结直肠癌术后幸存者支持性照护需求调查及相关影响因素.docx

结直肠癌术后幸存者支持性照护需求调查及相关影响因素.docx

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结直肠癌术后幸存者支持性照护需求调查及相关影响因素

[关键词]结直肠癌;术后幸存者;支持性照护需求;影响因素

[中图分类号]R735.3;R473[文献标识码]A[DOI]10.3969/j.issn.1673-9701.2025.09.001

Surveyofsupportivecareneedsofsurvivorsaftercolorectalcancersurgeryandrelatedinfluencingfactors

YUXiaofang1,CHENLingshu2

1.DepartmentofGastroenterology,WenzhouCentralHospital,Wenzhou325000,Zhejiang,China;2.DepartmentofCardiology,WenzhouCentralHospital,Wenzhou325000,Zhejiang,China

[Abstract]ObjectiveToinvestigatethesupportivecareneedsandrelatedinfluencingfactorsofpostoperativesurvivorsofcolorectalcancer(CRC).MethodsConveniencesamplingmethodwasusedtoselectCRCpostoperativesurvivorswhoreceivedmedicaltreatmentfromMay2023toMay2024asthestudyobjects.Clinicaldataquestionnaire,cancersurvivors’unmetneedsmeasure(CaSUN),hospitalanxietyanddepressionscale(HADS),self-acceptancequestionnaire(SAQ)andmultidimensionalscaleofperceivedsocialsupport(MSPSS)wereusedtoinvestigatethesurvivorsafterCRC.Results200questionnairesweresentoutinthisstudy,andtheeffectiveresponseratewas91.5%.ThetotalscoreofCaSUN,HADS,SAQandMSPSSof183CRCsurvivorswas(88.79±11.53),(22.36±4.48),(37.59±6.56)and(47.12±7.80)scoresrespectively.Pearsoncorrelationanalysisshowedthattheneedforsupportivecarewaspositivelycorrelatedwithanxietyanddepressionsymptoms(r=0.439,Plt;0.05),andnegativelycorrelatedwithself-acceptanceandsocialsupportlevel(r=–0.517,r=–0.324,Plt;0.05).Multiplelinearregressionanalysisshowedthatmonthlyfamilyincome,stomystatus,anxietyanddepressionsymptoms,self-acceptanceandsocialsupportlevelwerefactorsinfluencingthedegreeofsupportivecareneedofsurvivorsafterCRCsurgery,andcouldexplain46.1%ofthechangeinthedegreeofsupportivecareneedofsurvivorsafterCRCsurgery.ConclusionThereisaconsiderabledegreeofsupportivecareneedsinsurvivorsafterCRCsurgery.Monthlyfamilyincome,stomystatus,anxietyanddepressionsymptoms,self-acceptanceandsocialsupportlevelcanallaffectthesupportivecareneedsofpatients,andtargetedmanagementsupportshouldbeconsideredinclinicalevaluationfromvariousaspects.

[Keywords]Colorectalcancer;Postopera

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