■这项研究的目的是检查支持性护理需求的变化,老年结直肠癌患者不同化疗周期的生活质量和社会支持。
■这项前瞻性纵向研究在2023年8月至2024年4月期间,在广西一家医院进行了方便采样,招募了160名老年结直肠癌患者。为了评估支持性护理需求,生活质量,社会支持,我们使用了支持护理需求调查(SCNS-SF34)的简短形式,癌症治疗功能评估-结直肠癌(FACT-C),和化疗前的感知社会支持量表(PSSS),以及在第一次之后,第三,第六周期重复测量方差分析用于验证支持性护理需求随时间的变化,生活质量,和社会支持。
■155名参与者完成了六个周期的所有问卷调查。从化疗前到第六周期化疗后,所有受访者对身体和日常生活的要求在47.23%至88.26%之间波动,心理需求从60.84%到97.67%不等,患者护理和支持需求从83.75%到99.35%不等,医疗保健系统和信息需求从85.98%到99.00%不等,而性需求水平从1.51%下降到0.65%。这些参与者的平均SCNS-SF34得分在103.81±2.28和144.10±1.08之间。随着时间的推移,SCNS-SF34的所有结构域都出现了显著的增加(F=126.99,347.41,65.00,72.34,160.15,p<0.001)。保持明显的上升趋势,除了性需求(F=0.712,p=0.546)。平均FACT-T得分从68.80±1.00降至51.24±1.40,而平均PSSS得分从55.77±0.83降至43.28±1.05。FACT-T和PSSS评分差异有统计学意义(F=231.21,112.28,p<0.001),保持明显的下降趋势。
■化疗期间,老年结直肠癌患者仍然需要高水平的支持治疗,而他们的生活质量和社会支持逐渐下降。这项研究为医疗保健从业者提供了一个基本的理解,以识别和解决老年结直肠癌患者在各个化疗阶段的支持性护理需求,这有助于制定旨在提高患者生活质量的定制策略。
UNASSIGNED: The purpose of this study is to examine the changes in supportive care needs, quality of life and social support during different chemotherapy cycles among elderly colorectal cancer patients.
UNASSIGNED: This prospective longitudinal study recruited 160 elderly colorectal cancer patients using convenience sampling at a hospital in Guangxi between August 2023 and April 2024. To assess supportive care needs, quality of life, and social support, we used a short form of the Supportive Care Needs Survey (SCNS-SF34), a Functional Assessment of Cancer Therapy-colorectal (FACT-C), and a perceived social support scale (PSSS) prior to chemotherapy, as well as after the first, third, and sixth cycles. Repeated measures analysis of variance was used to validate the changes over time in supportive care needs, quality of life, and social support.
UNASSIGNED: 155 participants completed all questionnaire sessions across the six cycles. From pre-chemotherapy until after the sixth cycle of chemotherapy, the extent of physical and daily living requirements among all respondents fluctuated between 47.23% and 88.26%, psychological needs ranged from 60.84% to 97.67%, patient care and support needs ranged from 83.75% to 99.35%, healthcare system and information needs varied from 85.98% to 99.00%, while the level of sexual needs decreased from 1.51% to 0.65%. The mean SCNS-SF34 scores for these participants ranged between 103.81 ± 2.28 and 144.10 ± 1.08. Significant increases over time were seen for all domains of SCNS-SF34 (F=126.99, 347.41, 65.00, 72.34, 160.15, p<0.001), keeping a clear upward trend, except for sexual needs(F=0.712, p=0.546). The mean FACT-T scores dropped from 68.80 ± 1.00 to 51.24 ± 1.40, while the mean PSSS scores dropped from 55.77 ± 0.83 to 43.28 ± 1.05. The scores of FACT-T and PSSS showed statistically significant differences (F=231.21, 112.28, p<0.001), maintaining clear downward trends.
UNASSIGNED: During chemotherapy, elderly colorectal cancer patients continue to require high levels of supportive care, while their quality of life and social support gradually decline. This study offers healthcare practitioners a foundational understanding to identify and address the supportive care needs of elderly colorectal cancer patients across various chemotherapy phases, which facilitates the development of tailored strategies aimed at enhancing patients\' quality of life.