Status And Influencing Factors Asthenia In Middle-aged And Elderly Patients With Lung Adenocarcinoma

ObjectiveTo understand the current situation of demoralization in middle-aged and elderly patients with lung adenocarcinoma,to explore the correlation between demoralization and psychological resilience and unmet needs,and to analyze its influencing factors.MethodsA total of 230 lung adenocarcinoma patients over 45 years old who were hospitalized in a Classⅲ Grade A hospital in Gansu Province from January 2022 to February 2023 were selected as the research objects by convenience sampling.The research tools included the general information questionnaire,Connor-Davidson Resilience Questionnaire,Demoration Scale and unmet needs Scale.The results of the questionnaire were quantified and recorded in an Excel table by two researchers,and the data were statistically analyzed.SPSS26.0 software was used to calculate and analyze the data.The mean,standard deviation and constituent comparison data were used for statistical description.The t test,one-way analysis of variance and non-parametric test were used to compare the measurement data.Pearson correlation analysis was used to explore the correlation between variables.Multivariate linear regression was used for multivariate analysis.To explore the influencing factors of demoralization in middle-aged and elderly patients with lung adenocarcinoma.ResultsQuestionnaire recovery: A total of 230 questionnaires were distributed to patients in this study,and 223 valid questionnaires were returned,with an effective recovery rate of 96.9%.The total demoralization score of middle-aged and elderly patients with lung adenocarcinoma was 45.96±7.752,and the average score of each item was 1.91±0.32.The scores of five dimensions in demoralization scale from high to low were emotional insecurity(1.83±0.90),frustration(1.81±0.91),meaninglessness(1.75±0.89),helplessness(1.73±0.95),and failure(1.70±0.97).The total average score of resilience in middle-aged and elderly patients with lung adenocarcinoma was 47.48±7.751,and the average score of each item was 1.90±0.28.The scores of each dimension of resilience from high to low were tenacity(1.84±0.90),optimism(1.77±0.89)and self-improvement(1.76±0.95).The total average score of unmet needs of middle-aged and elderly patients with lung adenocarcinoma was 52.46±7.991,and the average score of each item was 1.76±0.27.The scores of each dimension from high to low were financial unmet needs(1.82±0.94),emotional unmet needs(1.79±0.94),information unmet needs(1.79±0.90).Unmet needs of continuous care(1.78±0.90).The results of correlation analysis showed that resilience and unmet needs were the influencing factors of demoralization in middle-aged and elderly patients with lung adenocarcinoma.The demoralization of middleaged and elderly patients with lung adenocarcinoma was negatively correlated with resilience(P< 0.01,r =-0.529)and positively correlated with unmet needs(P< 0.01,r = 0.430).The results of multiple linear stepwise regression analysis showed that the influencing factors of demoralization in middle-aged and elderly patients with lung adenocarcinoma included the time of diagnosis,place of residence,education level,number of hospitalizations,treatment methods,and disease recurrence or metastasis.These six variables explained 60.9% of the variation in demoralization in middle-aged and elderly patients with lung adenocarcinoma.ConclusionsThe demoralization of middle-aged and elderly patients with lung adenocarcinoma is at a medium level.There is a correlation between demoralization and resilience and unmet needs in middle-aged and elderly patients with lung adenocarcinoma.The lower the level of resilience,the higher the level of demoralization and the higher the degree of unmet needs.The influencing factors of demoralization in middle-aged and elderly patients with lung adenocarcinoma include the duration of diagnosis,place of residence,education level,number of hospitalizations,treatment methods,disease recurrence or metastasis.In clinical work,attention should be paid to the demoralization of such patients to prevent the tendency of patients to change from low to high level of demoralization.