Mizuno Michiyo, Kataoka Jun, Oishi Fumiko
Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Asia Pac J Oncol Nurs. 2017 Jan-Mar;4(1):53-60. doi: 10.4103/2347-5625.199072.
Postoperative patients with gastrointestinal (GI) cancer have multiple adaptation tasks and care needs to improve their quality of life (QOL). Whether their supportive care needs differ according to their physical and psychosocial conditions is unclear. This study investigated patients' (1) physical and psychosocial conditions (QOL, fatigue, anxiety, cognitive plight, and resilience) and (2) responses to an informational booklet describing cancer patients' problems and adaptation tasks, and examined the association between the two factors.
A questionnaire survey was conducted to postoperative patients with GI cancer.
The mean age of the 69 respondents was 63 years; 59.4% of the respondents were men. Nine patients who did not read the booklet showed high fatigue and cognitive plight and low QOL. The patients (36.2%) who chose "I vaguely understood the content" showed low scores for resilience and cognitive plight while those (8.5%) who chose "I will deal with my tasks as described in the scenarios" showed high scores for both of these variables.
The condition of some patients continued to be highly affected by their cancer. In terms of understanding the contents of the booklet, resilience was significant, and cognitive plight did not necessarily have a negative impact. The provision of information by means of a booklet might not be suitable for patients who are highly affected by their cancer. Patients may need additional support to be able to make good use of the information provided in such a booklet.
胃肠道(GI)癌术后患者有多项适应任务及护理需求,以改善其生活质量(QOL)。目前尚不清楚他们的支持性护理需求是否因身体和心理社会状况而异。本研究调查了患者的(1)身体和心理社会状况(生活质量、疲劳、焦虑、认知困境和恢复力)以及(2)对一本描述癌症患者问题和适应任务的信息手册的反应,并检验了这两个因素之间的关联。
对胃肠道癌术后患者进行问卷调查。
69名受访者的平均年龄为63岁;59.4%的受访者为男性。9名未阅读手册的患者表现出高疲劳、高认知困境和低生活质量。选择“我大致理解了内容”的患者(36.2%)恢复力和认知困境得分较低,而选择“我会按照案例中描述的去处理我的任务”的患者(8.5%)这两个变量得分较高。
一些患者的状况仍受到癌症的严重影响。在理解手册内容方面,恢复力很重要,认知困境不一定有负面影响。通过手册提供信息可能不适用于受癌症影响较大的患者。患者可能需要额外的支持才能充分利用此类手册中提供的信息。