肝癌患者术后正念水平与家庭关怀度的相关性研究  

Correlation between postoperative mindfulness level and family care in patients with liver cancer

作　　者：华贞月 杨秋月 梅雪 罗昆仑 刘文凤 陶伟利 徐婷婷 HUA Zhenyue;YANG Qiuyue;MEI Xue;LUO Kunlun;LIU Wenfeng;TAO Weili;XU Tingting(Department of General Surgery,the 904 th Hospital of Joint Service Support Force of the Chinese People′s Liberation Army,Wuxi,Jiangsu,214000)

机构地区：[1]中国人民解放军联勤保障部队第九〇四医院普外科,江苏无锡214000

出　　处：《实用临床医药杂志》2021年第19期115-118,共4页Journal of Clinical Medicine in Practice

基　　金：中国人民解放军南京军区医药卫生科研基金(14D05)。

摘　　要：目的探讨肝癌患者术后正念水平与家庭关怀度的相关性。方法选取96例肝癌患者作为研究对象,均实施肝癌根治术治疗,均于术后采用简式五因素正念量表(FFMQ-SF)中文版评估正念水平,采用家庭关怀度指数问卷(APGAR)修订版评估患者家庭关怀度。分析肝癌患者术后正念水平与家庭关怀度的相关性。结果肝癌患者正念水平处于低等水平,家庭关怀度中等缺乏;相关性分析结果显示,肝癌患者术后FFMQ-SF评分与APGAR评分呈正相关(r=0.824,P<0.05);96例肝癌患者中,有80例低等正念水平,有16例中高等正念水平;初步比较低等正念水平组、中高等正念水平组APGAR评分后,经回归分析检验结果显示,肝癌患者APGAR各条目评分及总分降低会增加低等正念水平发生风险(OR=6.814、12.054、59.614、61.869、1.412、1.512,P<0.05)。结论肝癌患者术后正念水平较低,与家庭关怀度密切相关,随家庭关怀度降低,患者正念水平降低,家庭关怀度是肝癌患者术后正念水平的影响因素。Objective To explore the correlation between postoperative mindfulness level and family care in patients with liver cancer.Methods Totally 96 patients with radical resection of liver cancer were selected as research objects,and all of them were conducted with the Chinese version of the Short-form Five Factor Mindfulness Questionnaire(FFMQ-SF)for mindfulness evaluation and revised version of family Adaptation,Partnership,Growth,Affection and Resolve(APGAR)index questionare for family care evaluation.The correlation between postoperative mindfulness level and family care in patients with liver cancer was analyzed.Results The mindfulness level of liver cancer patients was at a low level,and the family care was at a medium level.Correlation analysis results showed that postoperative FFMQ-SF score was positively correlated with APGAR score in patients with liver cancer(r=0.824,P<0.05).Among the 96 patients with liver cancer,80 cases had low mindfulness level and 16 cases had medium and high mindfulness level.After preliminary comparison of APGAR score between the low mindfulness level group and medium and high mindfulness level group,the results of regression analysis showed that the decrease of score of each item of APGAR and total score could increase the risk of low mindfulness level in patients with liver cancer(OR=6.814,12.054,59.614,61.869,1.412,1.512,P<0.05).Conclusion The postoperative mindfulness level of patients with liver cancer is lower,which is closely related to family care.With the decrease of family care,the mindfulness level of patients decreases.Family care is the influencing factor of postoperative mindfulness level of patients with liver cancer.

关 键 词：肝癌 正念水平 家庭关怀 相关性 

分 类 号：R473.73[医药卫生—护理学] R473.5[医药卫生—临床医学]