标题：宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素

      作者：袁琳，肖静静，张潇允，谢娅，田洋洋    郑州大学第一附属医院妇科，河南 郑州 450000

      卷次： 2023年34卷17期

      【摘要】 目的 分析宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素，以期为临床改善宫颈癌患者的预后提供依据。方法 选取2020年1月至2022年1月期间郑州大学第一附属医院妇科收治的141例宫颈癌患者作为研究对象，所有患者均行静脉输液港化疗，通过调查问卷的方式统计宫颈癌静脉输液港化疗间歇期患者的出院准备度[出院准备度评估量表(RHDS)]评分，单因素和多元线性回归模型分析宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素。结果 宫颈癌静脉输液港化疗间歇期患者的RHDS总分值为(158.33±20.14)分，其中可获得社会支持评分为(31.23±2.60)分，出院后应对能力评分为(21.38±2.38)分，疾病知识评分为(55.24±8.23)分，自身状况评分为(50.48±6.45)分。经单因素分析结果显示，不同学历水平、月收入、医疗费用支付方法、化疗次数、临床分期、积极应对评分、消极应对评分的宫颈癌静脉输液港化疗间歇期患者的RHDS评分比较差异均有统计学意义(P<0.05)；经多元线性回归模型分析结果显示，临床分期、化疗次数、医疗费用支付方式、月收入、学历水平、积极应对评分和消极应对评分均为宫颈癌静脉输液港化疗间歇期患者出院准备度的影响因素(P<0.05)。结论 宫颈癌静脉输液港化疗间歇期患者出院准备度受多个因素影响，临床可从影响因素入手来制定干预方式，以提高出院准备度，有助于提高宫颈癌化疗效果，改善患者的预后。
      【关键词】 宫颈癌；静脉输液港；化疗；间歇期；医学应对方式；出院准备度
      【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350（2023）17—2576—04

Influencing factors of discharge readiness for interval of chemotherapy with intravenous infusion port in patientswith cervical cancer.
YUAN Lin, XIAO Jing-jing, ZHANG Xiao-yun, XIE Ya, TIAN Yang-yang. Department ofGynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, Henan, CHINA
【Abstract】 Objective To analyze the influencing factors of discharge readiness for interval of chemotherapywith intravenous infusion port in patients with cervical cancer, in order to provide a basis for the prognosis of cervical can-cer patients.Methods A total of 141 patients with cervical cancer admitted to Department of Gynecology, the First Affili-ated Hospital of Zhengzhou University from January 2020 to January 2022 were selected as the study subjects. All pa-tients received chemotherapy with intravenous infusion port. The score of discharge readiness for interval of chemothera-py with intravenous infusion port in the patients was calculated by Readiness for Hospital Discharge Scale (RHDS). Uni-variate and multiple linear regression models were used to analyze the influencing factors of discharge readiness of thepatients. Results The total RHDS score of the patients was (158.33±20.14) points, with social support score of (31.23±2.60) points, coping ability score after discharge of (21.38±2.38) points, disease knowledge score of (55.24±8.23) points,and apersonal condition score of (50.48±6.45) points. Univariate analysis showed that there were statistically significantdifferences in RHDS scores among cervical cancer patients with different educational levels, monthly income, medical ex-pense payment methods, chemotherapy frequency, clinical staging, positive coping score, and negative coping score (P<0.05). Multiple linear regression model analysis showed that clinical staging, chemotherapy frequency, medical expensepayment method, monthly income, educational level, positive coping score, and negative coping score were all influencingfactors for discharge readiness of cervical cancer patients during chemotherapy interval (P<0.05). Conclusion The dis-charge readiness for interval of chemotherapy with intravenous infusion port in patients with cervical cancer is affected bymultiple factors. Clinical intervention methods can be developed based on the influencing factors to improve dischargereadiness, which helps to improve the chemotherapy effect of cervical cancer and improve the prognosis of patients.
      【Key words】 Cervical cancer; Intravenous infusion port; Chemotherapy; Interval; Medical coping styles; Dis-charge readiness