基础医学与临床 ›› 2020, Vol. 40 ›› Issue (11): 1523-1528.

• 临床研究 • 上一篇    下一篇

放射治疗门诊癌患者的需求分析及其影响因素

黎蕊, 刘峡, 孙显松, 李文博, 秦雪, 李洪明, 邱杰*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 放射治疗科,北京 100730
  • 收稿日期:2020-07-08 修回日期:2020-09-22 出版日期:2020-11-05 发布日期:2020-10-30
  • 通讯作者: * qj_ww@139.com
  • 基金资助:
    2019年研究生社会实践课题

Needs assessment and affecting factors of cancer outpatients treated with radiotherapy

LI Rui, LIU Xia, SUN Xian-song, LI Wen-bo, QIN Xue, LI Hong-ming, QIU Jie*   

  1. Department of Radiotherapy,Peking Union Medical College Hospital,CAMS & PUMC,Beijing 100730,China
  • Received:2020-07-08 Revised:2020-09-22 Online:2020-11-05 Published:2020-10-30
  • Contact: * qj_ww@139.com

摘要: 目的 探讨需求评估量表(NEQ)汉化版的信效度并分析人口学特征对患者未被满足需求的影响。方法 在北京协和医院放疗科进行单中心研究,共纳入142例肿瘤放疗门诊癌患者。通过探索性因子分析、验证性因子分析,将问卷分为4个维度:信息需求、帮助和照顾需求、关系需求、心理支持需求。采用单因素分析探究人口学特征对患者4个维度需求的影响。结果 问卷信效度检验结果均符合要求。单因素分析结果显示,家庭收入影响患者的信息需求(H=23.768,P<0.001)、疾病相关需求(H=16.877,P<0.01)、帮助和照顾需求(H=11.010,P<0.05);高家庭收入水平,患者的信息需求、疾病相关需求、帮助和照顾需求程度偏低;年龄影响患者的信息需求(H=11.022,P<0.05),青少年、中年患者的信息需求程度偏高;教育水平影响患者的疾病相关需求(H=9.144,P<0.05),其中中等教育水平的疾病相关需求程度最高。结论 肿瘤门诊放疗患者的未被满足需求的程度较高。且应着重关注中、低家庭收入患者的信息、病情相关及帮助和照顾需求;关注青少年、中年患者的信息需求及处于中等教育水平患者的病情相关需求。

关键词: 放射治疗, 门诊患者, 需求分析, 影响因素

Abstract: Objective To assess and investigate the reliability and validity of Needs Evaluation Questionnaire (NEQ) in Chinese version, and to analyze how characteristics of demography affects unmet needs. Methods A single-center study in Peking Union Medical College Hospital was conducted and 142 cancer outpatients were included. The NEQ was divided into 4 different aspects: informative needs, needs related to assistance/care, relational needs and needs for psycho-emotional support by means of exploratory factor analysis and confirmatory factor analysis. Univariate analysis was used to explore the impact of characteristics of demography on the unmet needs of each aspect. Results The reliability and validity of NEQ were acceptable. The result of univariate analysis indicated that household income affected informative needs (H=23.768, P<0.001), relational needs (H=16.877, P<0.01) and the needs related to assistance/care (H=11.010, P<0.05). The degree of informative needs,relational needs and needs related to assistance/care kept low when patients had high household income. The age of patients affected informative needs(H=11.022, P<0.05). The degree of informative needs was high on condition that patients were teenagers or in middle age. The education level affected relational needs (H=9.144, P<0.05). The degree of rela- tional needs was high on condition that patients had middle level educational background. Conclusions Outpatients with tumor have high-level unmet needs. More attention should be paid to informative needs, relational needs and needs related to assistance/care on condition that patients have low household income. Besides, it is necessary to focus on the informative needs of patients in adolescent age or middle age and relational needs of patients with middle level educational background.

Key words: radiotherapy, outpatient, needs assessment, affecting factors

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