摘要
目的探讨食管癌患者的术后希望水平及其影响因素。方法采用便利抽样法选取2014年11月-2016年11月在河南省某医院胸外科接受手术治疗的180例食管癌患者作为研究对象,通过Herth希望量表评价患者的术后希望水平,同时分析术后希望水平的影响因素。结果食管癌患者的术后希望水平总分为(38.29±4.51)分,其中"对现实与未来的积极态度"维度得分为(12.58±1.59)分、"采取积极行动"维度得分为(12.67±1.57)分、"与他人保持亲密关系"维度得分为(12.88±1.59)分。食管癌患者家庭关怀度平均得分为(8.76±2.43)分,处于家庭功能良好状态。相关性分析结果显示,食管癌患者家庭关怀度与术后希望水平及其各维度之间呈正相关(P<0.05)。单因素分析结果显示,不同婚姻状况、医疗付费方式、家庭人均月收入、居住情况、家庭支持功能和病情知情情况食管癌患者的希望水平总分比较,差异均有统计学意义(P<0.05)。多元Logistic回归分析结果显示,婚姻状况、医疗付费方式、家庭人均月收入、居住情况、家庭支持功能和病情知情情况是影响食管癌患者术后希望水平的因素(P<0.01)。结论食管癌患者术后希望水平得分处于中高水平,应采取有效措施,不断争取外界支持,提高家庭关怀度并且适时告知患者疾病诊断情况,以进一步提高患者的希望水平。
Objective To explore the postoperative hope level of patients with esophageal carcinoma and its in- fluencing factors. Methods Based on the method of convenience sampling, 180 patients with esophageal carci- noma who underwent surgical treatment in a Henan hospital during the period from November 2014 to November 2016 were included in this study. The Herth Hope Index （HHI） was used to assess the postoperative hope level of these patients. Meanwhile, the corresponding influencing factors were also analyzed, Results The overall postoperative hope score in these patients with esophageal carcinoma was 38.29±4.51; the sub-scale scores of ＂ temporarility and future＂, ＂ positive readiness and expectancy＂, and ＂ interconnectedness＂ were 12.58 ±1.59, 12.67±1.57, and 12.88±1.59, respectively. The average family function score in these patients were 8.76±2.43, indicating good functioning. Correlation analysis showed that, family functioning was posi- tively correlated with the overall postoperative hope score as well as its sub-scale scores in patients with esoph-ageal carcinoma （P〈0.05）. Univariate analysis revealed that, the overall postoperative hope score varied sig- nificantly with marital status, way of medical expense payment, average monthly household income, living condition, level of family support, and awareness level of the disease （all P〈0.05）. Multivariate Logistic regression analysis indicated that, marital status, way of medical expense payment, average monthly household income, living condition, level of family support, and awareness level of the disease were the influencing factors of postoperative hope level （P〈0.01）. Conclusion The postoperative hope score of patients with esopha-geal carcinoma was at a medium-to-high level. Effective measures should be taken to obtain external support, improve family functioning, and properly inform the patient of the diagnosis, which may further enhance the hope level of these patients.
出处
《保健医学研究与实践》
2017年第6期46-50,共5页
Health Medicine Research and Practice
基金
河南省医学科技攻关计划项目(142300410076)
关键词
胸外科
食管癌
希望水平
影响因素
Thoracic surgery
Esophageal carcinoma
Hope level
Influencing factors
