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中国全科医学 ›› 2018, Vol. 21 ›› Issue (15): 1796-1800.DOI: 10.3969/j.issn.1007-9572.2018.00.123

• 专题研究 • 上一篇    下一篇

基于结构方程模型的肿瘤患者化疗期癌因性疲乏影响因素分析

张蜀芸1*，张燕萍1，蔡春连1，谌绍林2，杨芳1，周小燕1   

  1. 1.418000湖南省怀化市第一人民医院　2.418000湖南省怀化市，湖南医药学院护理学院
    *通信作者：张蜀芸，副主任护师；E-mail：2950235574@qq.com
  • 出版日期:2018-05-20 发布日期:2018-05-20
  • 基金资助:
    湖南医药学院校级课题（2015ZKB13）

Associated Factors for Cancer-related Fatigue in Cancer Patients Receiving Chemotherapy：a Study Based on Structural Equation Model　

  1. 1.The First People's Hospital of Huaihua，Huaihua 418000，China
    2.School of Nursing，Hunan University of Medicine，Huaihua 418000，China
    *Corresponding author：ZHANG Shu-yun，Co-chief superintendent nurse；E-mail：2950235574@qq.com
  • Published:2018-05-20 Online:2018-05-20

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摘要： 目的　调查分析住院肿瘤患者化疗期癌因性疲乏（CRF）现状及其影响因素，为临床护士实施个体化的肿瘤专科护理干预措施提供依据。方法　采用便利抽样法，选取2015年7月—2016年6月在怀化市第一人民医院住院的符合纳入标准的674例肿瘤患者作为调查对象。采用一般资料收集表、Piper疲乏评估量表（PFS）、Morse跌倒评估量表（MFS）、机体活动能力分级量表、疼痛数字评分量表（NRS）对患者进行调查分析。分析年龄、MFS得分、机体活动能力分级量表得分、NRS得分与PFS得分的相关性及患者化疗期CRF的影响因素。结果　共发放问卷674份，收回有效问卷668份，有效回收率为99.1%。患者年龄、MFS得分、机体活动能力分级量表得分、NRS得分与PFS得分均呈正相关（r值依次为0.236、0.514、0.216、0.129，P值依次为<0.001、<0.001、<0.001、<0.001）。多元线性回归及结构方程模型分析结果显示患者年龄、住院科室、跌倒风险、机体活动能力、疼痛、陪护是肿瘤患者化疗期CRF的主要影响因素。结论　患者年龄、住院科室、跌倒风险、机体活动能力、疼痛、陪护是肿瘤患者化疗期CRF的主要影响因素，医护人员应重视对肿瘤患者化疗期CRF的评估。

关键词: 肿瘤, 抗肿瘤联合化疗方案, 癌因性疲乏, 影响因素分析

Abstract: Objective　To investigate the status and associated factors for cancer-related fatigue（CRF） among hospitalized patients receiving chemotherapy，proving a reference for oncology nurses for delivering individualized interventions for such patients.Methods　A cross-sectional survey was conducted in a convenience sample of 674 hospitalized cancer patients receiving chemotherapy from the First People's Hospital of Huaihua during July 2015 to June 2016 by a self-developed Baseline Characteristics Questionnaire，Piper Fatigue Scale（PFS），Morse Fall Scale（MFS）（Chinese version），Body Movement Ability Classification Scale（BMACS），and Numerical Rating Scale（NRS）（Chinese version）．Correlations of PFS score with age，MFS score，BMACS score，and NRS score as well as the associated factors for CRF were analyzed.Results　A total of 674 questionnaires were distributed，and 668 valid questionnaires were collected，with an effective recovery rate of 99.1%.PFS score was positively correlated with age，MFS score，BMACS score，NRS score（r=0.236，0.514，0.216，0.129，all P<0.001）．Multiple linear regression and structural equation analyses revealed that age，clinical department，risk of falls，body movement ability，pain，and accompanying care were the associated factors of CRF during chemotherapy.Conclusion　Age，clinical department，risk of falls，body movement ability，pain accompanying care are the associated factors of CRF during chemotherapy.Healthcare workers should pay attention to CRF among cancer patients receiving chemotherapy.

Key words: Neoplasms, Antineoplastic combined chemotherapy protocols, Cancer related fatigue, Root cause analysis

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