质子重离子放疗肿瘤患者社会支持状况及影响因素分析

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摘要目的探讨上海市质子重离子医院（以下简称“我院”）接受放疗肿瘤患者的社会支持状况，并分析其影响因素。方法采用便利抽样法抽取2020年7月至2021年3月在我院接受质子重离子放疗的151例肿瘤患者为调查对象，使用自制问卷及社会支持量表调查患者一般资料及社会支持状况，分析肿瘤患者社会支持状况及影响因素。结果质子重离子放疗肿瘤患者处于中等社会支持水平，与常模比较，差异有高度统计学意义（P ＜ 0.01）。不同年龄、文化程度、家庭平均月收入及肿瘤发生部位的肿瘤患者在社会支持总分方面比较差异有统计学意义（P ＜ 0.05）。logistic回归分析显示，腹盆腔肿瘤是中低高水平社会支持的保护因素（OR = 0.208, 95%CI=0.064~0.672），已婚有子女是中低高水平社会支持的危险因素（与未婚比较，OR = 10.483, 95%CI=1.279~85.887）。结论质子重离子放疗肿瘤患者社会支持总体社会支持状况较好。在诊疗期间，医护人员应建立有效的沟通交流渠道，开展个性化患者诊治与护理，同时加强对家属的宣教，以改善患者社会支持状况，发挥社会支持对健康的促进作用。

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	徐蕾李菁刘坤蔡琼周颖宁仁利

关键词 ：质子重离子, 肿瘤患者, 社会支持, 影响因素

Abstract：Objective To investigate the social support status and analyze the influence factors of tumor patients who has received radiotherapy in Shanghai Proton and Heavy Ion Center (“our hospital” for short). Methods A total of 151 tumor patients who received proton and heavy ion radiotherapy in our hospital from July 2020 to March 2021 were selected by convenient sampling method. The general information and social support status of patients were investigated by self-made questionnaire and social support scale, and the social support status and influencing factors of tumor patients were analyzed. Results The tumor patients with proton heavy ion radiotherapy were in the middle level of social support, which was highly statistically significant compared with the norm (P ＜ 0.01). There were significant differences in social support among patients of different ages, educational level, average monthly household income and the location of tumor (P ＜ 0.05). Logistic regression analysis showed that pelvic tumor was a protective factor for low and high level of social support (OR = 0.208, 95%CI=0.064-0.672), and married and have children was a risk factor for low and high level of social support (OR = 10.483, 95%CI=1.279-85.887). Conclusion The overall social support status of tumor patients treated with proton heavy ion radiotherapy is good. During diagnosis and treatment, medical staff should establish effective communication channels, carry out personalized diagnosis, treatment and nursing of patients, and strengthen the education of family members, so as to improve the social support status of patients and give play to the role of social support in promoting health.

Key words： Proton and heavy ion Tumor patients Social support Influencing factor

基金资助:上海市浦东新区卫生健康委员会卫生计划科研项目（PW2019A-33）；
上海市卫生健康委员会科研课题（20194Y0376）。

通讯作者: 宁仁利（1986.2-），男，硕士；研究方向：肿瘤学、医院科、教、研、临床研究及实验室综合管理。

作者简介: 徐蕾（1987.2-），女，硕士；研究方向：医院管理、科研管理、医学继续教育。

引用本文:

徐蕾李菁刘坤蔡琼周颖宁仁利. 质子重离子放疗肿瘤患者社会支持状况及影响因素分析[J]. 中国医药导报, 2022, 19(11): 115-118.
XU Lei LI Jing LIU Kun CAI Qiong ZHOU Ying NING Renli. Study on the proton and heavy ion radiotherapy tumor patients of social support status and influencing factors#br#. 中国医药导报, 2022, 19(11): 115-118.

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