肺癌放疗患者衰弱潜在类别及影响因素分析
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男,硕士在读,主管护师

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中华护理学会科研课题资助项目(ZHKYQ202312);云南省教育厅科学研究基金项目(2023Y0757)


The latent categories and their influencing factors of frailty inpatients undergoing radiotherapy for lung cancer
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    目的 探讨肺癌放疗患者衰弱潜在类别特征及影响因素,为肺癌放疗患者衰弱的个性化、精准化症状管理提供参考。方法 采用方便抽样法选取241例肺癌放疗患者,采用一般资料调查问卷、Fried衰弱表型量表、Barthel指数量表、营养风险筛查2002进行调查,通过潜在类别分析识别肺癌放疗患者衰弱的潜在类别特征,采用无序多分类logistic回归分析探讨其衰弱潜在类别的影响因素。结果 肺癌放疗患者衰弱发生率为55.19%,衰弱评分2.00(1.00,4.00)分。肺癌放疗患者衰弱呈现3个潜在类别:衰弱前期组(30.3%)、衰弱期-非意向性体质量下降组(35.7%)、重度衰弱-活动能力下降组(34.0%)。放疗次数、Barthel指数、营养风险评分、年龄是肺癌放疗患者衰弱潜在类别的影响因素(均P<0.05)。结论 肺癌放疗患者衰弱存在群体异质性,临床医护人员应重点关注Barthel指数评分低、营养风险评分≥3分、放疗次数多、高龄患者衰弱评估和管理,以降低患者衰弱水平。

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    Objective To explore the potential categories and influencing factors of frailty features in patients undergoing radiotherapy for lung cancer, and to provide reference for personalized and precise symptom management of frailty in patients undergoing radiotherapy for lung cancer. Methods A total of 241 lung cancer radiotherapy patients were selected by convenient sampling method. General data questionnaire, Fried Frailty Phenotype Scale, Barthel Index Scale and Nutritional Risk Screening 2002 were used for investigation. Potential category analysis was used to identify the potential category characteristics of lung cancer radiotherapy patients, and multi-classification logistic regression analysis was used to explore the influencing factors of the potential category of lung cancer. Results The incidence of frailty in lung cancer radiotherapy patients was 55.19%, and frailty score was 2.00 (1.00,4.00) points. Frailty in lung cancer radiotherapy patients presented three potential categories:pre-frailty group (30.3%), frailty-non-intentional weight loss group (35.7%), and severe frailty-activity decline group (34.0%). The number of radiotherapy, Barthel index, nutritional risk score and age were the influencing factors for the potential type of frailty in lung cancer radiotherapy patients (all P<0.05). Conclusion There is group heterogeneity in frailty in patients undergoing radiotherapy for lung cancer, and clinical staff should focus on the assessment and management of frailty in patients with low Barthel Index score, nutritional risk score ≥3, high number of radiotherapy sessions, and advanced age,aiming to reduce the level of frailty in patients.

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张江,吴江,赵喜娟,杨秉坤,周丽萍,杨妮.肺癌放疗患者衰弱潜在类别及影响因素分析[J].护理学杂志,2025,(4):36-40,45

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  • 收稿日期:2024-09-02
  • 最后修改日期:2024-11-22
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  • 在线发布日期: 2025-04-03