden, Social support, Anxiety