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影响结直肠癌幸存者支持性护理需求的因素。

Factors Influencing Supportive Care Needs of Colorectal Cancer Survivors.

机构信息

Cancer Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2021 Feb;15(1):60-66. doi: 10.1016/j.anr.2020.11.003. Epub 2020 Nov 27.

DOI:10.1016/j.anr.2020.11.003
PMID:33249141
Abstract

PURPOSE

There is an increasing number of colorectal cancer survivors in South Korea. However, no research has identified supportive care needs of survivors of colorectal cancer in South Korea. Thus, the purpose of this study was to determine the level of supportive care needs and effects of emotional state and quality of life (QoL) on supportive care needs of colorectal cancer survivors.

METHODS

This cross-sectional study was conducted among 115 survivors of colorectal cancer in South Korean who had primary treatment of surgery for colorectal cancer. Data were collected from April to September 2016. Participants responded to self-reported questionnaires assessing supportive care needs, emotional state (Hospital Anxiety and Depression Scale), and QoL (Functional Assessment of Cancer Therapy-Colorectal scale).

RESULTS

The overall score of supportive care needs for colorectal cancer survivors was 1.22 ± 0.61 (full score: 3 points), with health care staff and social support needs garnering highest scores. Approximately, 20.0% and 21.7% of patients had anxiety and depression, respectively. The mean QoL score was 2.90 ± 0.53, with social and family status having the lowest QoL score. Multiple regression analysis showed that both the period after treatment and anxiety significantly influenced supportive care needs.

CONCLUSION

Appropriate interventions should be used immediately after completion of treatment to help reduce anxiety and meet supportive care needs of colorectal cancer survivors.

摘要

目的

韩国的结直肠癌幸存者人数不断增加。然而,目前尚无研究确定韩国结直肠癌幸存者的支持性护理需求。因此,本研究旨在确定结直肠癌幸存者的支持性护理需求水平,以及情绪状态和生活质量(QoL)对支持性护理需求的影响。

方法

本横断面研究于 2016 年 4 月至 9 月在韩国的 115 名接受结直肠癌手术治疗的结直肠癌幸存者中进行。数据收集自参与者自填的调查问卷,评估支持性护理需求、情绪状态(医院焦虑和抑郁量表)和 QoL(癌症治疗功能评估-结直肠癌量表)。

结果

结直肠癌幸存者的总体支持性护理需求评分为 1.22±0.61(满分:3 分),医护人员和社会支持需求的得分最高。约 20.0%和 21.7%的患者分别有焦虑和抑郁。平均 QoL 评分为 2.90±0.53,社会和家庭状况的 QoL 得分最低。多元回归分析显示,治疗后时间和焦虑均显著影响支持性护理需求。

结论

应在治疗完成后立即采取适当的干预措施,以帮助降低焦虑并满足结直肠癌幸存者的支持性护理需求。

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