摘要
目的:调查中晚期肝癌介入治疗患者术后心理弹性水平,并分析其影响因素。方法:选取2018年1月1日~2019年10月31日收治的中晚期肝癌介入治疗患者100例,采用自编一般资料问卷、心理弹性量表(CD-RISC)、自我感受负担量表(SPBS)、Herth希望量表(HHI)、医学应对方式问卷(MCMQ)、一般自我效能感量表(GSES)及肝癌QOL测定量表(QOL-LC V2.0)进行评价,并分析心理弹性影响因素。结果:本组患者CD-RISC评分(70.32±6.14)分,其中心理弹性差(<70分)25例,心理弹性良好(≥70分)75例;单因素分析显示,中晚期肝癌介入治疗患者术后心理弹性影响因素有年龄、受教育程度、院内健康教育、自我感受负担、希望水平、医学应对方式、一般自我效能及术后生活质量(P<0.05);多因素Logistic回归分析,中晚期肝癌介入治疗患者术后心理弹性影响因素包括初中及以下受教育程度、未接受院内健康教育、希望水平<36分、自我感受负担≥30分、回避及屈服应对、低级自我效能、生活质量<176分(P<0.05)。结论:中晚期肝癌介入治疗患者术后心理弹性水平较差,其影响因素包括初中及以下受教育程度、未接受院内健康教育、希望水平<36分、自我感受负担≥30分、回避及屈服应对、低级自我效能及生活质量<176分。因此,从患者、护理角度分析患者术后心理弹性的影响因素,拓宽了研究分析的广度及深度,为介入术后临床护理提供了参考依据。
Objective:To investigate the postoperative mental resilience of patients with interventional therapy for middle and advanced liver cancer,and to analyze the influencing factors.Methods:A total of 100 cases of middle-late liver cancer patients with interventional therapy admitted from January 1,2018 to October 312019 were evaluated using the questionnaire of general information,Connor-Davidson resilience scale(CD-RISC),Self-Perceived Burden Scale(SPBS),Herth hope index(HHI),medical coping mode questionnaire(MCMQ),general self-efficacy scale(GSES)and Quality of Life With Liver Cancer(QOL-LC V2.0).The influencing factors of postoperative mental resilience were screened.Results:In this group,the patients′CD-RISC score was(70.32±6.14),including 25 patients with poor mental resilience(<70 points)and 75 patients with good mental resilience(≥70 points).Univariate analysis showed that the influencing factors of psychological resilience after interventional therapy for patients with middle and advanced liver cancer were age,education level,in-hospital health education,self-perceived burden,hope level,medical coping style,general self-efficacy and quality of life(P<0.05).According to multivariate logistic regression analysis,the influencing factors of postoperative psychological resilience of patients with interventional therapy for middle and advanced liver cancer included education level of junior middle school or below,no in-hospital health education,hope level<36,self-perceived burden≥30,avoidance and yield response,low self-efficacy,and quality of life<176(P<0.05).Conclusion:The postoperative mental resilience of patients with middle and advanced liver cancer after interventional therapy was poor,and the influencing factors included the education level of junior middle school and below,no in-hospital health education,hope level<36,self-perceived burden≥30,avoidance and yield response,low self-efficacy and quality of life<176.Therefore,the analysis of the influencing factors of postoperative psychological resilience of patients from the perspective of patients and nursing has broadened the scope and depth of research and analysis,provided a reference basis for clinical nursing after interventional surgery.
作者
李玲
苏丹
曾祥娥
Li Ling;Su Dan;Zeng Xiange(The Second Affiliated Hospital of South China University,Hengyang Hunan 421001,China)
出处
《齐鲁护理杂志》
2020年第11期16-19,共4页
Journal of Qilu Nursing
关键词
中晚期肝癌
介入治疗
心理弹性
Middle and advanced liver cancer
Interventional therapy
Psychological resilience
