肝癌患者疾病感知现状及其影响因素分析  

Analysis of disease perception status and its influencing factors in patients with liver cancer

作　　者：黄学英 韦妹英[1] 王丽 周丽娜[1] 廖旭英 HUANG Xueying;WEI Meiying;WANG Li;ZHOU Lina;LIAO Xuying(Department of Gastroenterology,Affiliated Hospital of Guilin Medical College,Guilin,Guangxi 541002,China)

机构地区：[1]桂林医学院附属医院消化内科,广西桂林541002

出　　处：《检验医学与临床》2022年第6期740-744,共5页Laboratory Medicine and Clinic

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200987)。

摘　　要：目的探讨肝癌患者疾病感知现状及其影响因素。方法采用一般资料调查表、疾病感知问卷简化版量表、心理痛苦温度计、心理弹性量表简化版调查200例肝癌患者。结果肝癌患者疾病感知总分为(55.72±14.25)分,其各维度均分由高到低分别为认知维度、情绪维度、理解能力维度;肝癌患者心理痛苦总分为(5.33±2.26)分,呈中等痛苦水平;肝癌患者心理弹性总分为(25.49±6.61)分。相关性分析结果显示,肝癌患者疾病感知总分与心理痛苦总分呈正相关(P<0.05),与心理弹性总分呈负相关(P<0.05)。多元线性回归分析结果显示,文化程度、患病时长、症状种数、心理痛苦、心理弹性是肝癌患者疾病感知的主要影响因素(P<0.05)。结论医务人员应关注肝癌患者疾病感知现状及其心理痛苦、心理弹性状态,并根据患者具体情况制订系统性、规范性的疾病感知护理方案,进行因人施护。Objective To explore the disease perception status and its influencing factors in patients with liver cancer.Methods A total of 200 patients with liver cancer were investigated by general information questionnaire,disease perception questionnaire simplified version scale,psychological distress thermometer and psychological resilience scale simplified version.Results The total score of disease perception of liver cancer patients was(55.72±14.25)points,and the average score of each dimension from high to low was cognition dimension,emotion dimension and understanding ability dimension.The total score of psychological distress in patients with liver cancer was(5.33±2.26)points,showed a moderate distress level.The total score of the patient′s psychological resilience was(25.49±6.61)points.The results of correlation analysis showed that the total score of disease perception in patients with liver cancer was positively correlated with the total score of psychological distress(P<0.05),and negatively correlated with the total score of psychological resilience(P<0.05).The results of multiple linear regression analysis showed that educational level,duration of illness,number of symptoms,psychological distress and psychological resilience were the main influencing factors of disease perception in patients with liver cancer(P<0.05).Conclusion Medical staff should pay attention to the disease perception status,psychological distress and resilience in patients with liver cancer,according to the specific conditions of the patients,a systematic and standardized disease perception nursing program is formulated for individualized care.

关 键 词：肝癌 疾病感知 心理痛苦 心理弹性 

分 类 号：R735.7[医药卫生—肿瘤]