中西医结合护理 (Oct 2024)
Current status and influencing factors of eating-related distress among patients with advanced cancer (晚期癌症患者饮食相关困扰现状及影响因素研究)
Abstract
Objective To explore the current situation of eating-related distress in patients with advanced cancer, analyze the influencing factors, and provide a reference for clinical practice of relieving eating-related distress in patients with advanced cancer. Methods Convenience sampling method was used to select 243 patients with advanced cancer diagnosed by clinical and guidelines in a tertiary hospital in Shanxi from March to June 2024 as the survey objects. The general information Questionnaire, the Chinese Version of of the Questionnaire for Eating-Related Distress among Patients with advanced cancer (QERD-P), the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core version 3, and the Depression, Anxiety and Stress Scale-21 were used for the questionnaire survey. Using single factor analysis, Pearson correlation analysis and multivariate linear regression analysis to explore the influencing factors of eating-related distress in patients with advanced cancer. Results A total of 243 patients with advanced cancer were included in the analysis. The QERD-P score was (86. 56 ± 25. 94), entries were divided into (4. 33 ± 1. 30). Multiple linear regression results showed that the influencing factors for eating-related distress in patients with advanced cancer included gender, culture degree, and depression anxiety stress (P＜0. 05). Conclusion The score of eating-related distress in patients with advanced cancer is in the middle level. Medical workers should be paid attention in the further eating-related distress in patients with advanced cancer, considering its influence factors, personalized diet plan, psychological nursing, nutritional support, and comprehensive treatment strategies, to improve the patient's diet and quality of life. (目的 了解晚期癌症患者饮食相关困扰现状并分析其影响因素, 为医护人员制订改善晚期癌症患者饮食相关困扰的干预措施提供参考。方法 采用便利抽样的方法选取2024年3月—6月在山西省某三甲医院经临床和指南诊断确诊为晚期癌症的患者243例作为调查对象, 采用一般资料调查表、中文版晚期癌症患者饮食相关困扰量表、欧洲癌症研究与治疗组织生命质量测定量表version 3、抑郁-焦虑-压力自评量表进行问卷调查, 采用单因素分析、Pearson相关性分析及多元线性回归分析探讨影响晚期癌症患者饮食相关困扰的因素。结果 243名晚期癌症患者饮食相关困扰量表总分为(86. 56±25. 94)分, 条目均分为(4. 33±1. 30)分。多元线性回归结果显示, 性别、文化程度、抑郁焦虑压力是晚期癌症患者饮食相关困扰的影响因素(P＜0. 05)。结论 晚期癌症患者饮食相关困扰处于中等水平。医护人员应进一步重视晚期癌症患者饮食相关困扰, 综合考虑其影响因素, 制订个性化的饮食计划、心理护理、营养支持及综合治疗策略, 以改善患者的饮食状况和生活质量。)
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