中青年晚期肺癌患者社会参与现状及其影响因素 [中文引用][英文引用]

目的 调查中青年晚期肺癌患者社会参与现状，并分析其社会参与的影响因素，为制定针对性的干预措施提供参考。方法 采用便利抽样法，选择 2024 年 4 月— 9 月在本市某三级甲等综合医院住院的 217 例中青年晚期肺癌患者为研究对象。采用一般资料调查表、自主参与问卷、疲劳量表 -14、焦虑自评量表和社会支持评定量表对其进行调查，采用单因素与多重线性回归分析患者社会参与的影响因素。结果 211 例患者完成研究。患者社会参与得分为 33.0（21.0，50.0）分，4 个维度中得分从低至高依次为室内自主参与、家庭角色、社会生活和室外自主参与。多重线性回归分析结果显示，工作状态、家庭人均月收入、生活自理能力、疲劳、焦虑、社会支持是患者社会参与的影响因素（均 P<0.05），共同解释方程的 75.3% 变异。结论 中青年晚期肺癌患者社会参与水平良好，但室外自主参与水平相对较低。应针对影响因素制定针对性的干预方案，以促进其社会参与水平。

Objective To investigate current status of social participation among young and middle-aged patients with advanced lung cancer and to examine the factors influencing social participation，thereby providing references for targeted interventions. Methods Convenience sampling was employed to select 217 young and middle-aged patients who had advanced lung cancer hospitalised in a TierIIIA hospital in Guangzhou from April to September 2024. Data were collected using a general demographic questionnaire，the impact on participation and autonomy questionnaire（IPA），fatigue scale-14，self-rating anxiety scale（SAS），and social support rating scale. Univariate analysis and multiple linear regression were used to identify the associated factors. Results A total of 211 patients completed the study. The total score of social participation was 33.0（21.0，50.0）. Four dimensions，ranked from the lowest mean score to the highest mean score，were derived：indoor autonomous participation，family role，social life，and outdoor autonomous participation. Multiple linear regression analysis showed that employment，per capita monthly family income，activity of daily living，fatigue，anxiety and social support were the factors that influenced social participation（all P<0.05），collectively explaining 75.3% of the total variance. Conclusion Social participation among young and middle-aged patients with advanced lung cancer is good，however the outdoor autonomous participation is poor. Targeted intervention programs should be developed according to the identified influencing factors to promote the social participation.