Citation: | LIU Cuihong, QU Mei, GUO Ruifang, PEI Yuyan, YANG Shuhuan, YANG Guifang. Influencing factors and principal component analysis of care needs outside hospital for acute leukemia patients with chemotherapy[J]. Journal of Clinical Medicine in Practice, 2023, 27(23): 115-119, 128. DOI: 10.7619/jcmp.20232060 |
To analyze the influencing factors and principal components of care needs outside hospital for acute leukemia patients with chemotherapy.
A total of 240 acute leukemia patients with chemotherapy in authors' hospital from January 2021 to December 2022 were selected as research objects, and the patients were divided into no demand group and unsatisfied group according to score of the Supportive Care Needs Questionnaire. The survey questionnaire was used to collect the related materials of patients; the influencing factors were analyzed by Logistic regression coefficient; the principal component analysis (PCA) was used to extract the principal components of influencing factors.
A total of 240 patients completed the Supportive Care Needs Questionnaire assessment, of which 132 cases (55.00%) had a need for health information, 121 cases (50.42%) had a need for care and support, 101 cases (42.08%) had a need for psychology, 86 cases (35.83%) had a need for physiology and daily life, and 31 cases (12.92%) had a need for sexual support. There were significant differences in gender, age, educational level, average household income and payment method between the two groups (P < 0.05); there were significant differences in the course of disease, patterns of activity and comorbidity of symptoms between the two groups (P < 0.05). Univariate Logistic regression analysis showed that gender, age, education level, payment method, average household income, course of disease, patterns of activity and comorbidity of symptoms were the influencing factors of care needs (P < 0.05). Principal component analysis extracted three principal components: payment method, syndrome merging status, anddisease course, with a cumulative contribution rate of 63.556%.
Acute leukemia patients have the highest proportion of health information needs and the lowest proportion of sexual support needs. Payment methods, comorbidity of symptoms and the course of disease show significant impacts on the care needs of patients.
[1] |
WANG M, WANG Y, BALOCH A R, et al. Molecular epidemiology and characterization of bovine leukemia virus in domestic yaks (Bos grunniens) on the Qinghai-Tibet Plateau, China[J]. Arch Virol, 2018, 163(3): 659-670. doi: 10.1007/s00705-017-3658-9
|
[2] |
KAZEMIMANESH M, MADADGAR O, STEINBACH F, et al. Detection and molecular characterization of bovine leukemia virus in various regions of Iran[J]. J Gen Virol, 2019, 100(9): 1315-1327. doi: 10.1099/jgv.0.001303
|
[3] |
蔡英杰, 高冉, 史铁英, 等. 乳腺癌术后患者化疗期支持性照顾需求与生活质量的相关性[J]. 中国康复理论与实践, 2017, 23(9): 997-1000. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS201709002.htm
|
[4] |
LIAO M N, CHEN S C, LIN Y C, et al. Education and psychological support meet the supportive care needs of Taiwanese women three months after surgery for newly diagnosed breast cancer: a non-randomised quasi-experimental study[J]. Int J Nurs Stud, 2014, 51(3): 390-399. doi: 10.1016/j.ijnurstu.2013.07.007
|
[5] |
王亚萍, 费学谦, 姚小华, 等. 不同产地油茶籽脂肪酸及甘油三酯的主成分分析和聚类分析[J]. 中国油脂, 2021, 46(9): 112-119. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZZ202109025.htm
|
[6] |
中国抗癌协会血液肿瘤专业委员会, 中华医学会血液学分会白血病淋巴瘤学组. 中国成人急性淋巴细胞白血病诊断与治疗指南(2021年版)[J]. 中华血液学杂志, 2021, 42(9): 705-716. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXZ202203002.htm
|
[7] |
张婷, 章新琼, 葛健, 等. 始成年期急性白血病患者化疗期症状群及其严重程度与生活质量的相关性[J]. 广西医学, 2020, 42(5): 537-542. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX202005004.htm
|
[8] |
朱丽, 王玲, 马瑾璐, 等. 食管癌放疗患者支持性照顾需求的预测未满足模型分析[J]. 重庆医学, 2021, 50(13): 2198-2202, 2207. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202113008.htm
|
[9] |
于方方, 付菊芳, 白燕妮, 等. 急性白血病患者生活质量与支持性照顾需求的相关性研究[J]. 护理管理杂志, 2015, 15(1): 24-26. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL201501011.htm
|
[10] |
王凡, 韩凤, 刘芳, 等. 正念癌症康复训练对术后化疗期肺癌患者癌因性疲乏的影响[J]. 护理学杂志, 2021, 36(16): 73-74, 91. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202116022.htm
|
[11] |
MOLASSIOTIS A, YATES P, LI Q, et al. Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: results from the International STEP Study[J]. Ann Oncol, 2019, 30(3): 493. doi: 10.1093/annonc/mdy094
|
[12] |
王艺璇, 李惠萍, 张婷, 等. 乳腺癌患者照顾者照护体验质性研究的Meta整合[J]. 护理学杂志, 2019, 34(6): 87-91. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201906029.htm
|
[13] |
KEESING S, ROSENWAX L, MCNAMARA B. A call to action: the need for improved service coordination during early survivorship for women with breast cancer and partners[J]. Women Health, 2019, 59(4): 406-419. doi: 10.1080/03630242.2018.1478362
|
[14] |
赵新爽, 张洛灵, 李转珍. 癌症患者综合需求评估量表的汉化及信效度检验[J]. 中华护理杂志, 2017, 52(1): 34-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201701010.htm
|
[15] |
KOSHIMOTO S, ARIMOTO M, SAITOU K, et al. Need and demand for nutritional counselling and their association with quality of life, nutritional status and eating-related distress among patients with cancer receiving outpatient chemotherapy: a cross-sectional study[J]. Support Care Cancer, 2019, 27(9): 3385-3394. doi: 10.1007/s00520-018-4628-9
|
[16] |
WARD SULLIVAN C, LEUTWYLER H, DUNN L B, et al. Differences in symptom clusters identified using symptom occurrence rates versus severity ratings in patients with breast cancer undergoing chemotherapy[J]. Eur J Oncol Nurs, 2017, 28: 122-132. doi: 10.1016/j.ejon.2017.04.001
|
[17] |
LO C, LIAO F, CHEN S L. Symptom experiences of breast cancer patients[J]. Hu Li Za Zhi, 2017, 64(2): 19-27.
|
[1] | ZHANG Yang, DIAO Haiqing, Li Mengyue, TIAN Ting, LIU Xiaoguang, MA Qiang, LU Guangyu, YU Hailong, LI Yuping. Influencing factors of aspiration in neurological critically ill patients: a Meta-analysis[J]. Journal of Clinical Medicine in Practice, 2025, 29(1): 118-124. DOI: 10.7619/jcmp.20242193 |
[2] | HUANG Qinghua, QIU Tengyu, LI Yanxing, MO Xiaoai. Related factors of fear of disease progression in patients with liver failure based on principal component analysis[J]. Journal of Clinical Medicine in Practice, 2023, 27(19): 89-93, 100. DOI: 10.7619/jcmp.20231869 |
[3] | LYU Xiuwei, YUAN Yanan, HU Yuxin, SHI Xiujuan, CHEN Liyun. A survey of eye-using behavior among myopia adolescents and analysis of influencing factors on parental care service needs[J]. Journal of Clinical Medicine in Practice, 2023, 27(18): 89-92, 106. DOI: 10.7619/jcmp.20231900 |
[4] | YIN Lifang, ZHENG Wenting. Discharge guidance needs and influencing factors of children with acute fever based on WeChat analysis[J]. Journal of Clinical Medicine in Practice, 2023, 27(11): 98-102. DOI: 10.7619/jcmp.20223086 |
[5] | LUO Mengjia, DAI Yanran, LANG Hongjuan, FENG Fan. Analysis in influencing factors of intraoperative hypothermia in patients with gastrointestinal tumors[J]. Journal of Clinical Medicine in Practice, 2021, 25(6): 45-48. DOI: 10.7619/jcmp.20201672 |
[6] | GUO Ying, PEI Dongmei. Analysis in influencing factors of hypercholesterolemia in the elderly based on propensity score[J]. Journal of Clinical Medicine in Practice, 2021, 25(5): 65-68. DOI: 10.7619/jcmp.20201914 |
[7] | XIAO Bing. Influencing factors of quality of life in elderly patients with advanced oral tumor resection[J]. Journal of Clinical Medicine in Practice, 2018, (5): 98-100. DOI: 10.7619/jcmp.201805030 |
[8] | LING Yan. Nutritional risk and its influencing factors of severe neurosurgical patients[J]. Journal of Clinical Medicine in Practice, 2017, (10): 43-46. DOI: 10.7619/jcmp.201710014 |
[9] | XIONG Dongmei, TIAN Jing, HUANG Xiaodan. Analysis of self nursing ability and influencing factors in tumor patients with PICC[J]. Journal of Clinical Medicine in Practice, 2016, (16): 78-81. DOI: 10.7619/jcmp.201616024 |
[10] | REN Xiuqiong. Perinatal mental state of primiparas and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2014, (10): 122-123,126. DOI: 10.7619/jcmp.201410045 |
1. |
卜静,王芃堉,杨兴肖. 食管癌患者术后多重耐药菌感染预测模型的构建与效果评价. 天津医药. 2025(03): 242-246 .
![]() |