The Postoperalive Pupportive Care Needs And Relate Factors Of Esophageal Cancer Patients

ObjectivesTo investigate the status of postoperative supportive care needs of esophageal cancer patients and analyze the influencing factors from the aspects of patient care and support,psychology,physiology and daily life,health information and sexuality to investigate and research,analyzing patient needs and require support situation in order to provide targeted nursing assistance.It provides the basis for medical personnel’s targeted health education,discharge instructions and educating families to care for esophageal cancer patients,provides directional guidance for clinical nursing work,provides theoretical guidance for nurse training and nursing education,and provides practical guidance for realizing rehabilitation of physical and mental health and improving the quality of life for patients with esophageal cancer.MethodsThis study used the method of convenient sampling.It is strictly accordant with the inclusion and exclusion criteria which surveyed 120 postoperative esophageal cancer patients of a hospital in Zhengzhou from November 2017 to April 2018.The survey tools included self-designed general information questionnaires and a supportive care needs questionnaire for cancer patients designed by Bonevski.The questionnaire on supportive care needs of cancer patients is divided into five dimensions:health information,care and support,psychology,physiology and daily life,and sexual support to analyze the patient needs and require support situation.There are 59 items and each item is divided into two aspects problems of needs and require support:five levels of options on needs and four levels of options on require support.The author analyses the reclaimed general situation questionnaire and the supportive care needs questionnaire for cancer patients according to spss11.5 medical statistical analysis.The results were described by statistical methods such as one-way analysis of variance,frequency,percentage,and multiple linear regression.Results1.The postoperative esophageal cancer patients to conduct the questionnaire survey,120 questionnaires were issued and 106 valid questionnaires were returned,and the recovery efficiency was88.3%.2.The five dimensions of the demand degree of postoperative supportive care needs of esophageal cancer patients arrange from high to low are:psychological needs(75.67±12.23),physiological and daily needs(70.67±10.66),health information needs(66.28±11.75),care and support demand(25.01±4.66),sex demand(5.17±5.45).3.The scores of postoperative esophageal cancer patients needs arrange from high to low are ranked as follows:psychological needs(42.30±8.05),physical and daily needs(41.23±7.33),health information needs(37.00±7.17),care and support needs(14.19±2.82),sex needs(3.40±3.21).More than49.14%of patients have strong psychological entry requirements:they are very afraid of cancer spreading and recurrence and very need to know the cancer has been controlled or alleviated;they also want to know the results of all tests as soon as possible.51.93%of patients have the need for health information items:a great demand for guidance on how to make the condition better.44.32%of patients did not have sex needs.4.The scores of require support of postoperative esophageal cancer patients arrange from high to low are:physiological and daily needs(33.95±5.31),psychological needs(33.37±5.45),care and support needs(29.28±6.08),health information demand(10.82±2.47),sexual needs(2.32±2.30).The patient’s psychological dimension are highly need help and have the most number.More than 60.45%of patients said that they are very afraid of cancer spreading and recurrence,and they require that cancers have been controlled or alleviated.More than 57.54%of patients are concerned about economic conditions and worry that frequent visits to the hospital which are belong to physical and daily needs.47.28%of patients did not have sex demand.5.The result of analyzing the demand degree and Independent sample t test for different characteristics in the general data according to the method of variance analysis showed that the age,religion,KPS scores and marital status had statistically significant differences in the degree of sex needs(P<0.05).Different religion,KPS scores and marital statusl,iving areas had statistically significant differences in the demand degree of health information for patients(P<0.05).Habitually living areas had a statistically significant difference in the degree of care and support needs for patients(P<0.05).There was a significant difference between education level and physiological and daily needs(P<0.05).6.Take care and support needs dimension as the dependent variable and take living areas which have statistically significance as the independent variable,using multiple linear regression analysis to variably enter the regression equation.The result is R~2=0.034.The impact on the care and support needs for patients in different living areas is 3.4%of the total score variability.From the results,rural areas have higher demand than urban areas.7.Take sex needs dimension as the dependent variable and take the four variables(age,marital status,religion,KPS scores)which have statistically significance as the independent variable,using multiple linear regression analysis to variably enter the regression equation.The result is R~2=0.402.The age can explain 40.2%of the variation in sex needs,and the smaller the age,the higher need for sex according to the assignment case.8.Take health information demand dimension as the dependent variable and take the four variables(marital status,religion,KPS scores and living areas)which have statistically significance as the independent variable,using multiple linear regression analysis with two variables being entered the regression equation and the result is R~2=0.110.The demand for health information of patients with different religion accounts for 5.7%of the total need variation,and different living areas of patients could account for 5.9%of the total need variation.The demand for health information in rural areas is higher than that in urban areas and religious patients have higher demand levels for sex and health information than non-religious patients.9.The psychological demand dimension is the dependent variable,the statistically significant marital status is the independent variable,and multiple linear regression analysis is carried out.The marital status variable entered the regression equation and the result is R~2=0.216.The marital status can explain21.6%of the total variation of psychological demand.Its spouse-free patients have high psychological needs and spouses.10.Physiological and daily life the dimensions are dependent variables,which will have statistical significance and cultural degree as independent variables,and perform multiple linear regression analysis.The educational level variable entered the regression equation and the result is R~2=0.204.The cultural level could explain 20.4%of the total variation in physiological and daily life needs.The higher the educational level,the lower the physiological and daily life needs,and the negative correlation.Conclusion1.postoperative esophageal cancer patients have higher psychological needs and physical and daily needs,then it follows health information needs,care and support needs,sex needs are the least.The needs of health information are various and the differences are relatively large.2.postoperative esophageal cancer patients have higher physical and daily life needs in require support,then it follows psychology,care and support,and health information.Sex needs are the least.3 The higher the degree of need,the higher the degree of help;postoperative esophageal cancer patients in different living areas are quite different in care and support needs which rural areas are higher than urban areas.KPS score is positively correlated with health information requirements.Education level is negatively correlated with physiology and daily needs.Patients with religious beliefs need more sexual and health information than those without religious beliefs.Psychological needs of patients without spouse were higher than those with spouse.