以质量求发展,以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (11): 65-70.doi: 10.16460/j.issn1008-9969.2023.11.065

Previous Articles     Next Articles

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

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

CLC Number: 

  • 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.
[1] ZHANG Yu, LI Wan-dan, LUO Ying-xia, XIE Yang-wei. Best Evidence Summary of Management of Gastrointestinal Symptoms in Patients with Nasopharyngeal Carcinoma Undergoing Chemotherapy or Radiotherapy [J]. Journal of Nursing, 2022, 29(2): 35-39.
[2] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma [J]. Journal of Nursing, 2020, 27(11): 71-74.
[3] ZHANG Na, SONG Jin-xia, WANG Hong-qiao, ZHOU Jing, JIN Yong-long, WANG Yuan-yuan, SUN Hui-hui. Changes of Symptom Clusters among Nasopharyngeal Carcinoma Patients undergoing Concurrent Chemoradiotherapy: A Longitudinal Study [J]. Journal of Nursing, 2019, 26(23): 6-10.
[4] LIU Xin,JIANG Jin-fang,QIN Yan-zhu,HUANG Ying-fan,TANG Zhong-min,WEI Dan-dan,QIN Xue-yan,CHEN Long. Evidence-based Practice of Protective Strategies for Oral Mucositis in Patients with Radiotherapy and Chemotherapy for nasopharyngeal carcinoma [J]. Journal of Nursing, 2018, 25(11): 26-30.
Viewed
Full text


Abstract

Cited

  Shared   
[1] ZHAO Xu, ZHAO Ya-ning, LI Jian-min, LIU Yao, ZHAO Da-ye, CHEN Chang-xiang. Construction of prognostic model of acute ischemic stroke in elderly individuals based on inflammatory and nutritional indicators[J]. Journal of Nursing, 2023, 30(11): 1 -6 .
[2] ZHANG Cheng-jie, JING Kun-juan, LIU Dong-xue. Efficacy comparison of nomogram and classification and regression tree in predicting stigma in elderly stroke patients[J]. Journal of Nursing, 2023, 30(11): 7 -12 .
[3] LIU Guan-lin, CHEN Jian-peng, SONG Kai-lan, Luan Yi , ZHANG Di, WANG Xin-yuan, ZHOU Ting, KONG Ying. Effect of three-level linkage combined with family empowerment model on control of sudden symptoms in patients with hospice care at home[J]. Journal of Nursing, 2023, 30(11): 13 -16 .
[4] GONG Shu-ping, WANG Xiao-min, JIANG Yu-xiao, SUN Xiao-ying, ZHAO Xiao-min. Latent profile and influencing factors of empathy of nursing students at early stage of internship[J]. Journal of Nursing, 2023, 30(11): 17 -21 .
[5] . [J]. Journal of Nursing, 2023, 30(11): 22 -26 .
[6] . [J]. Journal of Nursing, 2023, 30(11): 27 -30 .
[7] . [J]. Journal of Nursing, 2023, 30(11): 31 -35 .
[8] . [J]. Journal of Nursing, 2023, 30(11): 36 -40 .
[9] TU Ying, DU Dan-yang, SHU Yan, ZENG Tao. Best evidence summary of prevention of recurrent ischemic stroke[J]. Journal of Nursing, 2023, 30(11): 41 -46 .
[10] . [J]. Journal of Nursing, 2023, 30(11): 47 -52 .