老年胃癌病人味嗅觉改变与乐观倾向及自我感受负担的关系

doi:10.3969/j.issn.1003-9198.2021.09.024

摘要/Abstract

摘要： 目的探讨老年胃癌病人味嗅觉改变与乐观倾向及自我感受负担的关系。方法选取本院2016年8月至2019年8月收治的102例老年胃癌病人,对病人进行一般资料调查、味嗅觉改变测评(TSS量表)、乐观倾向测评(LOT-R量表)、自我感受负担测评(SPBS量表)。比较不同人口学特征病人的味嗅觉改变发生率及不同味嗅觉改变情况病人的LOT-R评分与SPBS评分,采用Pearson相关系数描述味嗅觉改变与乐观倾向及自我感受负担的相关性。结果 102例老年胃癌病人的TSS评分为(4.63±0.95)分,其中味嗅觉无改变43例、轻度改变36例、中重度改变23例,味嗅觉改变发生率为57.84%(59/102)。年龄、性别、户籍类型、文化程度、职业、婚姻状况、主要照顾者、家庭人均月收入、付费方式、慢性病、肿瘤部位、临床分期、分化程度与病人的味嗅觉改变无关(P＞0.05)。TSS评分与化疗次数(r=0.441)、SPBS总分(r=0.337)呈正相关,与LOT-R总分(r=-0.309)呈负相关。结论化疗次数较多的老年胃癌病人易出现味嗅觉改变,临床应重视对病人心理状态的干预和调节。

关键词: 胃癌, 味嗅觉改变, 乐观倾向, 自我感受负担

Abstract: Objective To explore the relationship of the changes in taste and smell with optimistic tendency and self-perceived burden in the elderly patients with gastric cancer. Methods A total of 102 elderly patients with gastric cancer who were admitted to our hospital from August 2016 to August 2019 were selected. All the patients underwent the survey of general information questionaire, taste change evaluation (the Taste and Smell Survey, TSS), optimistic tendency evaluation (Revised Life Orientation Test, LOT-R), and burden sensing evaluation (self-perceived burden scale, SPBS). The incidence rate of taste and smell changes in the patients with different demographic characteristics, and the scores of LOT-R and SPBS in the patients with different taste and smell changes were compared. Pearson correlation coefficient was used to describe the relationship of changes in taste and smell with optimistic tendency and self-perceived burden. Results The TSS scores of 102 elderly patients with gastric cancers was (4.63±0.95) points. Among them, there were 43 cases without taste and smell change, 36 cases with slight change, and 23 cases with moderate to severe change. The incidence rate of taste and smell changes was 57.84% (59/102). Age, gender, household registration type, education level, occupation, marital status, main caregiver, average income, payment type, chronic diseases, tumor location, clinical stages and degree of differentiation were not related to the changes of taste and smell (P>0.05). The TSS score was positively correlated with the times of chemotherapy (r=0.441) and the total score of SPBS (r=0.337), but negatively correlated with the total score of LOT-R (r=-0.309). Conclusions Elderly patients with gastric cancer who receive more chemotherapy are prone to have taste and smell changes. More attention should be paid to the intervention and adjustment of the patients’ psychological state in clinic.

Key words: gastric cancer, changes in taste and smell, optimistic tendency, self-perceived burden

中图分类号:

R 473.73

张洁, 李雁飞, 杨雯. 老年胃癌病人味嗅觉改变与乐观倾向及自我感受负担的关系[J]. 实用老年医学, 2021, 35(9): 991-994.

ZHANG Jie, LI Yan-fei, YANG Wen. Relationship of changes in taste and smell with optimistic tendency and self-perceived burden in elderly patients with gastric cancer[J]. Practical Geriatrics, 2021, 35(9): 991-994.

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