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    结直肠癌术后病人自我管理效能、压力知觉和癌因性疲乏的相关性研究

    Study on the correlation between self-management efficacy, perceived stress and cancer-related fatigue in patients with colorectal cancer after surgery

      摘要
    • 摘要:
      目的 调查结直肠癌术后病人癌因性疲乏程度现状, 分析疾病自我管理效能、压力知觉与癌因性疲乏的关系, 探讨癌因性疲乏水平的影响因素。
      方法 应用便利抽样法, 选择结直肠癌术后病人63例为研究对象。收集病人一般资料及疾病相关资料, 采用视觉模拟评分(VAS)、厌食/恶液质量表-12(A/CS-12)、自我管理效能感量表(SUPPH)、压力知觉量表(PSS)和癌因性疲乏量表(CFS)进行问卷调查。
      结果 结直肠癌术后病人癌因性疲乏得分为(31.30±10.13)分, 轻度、中度和重度疲乏病人分别占比为26.98%、44.44%和28.57%。不同年龄、居住状态、主要照护者、病程时间、步行步数、睡眠质量、是否新辅助放化疗、有无肠造口、消化道症状、疼痛及有无癌性厌食的病人癌因性疲乏得分差异均有统计学意义(P < 0.05~P < 0.01)；SUPPH各维度得分与CFS总分呈负相关关系, CPSS各维度得分与CFS总分呈正相关关系(r=0.295~0.574, P < 0.01)。年龄、睡眠质量、既往新辅助放化疗、癌性厌食、SUPPH和CPSS是癌因性疲乏水平的主要影响因素(P < 0.05~P < 0.01), 共解释总变异的的78.20%。
      结论 结直肠癌术后病人以中度癌因性疲乏为主, 疾病自我管理效能、压力知觉与癌因性疲乏有一定相关性。临床护理人员应实施科学性干预措施, 提升病人的疾病自我管理效能, 降低压力知觉水平, 从而缓解癌因性疲乏程度。

       

      Abstract:
      Objective To investigate the status quo of cancer-related fatigue in patients with colorectal cancer after operation, analyze the relationship between self-management efficacy, stress perception and cancer-related fatigue, and explore the influencing factors of cancer-related fatigue level.
      Methods A total of 63 patients with colorectal cancer after surgery were selected by convenience sampling method. The general data and disease-related data of patients were collected, and the patients were investigated using the visual analogue scale(VAS), anorexia/fluid quality list-12(A/CS-12), self-management efficacy scale(SUPPH), stress perception scale(PSS) and cancer related fatigue scale(CFS).
      Results The score of cancer-related fatigue was (31.30±10.13) points, and the proportions of mild, moderate and severe fatigue patients were 26.98%, 44.44% and 28.57%, respectively. The differences of the score of cancer-related fatigue among patients with different ages, residential status, main caregivers, duration of disease, walking steps, sleep quality, whether neoadjuvant chemoradiotherapy, enterostomy or not, gastrointestinal symptoms, pain, and cancer anorexia were statistically significant(P < 0.05 to P < 0.01). The score of SUPPH was negatively correlated with the total score of CFS, while the score of each dimension of CPSS was positively correlated with the total score of CFS(r=0.295-0.574, P < 0.01). The age, sleep quality, previous neoadjuvant chemoradiotherapy, anorexia, SUPPH and CPSS were the main influencing factors of cancer-related fatigue level(P < 0.05 to P < 0.01), accounting for 78.20% of the total variation.
      Conclusions The moderate cancer-related fatigue in patients with colorectal cancer after operation is major, and the self-management efficacy and stress perception are related to the cancer-related fatigue to some extent. Clinical nursing staff should implement scientific intervention measures to improve patients'self-management efficacy and reduce the perceived level of stress, so as to alleviate the degree of cancer-related fatigue.

       

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