基于呼吸门控技术的乳腺癌放疗患者癌因性疲乏现状及影响因素分析

Analysis of Cancer-Related Fatigue Status and Influencing Factors in Breast Cancer Patients Undergoing Radiotherapy Based on Respiratory Gating Technology

摘要: 目的：探讨乳腺癌患者放疗期间呼吸门控现状及影响因素。方法：以便利抽样法抽取本院收治的200例乳腺癌患者为研究对象，采用一般资料调查量表、癌症疲乏量表(CFS)、焦虑自评量表(SAS)、一般自我效能感量表(GSES)对患者进行问卷调查，以单因素分析及多元线性回归分析方法分析影响乳腺癌患者放疗期间呼吸门控的因素。结果：乳腺癌患者癌症疲乏得分为(6.31 ± 0.87)，焦虑得分为(63.99 ± 6.86)，自我效能感得分为(27.69 ± 2.20)，心理弹性得分为(61.23 ± 3.90)。Pearson相关性分析显示，乳腺癌患者癌因性疲乏与焦虑呈正相关(P < 0.05)，与自我效能感呈负相关(P < 0.05)，与心理弹性呈负相关(P < 0.05)。多重线性回归分析显示，呼吸门控的使用情况与癌因性疲乏、焦虑、自我效能、心理弹性、了解程度和转移程度有关。结论：乳腺癌患者放疗受到癌因性疲乏、焦虑、配偶、自我效能等因素的影响。

Abstract: Objective: To explore the current status and influencing factors of respiratory gating during radiotherapy for breast cancer patients. Methods: A convenience sampling method was used to select 200 breast cancer patients treated at our hospital as the research subjects. Patients were surveyed using general information questionnaires, the Cancer Fatigue Scale (CFS), the Self-Rating Anxiety Scale (SAS), and the General Self-Efficacy Scale (GSES). Univariate analysis and multiple linear regression analysis were employed to analyze the factors affecting respiratory gating during radiotherapy for breast cancer patients. Results: The scores for cancer fatigue, anxiety, self-efficacy, and psychological resilience among breast cancer patients were (6.31 ± 0.87), (63.99 ± 6.86), (27.69 ± 2.20), and (61.23 ± 3.90), respectively. Pearson correlation analysis revealed that cancer-related fatigue was positively correlated with anxiety (P < 0.05) and negatively correlated with self-efficacy (P < 0.05) and psychological resilience (P < 0.05). Multiple linear regression analysis indicated that the use of respiratory gating was associated with cancer-related fatigue, anxiety, self-efficacy, psychological resilience, understanding level, and transfer degree. Conclusion: The radiotherapy for breast cancer patients is influenced by factors such as cancer-related fatigue, anxiety, spouse, and self-efficacy.