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肺癌化疗患者的症状及应对策略。

Symptoms of patients with lung cancer undergoing chemotherapy and coping strategies.

机构信息

Department of Internal Medicine, School of Nursing, Atatürk University, Erzurum, Turkey.

出版信息

Cancer Nurs. 2011 Nov-Dec;34(6):503-9. doi: 10.1097/NCC.0b013e31820b7024.

DOI:10.1097/NCC.0b013e31820b7024
PMID:21372701
Abstract

BACKGROUND

Lung cancer (LC) is a major health problem throughout the world. There are few studies in Turkey on symptom distress and coping strategies of patients with LC.

OBJECTIVE

This study was conducted to find the relationship between the physical and psychological symptoms of patients with LC undergoing chemotherapy and their coping strategies.

METHODS

A total of 46 patients with LC who were undergoing chemotherapy in the clinics of hematology and oncology were included in the study. Data were collected using a sociodemographic questionnaire, the Symptom Distress Scale, Ways of Coping Inventory, and Brief Symptom Inventory.

RESULTS

The mean score for the physical symptoms was 22.39 (SD, 7.55). The highest scores were found for symptoms of fatigue (2.15 [SD, 0.81]) and pain (2.02 [SD, 0.99]). The highest scores were found to be those for somatization and anxiety in the Brief Symptom Inventory (11.45 [SD, 4.60] and 5.84 [SD, 2.38], respectively). The most common coping strategy was submissive approach (emotion focused) (11.73 [SD, 2.60]), and the least common strategy was seeking social support (problem focused) (6.60 [SD, 2.92]).

CONCLUSIONS

The study showed that Turkish patients with LC often experience some physical symptoms, particularly pain and fatigue as well as the psychological symptoms including somatization and anxiety. As for the coping strategy, they commonly preferred emotion-focused coping strategies.

IMPLICATIONS FOR PRACTICE

The results highlight the importance of symptom management, as well as the need for tailor-made clinical interventions to maximize effective symptom management in Turkish patients with LC.

摘要

背景

肺癌(LC)是全球范围内的一个主要健康问题。土耳其关于 LC 患者的症状困扰和应对策略的研究较少。

目的

本研究旨在探讨接受化疗的 LC 患者的生理和心理症状与其应对策略之间的关系。

方法

本研究共纳入 46 例在血液科和肿瘤科诊所接受化疗的 LC 患者。使用社会人口学问卷、症状困扰量表、应对方式量表和简明症状量表收集数据。

结果

生理症状的平均得分为 22.39(SD,7.55)。疲劳(2.15[SD,0.81])和疼痛(2.02[SD,0.99])症状的得分最高。简明症状量表中躯体化和焦虑的得分最高(11.45[SD,4.60]和 5.84[SD,2.38])。最常见的应对策略是顺从应对(情绪聚焦)(11.73[SD,2.60]),最不常见的策略是寻求社会支持(问题聚焦)(6.60[SD,2.92])。

结论

本研究表明,土耳其 LC 患者经常经历一些生理症状,尤其是疼痛和疲劳,以及心理症状,包括躯体化和焦虑。至于应对策略,他们通常更喜欢情绪聚焦的应对策略。

实践意义

研究结果强调了症状管理的重要性,以及需要针对土耳其 LC 患者制定个性化的临床干预措施,以最大限度地进行有效的症状管理。

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