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护理学报 ›› 2023, Vol. 30 ›› Issue (11): 65-70.doi: 10.16460/j.issn1008-9969.2023.11.065

• 调查研究 • 上一篇    下一篇

200例鼻咽癌同步放化疗患者负面社会期望现状及影响因素分析

李家燕a, 杨丽b, 朱静文b, 张妍欣b, 梁秋婷b, 周溢b, 卢佳美c   

  1. 广西医科大学第一附属医院 a.手术室; b.护理部; c.放疗科,广西 南宁 530021
  • 收稿日期:2022-09-20 出版日期:2023-06-10 发布日期:2023-07-10
  • 通讯作者: 杨丽（1965-）,女,广西桂林人,本科,主任护师。E-mail:13099116098@sina.com
  • 作者简介:李家燕（1995-）,女,广西钦州人,硕士,护士。
  • 基金资助:
    中华护理学会2019年度科研课题（ZHKY201919）

Status quo and influencing factors of negative social expectation of patients with nasopharyngeal carcinoma undergoing concurrent radiotherapy and chemotherapy: a 200-case study

LI Jia-yana, YANG Lib, ZHU Jing-wenb, ZHANG Yan-xinb, LIANG Qiu-tingb, ZHOU Yib, LU Jia-meic   

  1. a. Dept. of Operating Room; b. Dept. of Nursing Administration. c. Dept. of Radiotherapy, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
  • Received:2022-09-20 Online:2023-06-10 Published:2023-07-10

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摘要： 目的 调查鼻咽癌同步放化疗患者负面社会期望现状,分析其影响因素。方法 采用便利抽样法,于2021年1—6月选取在广西医科大学第一附属医院放疗科住院治疗符合纳排标准的200例鼻咽癌同步放化疗患者作为研究对象。采用一般资料调查表、癌症负面社会期望量表、领悟社会支持量表、疾病接受度量表对其进行调查,采用多重线性回归分析负面社会期望的影响因素。结果 本组鼻咽癌同步放化疗患者负面社会期望得分总分为（18.00±5.64）分,多重线性回归分析结果显示,领悟社会支持（B=-0.354,P<0.001）、临床分期（B=1.108,P=0.019）、疾病接受度（B=-0.350,P<0.001）、症状数量（B=0.918,P=0.009）、鼻咽癌放疗次数（B=1.246,P<0.001）、无陪护及护工陪护（B=2.831,1.686;P<0.001,P=0.026）进入回归方程,共解释鼻咽癌同步放化疗患者负面社会期望水平总变异的60.8%。结论 本组鼻咽癌同步放化疗患者负面社会期望得分处于中等水平,领悟社会支持、临床分期、疾病接受度、症状数量、鼻咽癌放疗次数、陪护状况是鼻咽癌同步放化疗患者负面社会期望水平的影响因素。临床护理工作者应重视并及时加以评估及干预,构建负面社会期望临床护理方案,降低患者负面社会期望水平。

关键词: 鼻咽癌, 同步放化疗, 负面社会期望

Abstract: Objective To investigate the status quo of negative social expectation of nasopharyngeal carcinoma patients undergoing concurrent radiotherapy and chemotherapy, and to analyze its influencing factors. Methods With convenient sampling, 200 patients with nasopharyngeal carcinoma hospitalized in the radiotherapy department of the First Affiliated Hospital of Guangxi Medical University were selected from January to June 2021, and were surveyed by using General Information Questionnaire, Cancer-related Negative Social Expectation Scale, Perceived Social Support Scale, and the Acceptance of Illness Scale. Multiple linear regression was used to analyze the influencing factors of negative social expectation. Results The total score of negative social expectation in this group was 18.00±5.64. Multiple linear regression analysis showed that perceived social support (B=-0.354,P<0.001), clinical stage (B=1.108,P=0.019), disease acceptance (B=-0.350,P<0.001), number of symptoms (B=0.918,P=0.009), number of radiotherapy for nasopharyngeal carcinoma (B=1.246,P<0.001), and without accompanying and accompanied by nursing workers (B=2.831,1.686;P<0.001,P=0.026) entered the regression equation (P<0.05), which explained 60.8% of the total variation. Conclusion The score of negative social expectation of the patients with nasopharyngeal carcinoma undergoing concurrent radiotherapy and chemotherapy is at the middle level. Perceived social support, clinical stage, disease acceptance, number of symptoms, radiotherapy frequency of nasopharyngeal carcinoma, without accompanying and accompanied by nursing workers are the influencing factors of the negative social expectation. Timely assessment and intervention and clinical nursing plan for negative social expectations are conducive to reducing patients' negative social expectation.

Key words: nasopharyngeal carcinoma, concurrent radiotherapy and chemotherapy, negative social expectations

中图分类号: 

  • R473.73
[1] You R, Liu YP, Huang PY, et al.Efficacy and safety of locoregional radiotherapy with chemotherapy vs chemotherapy alone in de novo metastatic nasopharyngeal carcinoma: a multicenter phase 3 randomized clinical trial[J]. JAMA Oncol, 2020,6(9):1345-1352.DOI:10.1001/jamaoncol.2020.1808.
[2] Katano A, Takahashi W, Yamashita H, et al.Radiotherapy alone and with concurrent chemotherapy for nasopharyngeal carcinoma: a retrospective study[J]. Medicine (Baltimore), 2018,97(18):e502.DOI:10.1097/MD.0000000000010502.
[3] Adams R, Mosher C, Abonour R, et al.Cognitive and situational precipitants of loneliness among patients with cancer: a qualitative analysis[J]. Oncology Nursing Forum, 2016,43(2):156-163.DOI: 10.1188/16.ONF.156-163.
[4] 崔海娟. 癌症患者孤独感与负面社会期望量表的信效度检验[D].泰安:泰山医学院, 2018.
[5] Cacioppo S, Grippo AJ, London S, et al.Loneliness: clinical import and interventions[J]. Perspect Psychol Sci, 2015,10(2):238-249.DOI: 10.1177/1745691615570616.
[6] Adams RN, Mosher CE, Rand KL, et al.The cancer loneliness scale and cancer-related negative social expectations scale: development and validation[J]. Qual Life Res, 2017,26(7):1901-1913.DOI: 10.1007/s11136-017-1518-4.
[7] Bellucci G.Positive Attitudes and negative expectations in lonely individuals[J]. Sci Rep, 2020,10(1):18595.DOI: 10.1038/s41598-020-75712-3.
[8] Wang J,Mann F, Lloyd-Evans B, et al.Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review[J]. BMC Psychiatry, 2018,18(1):156.DOI:10.1016/j.oraloncology.2017.11.022.
[9] Kowalewska B, Cybulski M, Jankowiak B, et al.Acceptance of illness, satisfaction with life, sense of stigmatization, and quality of life among people with psoriasis: a cross-sectional study[J]. Dermatol Ther (Heidelb), 2020,10(3):413-430.DOI:10.1007/s13555-020-00368-w.
[10] 杜菲菲. 老年心力衰竭患者领悟社会支持对自我感受负担和生活质量影响的研究[D].兰州:兰州大学, 2021.
[11] 郭亚芬. 冠心病PCI术后患者疾病接受度现状及影响因素研究[D].长沙:湖南师范大学, 2021.
[12] 刘桂芳, 刘玉秀, 仇丽霞. 医学统计学[M]. 北京:中国协和医科大学出版社, 2007.
[13] 廖婷婷,杨丽,邱丽燕,等.鼻咽癌出院患者放疗毒副反应变化趋势研究[J].中国全科医学, 2020,23(26):3330-3336.DOI: 10.12114/j.issn.1007-9572.2020.00.182.
[14] Zimet GD, Dahlem NW, Zimet SG, et al.The multidimensional scale of perceived support[J].J Pers Assess,1988,52(1):30-41.DOI:10.1207/s15327752jpa52012.
[15] 姜乾金. 领悟社会支持量表[J].中国行为医学科学,2001,10(10):41-43.
[16] 张帆,朱树贞,邓平基.领悟社会支持量表在国内住院病人社会支持研究中的应用评价[J]. 护理研究, 2018,32(13):2048-2052.DOI:10.12102/j.issn.1009-6493.2018.13.015.
[17] Felton BJ, Revenson TA, Hinrichsen GA.Stress and coping in the explanation of psychological a adjustment among chronically ill adults[J]. Soc Sci Med, 1984,18(10):889-898.DOI: 10.1016/0277-9536(84)90158-8.
[18] 赵雯雯. 中文版疾病接受度量表的信效度评价[J]. 中华现代护理杂志, 2018,24(22):2652-2655.DOI:10.3760/cma.j.issn.1674-2907.2018.22.012.
[19] 周美景,罗丹,林征,等.炎症性肠病患者疾病接受度现状及其影响因素研究[J].中国护理管理, 2021,21(3):352-357.DOI:10.3969/j.issn.1672-1756.2021.03.007.
[20] 李家燕,杨丽,张妍欣,等. 鼻咽癌同步放化疗患者孤独感现状及影响因素分析[J]. 护理学杂志,2021,36(20):73-76. DOI:10.3870/j.issn.1001-4152.2021.20.073.
[21] Ong HL, Vaingankar JA, Abdin E, et al.Resilience and burden in caregivers of older adults: moderating and mediating effects of perceived social support[J]. BMC Psychiatry, 2018,18(1):27.DOI: 10.1186/s12888-018-1616-z.
[22] 林帅帅,李淑英. 鼻咽癌放疗患者心理痛苦的影响因素分析及护理干预[J].护理实践与研究,2020,17(12):35-37. DOI:10.3969/j.issn.1672-9676.2020.12.012.
[23] 陈建辉,赵德强,陈建清,等.鼻咽癌患者放疗期间反刍性沉思水平及其影响因素[J].解放军护理杂志, 2019,36(11):6-10.DOI: 10.3969/j.issn.1008-9993.2019.11.002.
[24] Marthoenis M, Syukri M, Abdullah A, et al.Quality of life, depression, and anxiety of patients undergoing hemodialysis: significant role of acceptance of the illness[J]. Int J Psychiatry Med, 2021, 56(1):40-50. DOI:10.1177/0091217420913382.
[25] 沈怡,强万敏,李铮,等.鼻咽癌患者同步放化疗后期症状群及影响因素分析[J]. 护士进修杂志, 2017,32(14):1279-1284.DOI: 10.16821/j.cnki.hsjx.2017.14.008.
[26] 吴婉英,杨方英, 怡,等.鼻咽癌患者放疗期间症状群变化的纵向研究[J].中华现代护理杂志, 2016,22(13):1804-1808.DOI: 10.3760/cma.j.issn.1674-2907.2016.13.008.
[27] Van Schoors M, De Mol J, Verhofstadt L L, et al.The family practice of support-giving after a pediatric cancer diagnosis: a multi-family member interview analysis[J]. Eur J Oncol Nurs,2020,44:101712.DOI:10.1016/j.ejon.2019.101712.
[28] 韦瑜群. 肝癌住院患者家属陪护现状及其对肝癌患者生存质量的影响[D].南宁:广西医科大学, 2017.
[29] 郝丽洁,张新燕.老年住院患者对护工陪护服务的满意度调查[J].齐鲁护理杂志, 2016,22(5):64-65.DOI: 10.3969/j.issn.1006-7256.2016.05.030.
[30] 卢佳美, 杨丽.鼻咽癌患者有氧运动的研究进展[J].中华现代护理杂志, 2019,25(28):3687-3691.DOI:10.3760/cma.j.issn.1674-2907.2019.28.029.
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