| 孙林,周莲清,刘华云,王佳丽,王可.结直肠癌患者孤独感影响因素分析及护理对策[J].上海护理,2025,25(2): |
| 结直肠癌患者孤独感影响因素分析及护理对策 |
| Analysis of factors affecting loneliness in colorectal cancer patients and nursing countermeasures |
| 投稿时间：2024-05-19 修订日期：2025-01-27 |
| DOI： |
| 中文关键词: 结直肠肿瘤 孤独感 影响因素分析 护理 |
| 英文关键词:Colorectal neoplasms Loneliness Analysis of influencing factors Nursing Care |
| 基金项目:湖南省自然科学基金医卫行业联合基金项目；湖南省肿瘤医院启航青年基金；湖南省护理学会青年基金 |
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| 中文摘要: |
| 目的：调查结直肠癌患者孤独感现状,分析相关影响因素,为改善其孤独感水平提供参考。方法：采用便利抽样法,选取2023年12月～2024年2月在湖南省某三级甲等医院住院的结直肠癌患者作为调查对象,采用一般资料调查表、癌症孤独量表、恐惧疾病进展简化量表、癌症负面社会期望量表、结直肠癌幸存者社会疏离感量表进行调查,并分析其影响因素。结果：结直肠癌患者孤独感得分为(15.876.12)分,多元线性回归分析结果显示,家庭人均月收入、疾病分期、居住状态、恐惧疾病进展、负面社会期望及社会疏离为结直肠癌患者孤独感的影响因素(Ｐ＜0.05)。结论：结直肠癌患者普遍存在孤独感,护理人员应予以重视,重点关注家庭人均月收入低、中晚期、独居、恐惧疾病进展、负面社会期望和社会疏离感水平高的患者,早期评估并积极干预,以降低其孤独感水平。 |
| 英文摘要: |
| Objective: To investigate the current status of loneliness in colorectal cancer patients, analyze the related influencing factors, and provide reference for improving their loneliness level. Methods: Convenience sampling method was used to select colorectal cancer patients who were hospitalized in a tertiary-level hospital in Hunan Province from August to October 2023, and general information questionnaires, Cancer Loneliness Scale(CLS), Fear of Progression Questionnaire-Short Form(FOP-QSF), Cancer?related Negative Social Expectations Scale(C?r NSES), and Colorectal Cancer Survivors" Sense of Social Alienation Scale were used to conduct surveys, as well as to analyze the factors that influence them. Results: The loneliness score of colorectal cancer patients was (15.87 ± 6.12), and the results of multivariate linear regression analysis showed that per capita monthly family income, disease stage, residential status, fear of disease progression, negative social expectations, and social detachment were the influencing factors of cancer loneliness in colorectal cancer patients (P < 0.05). Conclusions: Loneliness is common among colorectal cancer patients, and caregivers should pay attention to it by focusing on patients with low per capita monthly family income, middle to late stage, living alone, fear of disease progression, and high levels of negative social expectations and social alienation, and assessing and intervening early and aggressively in order to reduce their loneliness levels. |
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