CAJ | 학술논문

目的：对接受化疗的肿瘤患者的静脉通路选择现状进行调查，了解各种静脉通路装置的使用现状，以及患者存在的输液相关的症状困扰及其程度。方法2012年1月—2015年1月，自行设计肿瘤化疗患者静脉通路影响因素及症状困扰的调查问卷，采用便利抽样法，选择广州2所三级甲等医院进行化疗的376例肿瘤患者进行调查，分析其静脉通路装置使用现状、并发症情况及患者输液相关的症状困扰程度。结果化疗期间376例肿瘤患者输液困扰总分为(10.06±2.31)分，其中症状得分为(1.29±1.38)分，困扰程度得分为(9.43±2.01)分，并发症的总发生率为63.6%，总困扰程度为51.6%。不同年龄、血管穿刺难易程度、化疗次数、癌症分期患者之间的症状困扰总分差异有统计学意义(P<0.05)。结论肿瘤患者输液相关的并发症发生率越高，患者的症状困扰程度也越高。肿瘤患者输液相关的症状困扰的程度受到患者年龄、化疗次数、诊断分期的影响。
목적：대접수화료적종류환자적정맥통로선택현상진행조사，료해각충정맥통로장치적사용현상，이급환자존재적수액상관적증상곤우급기정도。방법2012년1월—2015년1월，자행설계종류화료환자정맥통로영향인소급증상곤우적조사문권，채용편리추양법，선택엄주2소삼급갑등의원진행화료적376례종류환자진행조사，분석기정맥통로장치사용현상、병발증정황급환자수액상관적증상곤우정도。결과화료기간376례종류환자수액곤우총분위(10.06±2.31)분，기중증상득분위(1.29±1.38)분，곤우정도득분위(9.43±2.01)분，병발증적총발생솔위63.6%，총곤우정도위51.6%。불동년령、혈관천자난역정도、화료차수、암증분기환자지간적증상곤우총분차이유통계학의의(P<0.05)。결론종류환자수액상관적병발증발생솔월고，환자적증상곤우정도야월고。종류환자수액상관적증상곤우적정도수도환자년령、화료차수、진단분기적영향。
Objective To investigate the selective status of venous access among tumor patients with chemotherapy, and probe into the usage of different venous access devices and patient′s existed symptom distress and its degree of transfusion. Methods From January 2012 to January 2015, self designed questionnaire, which was about venous access influencing factors and symptom distress for tumor patients with chemotherapy, was used among 376 patients with chemotherapy selected from 2 level three class A hospitals in Guangzhou by convenient sampling method. We analyzed current venous access devices status, complications and patient′s transfusion related symptom distress degrees. Results The total score of transfusion distress among 376 tumor patients was (10. 06 ± 2. 31), in which the score of symptom was (1. 29 ± 1. 38), score of distress degree (9. 43 ± 2. 01), total incidence of symptom distress 63. 6% and total distress degree 51. 6%. The total score′s differences of symptom distress were statistical significant among different ages, difficult degrees of blood vessel puncture, times of chemotherapy and cancer stagings (P <0. 05). Conclusions A high symptom distress incidence of cancer patients′ transfusion happens, which leads to a high degree of patient′s symptom distress. Tumor patient′s transfusion related symptom distress degree impacts by patient′s ages, times of chemotherapy, diagnosis of cancer stagings.