原发性肝癌患者腹腔镜肝切除术后乐观倾向与自我表露的关系  

Relationship Between Optimistic Tendency and Self-Disclosure in Patients with Primary Liver Cancer After Laparoscopic Hepatectomy

作　　者：韩倩[1] 孙兆菲[1] 耿寒 HAN Qian;SUN Zhaofei;GENG Han(Department of Hepatobiliary Surgery,Henan Provincial People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院肝胆外科,河南郑州450000

出　　处：《河南医学研究》2021年第28期5251-5253,共3页Henan Medical Research

摘　　要：目的探讨原发性肝癌患者腹腔镜肝切除术后乐观倾向与自我表露的关系。方法选取2018年1月至2020年12月于河南省人民医院接受腹腔镜肝切除术治疗的168例原发性肝癌患者为研究对象,于手术后1周,采用生活定向测验修订版(LOT-R)评估患者乐观倾向,依据评估结果将患者分为乐观倾向高水平组与乐观倾向低水平组,并采用朱拉德自我表露问卷(JSDQ)评估患者自我表露程度,分析原发性肝癌患者腹腔镜肝切除术后乐观倾向与自我表露的关系。结果168例原发性肝癌患者腹腔镜肝切除术后LOT-R评分为(12.18±2.63)分,总体乐观倾向处于较低水平,其中乐观倾向高水平72例(42.86%),乐观倾向低水平96例(57.14%)。168例原发性肝癌患者腹腔镜肝切除术后JSDQ评分为(102.59±9.72)分,总体自我表露程度一般。乐观倾向高水平的原发性肝癌患者腹腔镜肝切除术后LOT-R评分高于乐观倾向低水平患者,JSDQ各维度评分及总分高于乐观倾向低水平患者(P<0.05)。一般双变量Pearson相关性检验分析结果显示,原发性肝癌患者腹腔镜肝切除术后LOT-R评分与JSDQ各维度评分及总分均呈正相关(P<0.05)。结论原发性肝癌患者腹腔镜肝切除术后乐观倾向与自我表露密切相关,且自我表露程度越高的患者越乐观。Objective To explore the relationship between optimistic tendency and self-disclosure in patients with primary liver cancer after laparoscopic hepatectomy.Methods A total of 168 patients with primary liver cancer who underwent laparoscopic hepatectomy in Henan Provincial People’s Hospital from January 2018 to December 2020 were selected as the research objects.One week after operation,the revised life orientation test(LOT-R)was used to evaluate the optimistic tendency of patients.According to the evaluation results,the patients were divided into high-level optimistic tendency group and low-level optimistic tendency group.The degree of self-disclosure of patients was assessed by Jourard seif-disciosure questionnaire(JSDQ).The relationship between optimistic tendency and self-disclosure in patients with primary liver cancer after laparoscopic hepatectomy was analyzed.Results The LOT-R score of 168 patients with primary liver cancer after laparoscopic hepatectomy was(12.18±2.63)points,and the overall optimistic tendency was at a low level,of which 72 cases(42.86%)had a high level of optimism,and 96 cases(57.14%)had a low level of optimism.The JSDQ score of 168 patients with primary liver cancer after laparoscopic hepatectomy was(102.59±9.72)points,and the overall degree of self-disclosure was average.The LOT-R score of patients with high optimistic tendency after laparoscopic hepatectomy was higher than that of patients with low optimistic tendency,and the scores of each dimension and total score of JSDQ were higher than those of patients with low optimism tendency(P<0.05).The results of the general bivariate Pearson correlation test showed that the LOT-R score of patients with primary liver cancer after laparoscopic hepatectomy was positively correlated with the scores of each dimension and total score of JSDQ(P<0.05).Conclusion The optimistic tendency of patients with primary liver cancer after laparoscopic hepatectomy is closely related to self-disclosure,and the higher the degree of self-disclosure is,the mo

关 键 词：原发性肝癌 腹腔镜肝切除 乐观倾向 自我表露 

分 类 号：R735.7[医药卫生—肿瘤]