1 中国肿瘤患者亲情依赖状况及相关因素分析.pdfVIP

论  著   原始研究• 2011, 11(8): 899 902 中国循证医学杂志 ～ 中国肿瘤患者亲情依赖状况及相关因素分析 陈华英  刘月琴  殷文蓉 四川大学华西医院肿瘤一病房（成都 610041 ） 摘要  目的 了解中国肿瘤患者亲情依赖状况，分析与亲情依赖相关的因素。方法 采用自制的肿瘤患者亲 情依赖调查问卷测评 6 所三甲医院 432 例肿瘤患者的亲情依赖状况。结果 患者亲情依赖平均得分 40±5.8 分，198 例（45.8% ）肿瘤患者存在亲情依赖，其中轻度依赖52 例，中度依赖 98 例，重度依赖 48 例。多元 logistic 回归分析 发现，患者性别（OR=3.873 ，P=0.022 ）、年龄（OR=2.378 ，P=0.035 ）及性格类型（OR=1.079 ，P=0.028 ）是亲情依赖的 相关因素。结论 应关注肿瘤患者的亲情依赖状况。在为肿瘤患者提供家庭支持时，应指导患者家属采用正确的 情感表达方式，特别是对女性患者、老年患者及依赖型性格的患者，应鼓励其提高自我照顾能力，尽可能减少其 亲情依赖的出现。 关键词 肿瘤；亲情依赖；家庭支持 Status and Related Factors of Family-Dependence in Patients with Tumor in China CHEN Hua-ying, LIU Yue-qin, YIN Wen-rong Department of Oncology 1, West China Hospital, Sichuan University, Chendu 610041, China Abstract Objective To investigate the family-dependence status in patients with tumor, and analyze the related factors of family dependence. Methods The self-made family-dependence scale was distributed to 432 patients with tumor to asses their family dependence status. Results The mean score of family-dependence was 40±5.8. A total of 198 cases (45.8%) were family-dependent, including 52 mild cases, 98 moderate cases, and 48 severe cases. The logistic regres- sion analyses showed that sex (OR=3.873, P=0.022), age (OR=2.378, P=0.035), and personality type (OR=1.079, P=0.028) were the related factors of family-dependence. Conclusion More attention should be paid to patients with tumor about their family-dependence. After being instructed, the family members should use proper emotional expression method to provide family support to the patients with tumor. The female patients, older patients, and patients with dependent per- sonality should be encouraged to improve their self-care ability to avoid family-dependence as possible as they can. Key words Tumor; Family-dependence; Family support 人的思想、言论、行动，不仅受理性支配，而且