肺癌患者化疗消化道症状与心身状态关系研究

目的 探讨肺癌患者化疗消化道症状与心身状态的相关性。 方法 采取便利抽样法对某医院108例化疗期肺癌患者分别用化疗消化道症状量表、癌症心身状态量表进行调查,并对结果进行分析。 结果 肺癌患者化疗消化道症状发生维度得分与心身状态各维度得分呈正相关;症状影响维度得分与心身状态的心理及行为可塑性维度得分也呈正相关,多元逐步回归分析显示,心理与社会维度是消化道症状发生的影响因素,心理维度是消化道症状的影响因素,分别可解释其51.2%和8.0%的变异。 结论 肺癌患者化疗消化道症状与心身状态密切相关,提示临床医护人员应重点关注化疗患者身心状态并及时干预。

Study on the relationship between gastrointestinal symptoms and psychosomatic status of lung cancer patients undergoing chemotherapy

Objective To explore the relationship between gastrointestinal symptoms and psychosomatic status of lung cancer patients undergoing chemotherapy. Methods A total of 108 lung cancer patients undergoing chemotherapy were selected using the convenience sampling and investigated using the chemotherapy-related gastrointestinal symptoms inventory (CGISI) and psychosomatic status scale for cancer patients (PSSCP). The results were analyzed. Results Positive correlation was found between the scores of the symptoms occurrence dimension of CGISI and all dimensions of PSSCP, as well as the scores of the symptoms impact dimension of CGISI and the scores of psychological and behavior plasticity dimensions of PSSCP. Multivariate stepwise regression analysis showed that the psychological and social dimensions were the influencing factors of the gastrointestinal symptoms occurrence, which could explain 51.2% variation, while psychological dimension was the influencing factor of the gastrointestinal symptoms, which could explain 8.0% variation. Conclusion Gastrointestinal symptoms are closely related to psychosomatic status of lung cancer patients during the chemotherapy. It is suggested that clinical doctors and nurses should pay close attention to their psychosomatic status and give timely intervention.