CAJ | 학술논문

目的：调查妇科肿瘤术后监护期患者家属焦虑状况及相关因素。方法选取2013年3月~2014年2月在广东省惠东县人民医院妇科行肿瘤手术患者的陪护家属284名，采用自设的一般资料调查表（主要包括患者家属的年龄、性别、文化程度、职业、家庭经济状况、住院费用来源、与患者的关系、肿瘤性质、患者家属是否参加术前宣教）调查患者的一般情况，采用Zung编制的焦虑自评量表（SAS）对患者家属的焦虑状况进行评分，并对患者家属的焦虑相关因素进行多因素Logistic回归分析。结果本次调查研究共发放问卷284份，回收284份，回收率为100%。其中，不同年龄[（53.21±7.78）比（59.67±8.02）分]（t=5.168，P<0.05）、性别[（53.71±7.45）比（58.54±8.33）分]（t=5.076，P<0.05）、文化程度[（59.38±8.69）比（52.81±8.76）分]（t=5.101，P<0.05）、职业[（59.77±9.42）比（53.65±8.23）分]（t=5.321，P<0.05）、家庭经济状况[（58.64±10.22）比（51.25±9.34）分]（t=6.001，P<0.05）、住院费用来源[（52.14±8.46）比（60.86±9.73）分]（t=8.334，P <0.05）、肿瘤性质[（51.21±10.79）比（60.66±9.87）分]（t=6.277，P <0.05）、是否参加术前宣教[（52.38±10.46）比（57.96±10.39）分]（t=5.124，P<0.05）的患者家属焦虑评分比较，差异均有统计学意义。多因素Logistic回归分析显示，家属产生焦虑的危险因素为年龄>35岁（OR=4.867，P<0.05）、女性（OR=5.183，P <0.05）、文化程度低（OR=1.170，P <0.05）、农民（OR=1.021，P <0.05）、家庭收入低（OR=5.531，P<0.05）、自费患者（OR=1.556，P<0.05）、肿瘤性质为恶性（OR=3.924，P<0.05）、患者家属没有参加术前宣教（OR=1.321，P<0.05）。结论妇科肿瘤术后监护期患者家属均存在着一定的焦虑情绪，年龄大、女性、文化程度低、农民、家庭收入低、自费患者、肿瘤性质为恶性、患者家属没有参加术前宣教是患者家属产生焦虑的危险因素。目的：調查婦科腫瘤術後鑑護期患者傢屬焦慮狀況及相關因素。方法選取2013年3月~2014年2月在廣東省惠東縣人民醫院婦科行腫瘤手術患者的陪護傢屬284名，採用自設的一般資料調查錶（主要包括患者傢屬的年齡、性彆、文化程度、職業、傢庭經濟狀況、住院費用來源、與患者的關繫、腫瘤性質、患者傢屬是否參加術前宣教）調查患者的一般情況，採用Zung編製的焦慮自評量錶（SAS）對患者傢屬的焦慮狀況進行評分，併對患者傢屬的焦慮相關因素進行多因素Logistic迴歸分析。結果本次調查研究共髮放問捲284份，迴收284份，迴收率為100%。其中，不同年齡[（53.21±7.78）比（59.67±8.02）分]（t=5.168，P<0.05）、性彆[（53.71±7.45）比（58.54±8.33）分]（t=5.076，P<0.05）、文化程度[（59.38±8.69）比（52.81±8.76）分]（t=5.101，P<0.05）、職業[（59.77±9.42）比（53.65±8.23）分]（t=5.321，P<0.05）、傢庭經濟狀況[（58.64±10.22）比（51.25±9.34）分]（t=6.001，P<0.05）、住院費用來源[（52.14±8.46）比（60.86±9.73）分]（t=8.334，P <0.05）、腫瘤性質[（51.21±10.79）比（60.66±9.87）分]（t=6.277，P <0.05）、是否參加術前宣教[（52.38±10.46）比（57.96±10.39）分]（t=5.124，P<0.05）的患者傢屬焦慮評分比較，差異均有統計學意義。多因素Logistic迴歸分析顯示，傢屬產生焦慮的危險因素為年齡>35歲（OR=4.867，P<0.05）、女性（OR=5.183，P <0.05）、文化程度低（OR=1.170，P <0.05）、農民（OR=1.021，P <0.05）、傢庭收入低（OR=5.531，P<0.05）、自費患者（OR=1.556，P<0.05）、腫瘤性質為噁性（OR=3.924，P<0.05）、患者傢屬沒有參加術前宣教（OR=1.321，P<0.05）。結論婦科腫瘤術後鑑護期患者傢屬均存在著一定的焦慮情緒，年齡大、女性、文化程度低、農民、傢庭收入低、自費患者、腫瘤性質為噁性、患者傢屬沒有參加術前宣教是患者傢屬產生焦慮的危險因素。
목적：조사부과종류술후감호기환자가속초필상황급상관인소。방법선취2013년3월~2014년2월재광동성혜동현인민의원부과행종류수술환자적배호가속284명，채용자설적일반자료조사표（주요포괄환자가속적년령、성별、문화정도、직업、가정경제상황、주원비용래원、여환자적관계、종류성질、환자가속시부삼가술전선교）조사환자적일반정황，채용Zung편제적초필자평량표（SAS）대환자가속적초필상황진행평분，병대환자가속적초필상관인소진행다인소Logistic회귀분석。결과본차조사연구공발방문권284빈，회수284빈，회수솔위100%。기중，불동년령[（53.21±7.78）비（59.67±8.02）분]（t=5.168，P<0.05）、성별[（53.71±7.45）비（58.54±8.33）분]（t=5.076，P<0.05）、문화정도[（59.38±8.69）비（52.81±8.76）분]（t=5.101，P<0.05）、직업[（59.77±9.42）비（53.65±8.23）분]（t=5.321，P<0.05）、가정경제상황[（58.64±10.22）비（51.25±9.34）분]（t=6.001，P<0.05）、주원비용래원[（52.14±8.46）비（60.86±9.73）분]（t=8.334，P <0.05）、종류성질[（51.21±10.79）비（60.66±9.87）분]（t=6.277，P <0.05）、시부삼가술전선교[（52.38±10.46）비（57.96±10.39）분]（t=5.124，P<0.05）적환자가속초필평분비교，차이균유통계학의의。다인소Logistic회귀분석현시，가속산생초필적위험인소위년령>35세（OR=4.867，P<0.05）、녀성（OR=5.183，P <0.05）、문화정도저（OR=1.170，P <0.05）、농민（OR=1.021，P <0.05）、가정수입저（OR=5.531，P<0.05）、자비환자（OR=1.556，P<0.05）、종류성질위악성（OR=3.924，P<0.05）、환자가속몰유삼가술전선교（OR=1.321，P<0.05）。결론부과종류술후감호기환자가속균존재착일정적초필정서，년령대、녀성、문화정도저、농민、가정수입저、자비환자、종류성질위악성、환자가속몰유삼가술전선교시환자가속산생초필적위험인소。
Objective To investigate the anxiety and its related factors of family members of patients in the monitoring period after gynecological tumor surgery. Methods 284 cases of family members of the patients underwent tumor surgery in Department of Gynaecology, the People's Hospital of Huidong County were selected from March 2013 to February 2014. Self-designed general information questionnaire (including age, gender, culture degree, occupation, family economic status, hospital cost sources, the relationships with patients, nature of the tumor, whether participate in the preoperative education or not) was used to record the character of the family members. Zung's self rating anxiety scale (SAS) was used to evaluate the anxiety of family members of the patients. The relative factors of anxiety were an-alyzed by multivariate Logistic regression analysis. Results 284 copies of the questionnaires were distributed and recov-ered, the recovery rate was 100%. The anxiety status of family members of the patients with different ages [(53.21±7.78) vs (59.67±8.02) points] (t=5.168, P < 0.05), gender [(53.71±7.45) vs (58.54±8.33) points] (t=5.076, P < 0.05), culture degrees [(59.38±8.69) vs (52.81±8.76) points] (t=5.101, P < 0.05), occupations [(59.77±9.42) vs (53.65±8.23) points] (t=5.321, P< 0.05), family economic status [(58.64±10.22) vs (51.25±9.34) points] (t=6.001, P< 0.05), hospital cost sources [(52.14±8.46) vs (60.86±9.73) points] (t=8.334, P< 0.05), natures of the tumor [(51.21±10.79) vs (60.66±9.87) points] (t=6.277, P<0.05), whether participate in the preoperative education or not [(52.38±10.46) vs (57.96±10.39) points] (t=5.124, P< 0.05) had statistically sig-nificant differences. Multivariate Logistic regression analysis showed that >35 years old (OR=4.867, P< 0.05), female (OR =5.183, P<0.05), low educational level (OR =1.170, P<0.05), farmer (OR =1.021, P<0.05), low-income eco-nomic status (OR = 5.531, P< 0.05), fee-paying patients (OR = 1.556, P< 0.05), malignant tumor (OR = 3.924, P<0.05), family members of patients did not participate in the preoperative education (OR =1.321, P<0.05) were the risk factors of anxiety among family members of the patients. Conclusion Anxiety is often occurred in the family members of the patients in the monitoring period after gynecological tumor surgery. Older, female, low education level, farmers, low-income economic status, fee-paying patients, malignant tumor, family members of patients did not participate in preoperative education are the risk factors of anxiety among family members of the patients.