CAJ | 학술논문

目的：了解宫颈癌放疗患者的家庭功能现状,分析家庭功能对癌因性疲乏的影响。方法采用配额抽样法,应用一般情况调查表、家庭功能量表( FAD)与疲劳评定量表( FAI)对乌鲁木齐市3所三级甲等医院放疗科124例宫颈癌患者进行调查。结果本次调查轻、中、重度家庭功能障碍的患者分别占41.9%,32.3%,25.8%；轻、中、重度癌因性疲乏的患者分别占31.5%,11.3%,57.3%。Pearson相关分析显示,家庭功能各维度与癌因性疲乏各维度呈正相关(r=0.336~0.933；P<0.01)。重度家庭功能障碍患者癌因性疲乏程度最重,轻度、中度和重度家庭功能障碍患者的疲劳程度比较,差异有统计学意义(P<0.01)。结论宫颈癌放疗患者存在不同程度的家庭功能障碍和癌因性疲乏,且两者关系密切。医护人员应加强家庭功能知识的学习,了解宫颈癌患者家庭存在的问题,有针对性地指导家庭成员关爱和支持患者,可在一定程度上预防和减轻患者癌因性疲乏。
목적：료해궁경암방료환자적가정공능현상,분석가정공능대암인성피핍적영향。방법채용배액추양법,응용일반정황조사표、가정공능량표( FAD)여피로평정량표( FAI)대오로목제시3소삼급갑등의원방료과124례궁경암환자진행조사。결과본차조사경、중、중도가정공능장애적환자분별점41.9%,32.3%,25.8%；경、중、중도암인성피핍적환자분별점31.5%,11.3%,57.3%。Pearson상관분석현시,가정공능각유도여암인성피핍각유도정정상관(r=0.336~0.933；P<0.01)。중도가정공능장애환자암인성피핍정도최중,경도、중도화중도가정공능장애환자적피로정도비교,차이유통계학의의(P<0.01)。결론궁경암방료환자존재불동정도적가정공능장애화암인성피핍,차량자관계밀절。의호인원응가강가정공능지식적학습,료해궁경암환자가정존재적문제,유침대성지지도가정성원관애화지지환자,가재일정정도상예방화감경환자암인성피핍。
Objective To study the current family function situation of patients with cervical cancer radiotherapy, and analyze its impact on cancer-related fatigue. Methods Using the quota sampling, 124 cervical cancer patients in the radiotherapy department were included in the study. The general information questionnaire, Family Assessment Device( FAD) and Fatigue Assessment Instrument( FAI) were used to survey. Results The patients with mild, moderate and severe family dysfunction accounted for 41. 9%, 32. 3% and 25. 8% respectively. Patients with light, moderate and severe cancer-related fatigue accounted for 31. 5%, 11. 3% and 57. 3% respectively. Pearson correlation analysis showed that family function dimension were negatively correlated with cancer-related fatigue (r=0. 336-0. 933,P<0. 01). The degree of cancer-related fatigue was the heaviest of patients with severe family dysfunction. Patients with mild, moderate and severe family dysfunction were statistically significant ( P < 0. 01 ). Conclusions Patients with cervical cancer radiotherapy have different degree of family dysfunction and cancer-related fatigue. The family function and cancer-related fatigue is closely related to each other. Medical staff must strengthen the knowledge learning of family function, understand cervical cancer family problems, target guidance of family members of patients care and support them. To some extent, we can prevent and reduce the cancer-related fatigue.