中国癌症患者的住院经历及相关因素:一项横断面研究。
Hospitalization experience and associated factors among Chinese patients with cancer: a cross-sectional study.
作者信息
Gao Wenjuan, Hu Youyou, Chu Huayi, Yu Doudou, Tang Keyi, Chen Xiuwen, Zhu Ying, Han Jing
机构信息
School of Nursing, Xuzhou Medical University, Xuzhou, 221004, China.
Department of Nursing, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221006, China.
出版信息
BMC Nurs. 2025 Jul 1;24(1):813. doi: 10.1186/s12912-025-03489-9.
BACKGROUND
Although hospitalization experience is recognized as critical to patient well-being and nursing quality, its role within Chinese healthcare system remains understudied, particularly among cancer patients. This study aims to capture the associated factors of Chinese cancer patients' hospitalization experience, with the goal of informing targeted improvements in care delivery.
METHODS
A convenience sampling method was employed to survey 351 cancer inpatients from three tertiary hospitals in China from September to November 2024. Data were collected using the Patient-reported Experience Measure for Cancer (PREM-C), the Hospital Service Quality Questionnaire (HSQQ), and the Family APGAR Index (APGAR). The acquired data were analyzed using the Shapiro-Wilk test, univariate analysis, and multiple linear regression.
RESULTS
The mean scores for PREM-C, HSQQ, and APGAR were 92.47 ± 8.62, 82.22 ± 8.05, and 8.26 ± 1.45, respectively. Multiple linear regression analysis indicated four factors associated with cancer patients' overall hospitalization experience, including payment of medical costs (β = -0.170, p < 0.001), type of cancer (β = 0.128, p = 0.026), quality of hospital services (β = 0.367, p < 0.001), and family function (β = 0.163, p = 0.001).
CONCLUSION
Patients with higher-quality hospital services, stronger family functioning, or medical insurance report more positive hospitalization experiences. Gynecological cancer patients also report better experiences than those with other cancer types. This study highlights hospital service quality and family functioning as key influences on cancer patients' hospitalization experience, advocating tailored support for different cancer types.
CLINICAL TRIAL NUMBER
Not applicable.
背景
尽管住院体验被认为对患者福祉和护理质量至关重要,但其在中国医疗体系中的作用仍未得到充分研究,尤其是在癌症患者中。本研究旨在找出中国癌症患者住院体验的相关因素,以便为有针对性地改善医疗服务提供依据。
方法
采用便利抽样法,于2024年9月至11月对中国三家三级医院的351名癌症住院患者进行调查。使用癌症患者报告体验量表(PREM-C)、医院服务质量问卷(HSQQ)和家庭APGAR指数(APGAR)收集数据。对获取的数据进行夏皮罗-威尔克检验、单因素分析和多元线性回归分析。
结果
PREM-C、HSQQ和APGAR的平均得分分别为92.47±8.62、82.22±8.05和8.26±1.45。多元线性回归分析表明,与癌症患者总体住院体验相关的因素有四个,包括医疗费用支付情况(β = -0.170,p < 0.001)、癌症类型(β = 0.128,p = 0.026)、医院服务质量(β = 0.367,p < 0.001)和家庭功能(β = 0.163,p = 0.001)。
结论
医院服务质量更高、家庭功能更强或拥有医疗保险的患者报告的住院体验更积极。妇科癌症患者的体验也比其他癌症类型的患者更好。本研究强调医院服务质量和家庭功能是影响癌症患者住院体验的关键因素,提倡针对不同癌症类型提供个性化支持。
临床试验编号
不适用。
相似文献
JBI Database System Rev Implement Rep. 2016-8
Health Technol Assess. 2001
JBI Database System Rev Implement Rep. 2016-4
JBI Database System Rev Implement Rep. 2017-8
Cochrane Database Syst Rev. 2010-10-6
本文引用的文献
Front Public Health. 2024-12-13