肝癌术后患者生存质量与复发恐惧及希望水平的关系  

Analysis of the relationship between quality of life and recurrence fear and hope in patients with hepatocellular carcinoma after operation

作　　者：张辉[1] 张爽 柏璐[1] 宋菲[1] 武跃宾 张祎 Zhang Hui;Zhang Shuang;Bai Lu;Song Fei;Wu Yuebin;Zhang Yi(Department of Oncology,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院肿瘤内科一病区,473000

出　　处：《国际护理学杂志》2022年第6期977-982,共6页international journal of nursing

基　　金：南阳市科技发展计划项目(RKX2018009)。

摘　　要：目的分析肝癌术后患者生存质量与复发恐惧及希望水平的关系。方法采用便利抽样法, 选取南阳市中心医院2018年4月至2020年3月收治的肝癌术后患者210例, 统计生存质量、复发恐惧、希望水平等级, 利用多因素Logistic分析复发恐惧、希望水平是否为肝癌术后患者生存质量影响因素且采用Pearson检验分析二者与生存质量关系。结果生存质量良好74例(35.24%), 中等104例(49.52%), 不佳32例(15.24%);复发恐惧弱39例(18.57%), 中等98例(46.67%), 强73例(34.76%);希望水平低下37例(17.62%), 中等112例(53.33%), 高等61例(29.05%)。生存质量不佳患者, 复发恐惧强、希望水平低下构成比最高, 差异均有统计学意义(均P<0.05);生存质量中等患者, 复发恐惧、希望水平均以中等构成比最高, 差异均有统计学意义(均P<0.05);生存质量良好患者, 复发恐惧弱、希望水平高等构成比最高, 差异均有统计学意义(均P<0.05)。而复发恐惧弱患者、希望水平高等患者, 生存质量良好构成比最高, 差异均有统计学意义(P<0.05);复发恐惧和希望水平中等患者, 均以生存质量中等构成比最高, 差异均有统计学意义(均P<0.05);复发恐惧强患者、希望水平低下患者, 生存质量不佳构成比最高, 差异均有统计学意义(均P<0.05)。多因素logistic回归分析证实复发恐惧、希望水平均为影响肝癌术后患者生存质量的风险因素(P<0.05), 且生存质量与复发恐惧呈负相关关系, 与希望水平呈正相关关系, 差异有统计学意义(P<0.05)。结论肝癌术后患者复发恐惧、希望水平与生存质量密切相关, 而生存质量又影响着复发恐惧与希望水平。Objective To analyze the relationship between quality of life and recurrence fear and hope in patients with hepatocellular carcinoma after operation.Methods A total of 210 patients with liver cancer after surgery admitted to this hospital from April 2018 to March 2020 were selected by convenience sampling method,and the levels of quality of life,fear of recurrence and hope were analyzed.Multivariate Logistic analysis was used to analyze whether fear of recurrence and hope level were the influencing factors of life quality of patients after liver cancer surgery.Pearson test was used to analyze the relationship between fear of recurrence,hope level and quality of life.Results The quality of life was good in 74 cases(35.24%),moderate in 104 cases(49.52%),and poor in 32 cases(15.24%).The recurrence fear was weak in 39 cases(18.57%),moderate in 98 cases(46.67%),and strong in 73 cases(34.76%).There were 37 cases(17.62%)with low hope level,112 cases(53.33%)with medium hope level,and 61 cases(29.05%)with high hope level.Patients with poor quality of life had the highest composition ratio of fear of recurrence and low hope level,and the differences were statistically significant(P<0.05).Patients with moderate quality of life had the highest levels of fear and hope of recurrence with moderate component ratio,and the differences were statistically significant(P<0.05).Patients with good quality of life had the highest composition ratio of weak fear of recurrence and high hope level,and the differences were statistically significant(P<0.05).Patients with weak fear of recurrence and high level of hope had the highest composition ratio of good quality of life,and the differences were statistically significant(P<0.05).Patients with moderate levels of recurrence fear and hope level had the highest composition ratio of moderate quality of life,and the differences were statistically significant(P<0.05).Patients with high fear of recurrence and low level of hope had the highest composition ratio of poor quality of life,and the diffe

关 键 词：肝癌术后 生存质量 复发恐惧 希望水平 

分 类 号：R473.73[医药卫生—护理学]