结直肠癌术后化疗住院患者的症状困扰发生水平及相关因素调查分析

摘要

目的：探讨住院结直肠癌术后化疗患者症状困扰发生水平及相关因素分析。方法采取自制一般情况调查表、安德森症状评估量表（ MDASIC）对112例住院结直肠癌术后化疗患者进行调查分析。采用SPSS 19．0进行数据统计分析，运用描述性方法分析症状条目得分情况。结果住院结直肠癌术后化疗患者症状困扰影响因素有年龄、文化程度、化疗次数、有无造口、付费方式；症状发生情况得分前5位依次为：疲乏、口干、睡眠不安、疼痛、食欲差；症状发生率前五位依次为：疲乏、悲伤、疼痛、味觉改变、恶心。患者一般活动、工作、走路、生活乐趣、情绪、与他人关系均受到不同程度的困扰。结论住院结直肠癌术后化疗患者普遍存在症状困扰，说明应该根据患者症状困扰的发生特点采取个体化干预手段，利于缓解患者的症状困扰情况。%Objective To investigate theoccurrence levelof symptoms distress in inpatients with Colorectal cancer and analysis on related factors.Methods Self-made general questionary, Anderson symptom assessment scale( MDASIC) was used to investigate the 112 cases of hospitalized colorectal cancer patients who were receiving postoperative chemotherapy.Using spss19.0statistical software was used to make data analysis, descriptive analysis method was used to entry score of symptoms.Results Age, culture level, the times of chemotherapy, stoma and payment ways affecting the occurrence of symptomsdistress of colorectal cancerinpatient receiving chemotherapy.The top 5 symptoms score were:fatigue, dry mouth, restless sleep, pain, poor appetite symptoms.The top fiveoccurrence rate were:fatigue,pain,sorrow,altered taste and nausea.Generally activities, work, walk, life fun, emotions, relationships with others are of patientswere distressed to different levels. Conclusions Symptom distress commonly existed in hospitalized colorectalcancer patients whowere receiving postoperative chemotherapy, it proves that we should take individual interventions according to the occurrencecharacteristics of thesymptom distress to help alleviate thesymptom distress.