發(fā)布時間：2018-05-25 01:24

  本文選題：輔助化療 + 癌因性疲乏　； 參考：《石河子大學》2015年碩士論文

【摘要】：目的:通過對住院腫瘤化療患者的癌因性疲乏(CRF)現狀的調查,描述腫瘤化療患者CRF的狀況及主要影響因素,探討社會支持及一般自我效能與腫瘤化療患者CRF之間的關系,為癌癥護理工作中針對性的開展腫瘤專科護理及心理干預提供理論依據,為更好的評估和改善CRF提供參考。方法:采用描述性研究設計,采取便利抽樣的方法,調查了新疆某地區(qū)某三甲醫(yī)院腫瘤內科病房的200名腫瘤化療患者。采用問卷調查法,問卷由自行設計的一般資料調查表、Piper疲乏量表中文修訂版、社會支持評定量表(SSRS)、一般自我效能量表(GSES)四部分組成。采用SPSS17.0軟件對資料進行統(tǒng)計分析。結果:1.90%的患者存在癌因性疲乏,整體疲乏及其行為維度、情感維度、感知維度、認知維度疲乏的平均得分在6.19±2.64-5.16±2.20分之間,均處于中度疲乏程度;2.癌因性疲乏與主觀支持、支持利用度、社會支持總分存在負相關,其中客觀支持與行為、情感維度的疲乏呈正相關,支持利用度與認知維度的疲乏呈負相關(P0.01或P0.05);3.腫瘤化療患者癌因性疲乏各維度均與一般自我效能感呈負相關(P0.05或P0.01);4.單因素分析顯示,居住方式、化療周期、自我效能感、社會支持及其客觀支持、主觀支持、支持的利用度分別與整體疲乏或各維度疲乏有顯著相關。多因素分析結果表明在整體疲乏方面,社會支持中主觀支持及客觀支持、自我效能對腫瘤化療患者的疲乏程度有顯著影響。結論:本地區(qū)腫瘤化療患者癌因性疲乏的發(fā)生率較高;疲乏的平均水平屬于中度疲乏;中重度疲乏的患者居多;影響癌因性疲乏的主要因素是社會支持中主觀支持及客觀支持、自我效能等。建議醫(yī)務工作者應著重干預主要因素,從而減輕患者癌因性疲乏的程度。
[Abstract]:Objective: to investigate the current status of cancer related fatigue (CRF) in cancer chemotherapy patients, to describe the status and main influencing factors of CRF in cancer chemotherapy patients, and to explore the relationship between social support and general self-efficacy and CRF of tumor chemotherapy patients. To provide theoretical basis for cancer nursing and psychological intervention, and to provide reference for better evaluation and improvement of CRF. Methods: a descriptive design was used to investigate 200 cancer chemotherapy patients in the department of internal medicine of a third class hospital in Xinjiang. The questionnaire was composed of four parts: Piper fatigue scale, SSRSU, GSES, and Piper fatigue scale. The data were analyzed by SPSS17.0 software. Results the mean scores of cancer fatigue, global fatigue, behavioral dimension, emotion dimension, perception dimension and cognitive fatigue dimension were 6.19 鹵2.64-5.16 鹵2.20, all in moderate fatigue degree. There was a negative correlation between cancer related fatigue and subjective support, support utilization, and total score of social support, among which objective support was positively correlated with behavior and fatigue of emotional dimension, and support utilization was negatively correlated with fatigue of cognitive dimension (P0.01 or P0.05). All dimensions of carcinogenic fatigue in cancer chemotherapy patients were negatively correlated with general self efficacy (P 0.05 or P 0.01). Univariate analysis showed that living style, chemotherapy cycle, self-efficacy, social support and its objective support, subjective support and the utilization of support were significantly correlated with overall fatigue or dimension fatigue. The results of multivariate analysis showed that subjective and objective support in social support and self-efficacy had a significant effect on the fatigue degree of patients with cancer chemotherapy in the aspect of overall fatigue. Conclusion: the incidence of carcinogenic fatigue in cancer patients with chemotherapy is higher, the average level of fatigue is moderate fatigue, the majority of patients with moderate and severe fatigue, the main factors affecting cancer related fatigue are subjective and objective support in social support. Self-efficacy, etc. It is suggested that medical workers should focus on the intervention of major factors in order to reduce the degree of cancer-related fatigue in patients.
【學位授予單位】：石河子大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R473.73

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