Abstract：Objective To investigate the supportive care needs of liver cancer patients after interventional therapy and its influencing factors. Methods A total of 228 patients with primary liver cancer treated by interventional therapy were included. General demographic characteristics and clinical data were collected,and a questionnaire survey was conducted using 34 items of cancer patients' supportive care needs,a brief questionnaire（SCNS-SF34）,Self-rating an Anxiety Scale（SAS）and a Self-rating Depression Scale（SDS）. Multiple regression models were used to analyze the impact factors of demand domain score. Results The score of psychological needs,health systems and information needs,physiological and daily life needs,patient care and support needs,sexual needs of patients with liver cancer intervention were 3.15±1.31,3.08±1.16,2.96±1.44,2.60±1.09,and 2.60±1.09,rescpectively. Anxiety and depression were found in 37.19% and 46.31% of patients,respectively. The average scores of SAS and SDS were 46.79 and 51.49. Multiple linear regression analysis showed that the psychological needs of patients with scores of age and education were negatively correlated. SAS score of patients with mental health score system and demand,information demand and demand areas were positively correlated. Women patients with high SDS scores,has high score of physical and daily life needs . The score of patient care and support were positively correlated to clinical requirements in the field of TNM stage. Conclusion The medical staff should support the intervention for the different demands and the bad mental state of the patients after liver cancer interventional surgery,and effectively improve the patient's compliance and improve their quality of life.
曹雪晴, 殷荣华, 刘惠. 肝癌介入术后患者支持性照顾需求及影响因素分析[J]. 预防医学, 2018, 30(1): 59-62.
CAO Xue-qing, YIN Rong-hua, LIU Hui. Supportive needs and its influencing factors of liver cancer patients after interventional therapy. Preventive Medicine, 2018, 30(1): 59-62.
[1] 郭启勇,温锋. 肝细胞癌介入治疗的现状与展望[J]. 临床肝胆病杂志,2013,29（10）：721-725. [2] YANG Y L,LIU L,WANG Y,et al. The prevalence of depression and anxiety among Chinese adults with cancer：a systematic review and meta-analysis[J]. BMC Cancer,2013,13（1）：393-408. [3] HONG J S,TIAN J. Prevalence of anxiety and depression and their risk factors in Chinese cancer patients[J]. Supportive Care in Cancer,2014,22（2）：453-459. [4] 杨璞,朱建华,肖文华,等. 34条目癌症患者支持性需求简明问卷中文版的信效度分析[J]. 医学研究生学报,2016,29（6）：610-615. [5] 张明园. 精神科评定量表手册[M] . 长沙：湖南科学技术出版社,2003 ：35-39. [6] 竖永彬. 肝癌介入治疗患者的心理需求特点及针对性护理措施分析[J]. 中华肿瘤防治杂志,2015,26（11）：291-292. [7] HARRISON S E,WATSON E K,Ward A M,et al. Primary health and supportive care needs of long-term cancer survivors：a questionnaire survey[J]. Journal of Clinical Oncology,2011,29（15）：2091-2098. [8] 汪红英,罗峤茜,黄玉娥,等. 97例乳腺癌患者支持性照顾需求的研究[J]. 中华健康管理学杂志,2013,7（5）：359-360. [9] 杨璞,朱建华,肖文华,等. 中晚期癌症患者支持治疗需求及影响因素分析[J]. 解放军医学院学报,2016,37（5）：452-456. [10] SARKAR S,SAUTIER L,SCHILLING G,et al. Anxiety and fear of cancer recurrence and its association with supportive care needs and health-care service utilization in cancer patients[J]. Journal of Cancer Survivorship,2015,9（4）：567-575. [11] MCDOWELL M E,OCCHIPINTI S,Ferguson M,et al. Predictors of change in unmet supportive care needs in cancer[J]. Psycho-Oncology,2010,19（5）：508-516. [12] HARRISON J D,YOUNG J M,PRICE M A,et al. What are the unmet supportive care needs of people with cancer? A systematic review[J]. Supportive Care in Cancer,2009,17（8）：1117- 1128. [13] FISZER C,DOLBEAULT S,SULTAN S,et al. Prevalence,intensity,and predictors of the supportive care needs of women diagnosed with breast cancer：a systematic review[J]. Psycho- Oncology,2014,23（4）：361-374. [14] SCHMIDBUCHI S,HALFENS R J,MÜLLER M,et al. Factors associated with supportive care needs of patients under treatment for breast cancer[J]. European Journal of Oncology Nursing,2013,17（1）：22-29. [15] 赵晓蓓,张芙萍. 心理支持对肝癌介入治疗患者心理需求和主观幸福感的影响分析[J]. 现代消化及介入诊疗,2016,21（6）：848-850. [16] 张晓怡,沈毅,韩雅斌,等. 桐乡市常见恶性肿瘤危险因素分析[J]. 浙江预防医学,2014,26（2）：150-153.
