INVESTIGATION OF SELF-PERCEIVED BURDEN AND SELF-CARE LEVEL OF CANCER PATIENTS IN GASTROENTEROLOGY DEPARTMENT AND ANALYSIS OF INFLUENCING FACTORS

Xiuting Ning^1#, Zhiwei He^2#, Bei Jiang², Jing Zhang³, Yushan Wu¹, Mi Ju⁴, Zhiying Wang^3*

¹Department of Gastrointestinal Surgery Dept.(2), Hainan Cancer Hospital, Haikou 570311, Hainan Province, China - ²Department of Nursing, Hainan ChengMei Hospital, Haikou 571157, Hainan Province, China - ³Department of Nursing, Hainan Cancer Hospital, Haikou 570311, Hainan Province, China - ⁴Department of Critical Care Medicine, Hainan Cancer Hospital, Haikou 570311, Hainan Province, China

Objective: To investigate the level of self-care and self-perceived burden of patients with cancer in the gastroenterology department, and to analyze the main risk factors affecting patients' self-care and self-perceived burden. 

Methods: From January 2020 to December 2021, a total of 165 patients with gastroenterology cancer admitted to our hospital were selected as the research objects by convenience sampling, and the basic data of all patients were sorted out, including gender, age, family status, etc. Self Perceived Burden Scale (SPBS-CP) and Self Care Ability Scale (ESCA) were used for evaluation. To analyze the influencing factors of patients' self-perceived burden and self-care ability. 

Results: The total score of ESCA of 165 patients with gastroenterology cancer was (118.71±20.80), indicating that the self-care ability of patients in this study was at a medium or high level, and 41.21% of them were not at a medium level. The total score of SPBS-CP was (39.66±8.16), indicating that the self-perceived burden of the patients in this study was at a medium level, but 51.52% of them had a high level of symptoms. Multiple regression model analysis; Patients' education level, tumor stage, time of knowledge and metastasis were independent risk factors affecting self-perceived burden of cancer patients (P<0.05). The results of multiple regression model analysis showed that gender, education level, tumor stage and metastasis were the risk factors affecting the level of self-care (P<0.05). Pearson correlation analysis showed that the self-perceived burden of cancer patients in gastroenterology department was negatively correlated with patients' self-concept, self-care responsibility, self-care skills, health knowledge level, and total score of self-care ability (P<0.05). 

Conclusions: The level of self-care in patients with gastroenterology cancer is relatively high, but there is generally a self-perceived burden. The self-care level of patients is affected by their education level, cancer stage, time of knowledge and metastasis. However, patients' self-care level was negatively correlated with self-perceived burden.