原发性肝癌患者死亡焦虑现状调查及影响因素分析  

Death anxiety and its influencing factors in patients with primary liver cancer

作　　者：赵琼玲 秦月兰[1] 彭湘群[1] 赵敏[1] 谢中花 孙薇[1] 蒋晓 罗书琴 ZHAO Qiongling;QIN Yuelan;PENG Xiangqun;ZHAO Min;XIE Zhonghua;SUN Wei;JIANG Xiao;LUO Shuqin(Deparment of Hepatobiliary and Pancreatic Minimally Invasive Surgery&Department of Weight Loss Metabolism,Hunan Provincial People's Hospital/the First Affiliated Hospital of Hunan Normal University,Changsha 410000,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)肝胆胰微创外科&减重代谢科,湖南长沙410000

出　　处：《医药高职教育与现代护理》2023年第6期543-547,共5页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的调查原发性肝癌患者的死亡焦虑现状并分析其影响因素,为临床心理干预提供参考。方法采用便利抽样法选取2022年1月至2023年1月在湖南省人民医院住院的302例原发性肝癌患者作为研究对象,采用一般资料问卷和死亡焦虑量表对其进行调查。运用单因素分析不同特征的原发性肝癌患者在死亡焦虑程度上的差异,运用多元线性回归法分析原发性肝癌患者死亡焦虑的影响因素。结果302例原发性肝癌患者死亡焦虑平均总分为(8.28±2.48)分,其中,61例为低死亡焦虑(20.2%),241例为高死亡焦虑(79.8%)。单因素分析显示,不同性别、不同文化程度、有无宗教信仰、5年内有无威胁生命的经历、5年内无丧亲经历、癌细胞有无转移在患者死亡焦虑量表评分上差异具有统计学意义(均P<0.05)。多元线性回归分析显示,性别、文化程度、有无宗教信仰、5年内有无威胁生命的经历、5年内有无丧亲经历、癌细胞有无转移是原发性肝癌患者死亡焦虑的影响因素(均P<0.05)。结论原发性肝癌患者死亡焦虑处于高水平,临床应根据以上影响因素(特别关注文化程度低、无宗教信仰、5年内有威胁生命的经历、5年内有丧亲经历、有癌细胞转移的女性患者)采取针对性的干预措施,降低其死亡焦虑,改善生存质量。Objective To investigate the status and analyze the influencing factors of death anxiety in patients with primary liver cancer.Methods A total of 302 patients with primary liver cancer hospitalized in Hunan Provincial People's Hospital from January 2022 to January 2023 were selected by convenient sampling method,they were investigated by Death Anxiety Scale.Single factor analysis was used to analyze the difference in the degree of death anxiety in patients with different characteristics of primary liver cancer,and multiple linear regression was used to analyze the influencing factors of death anxiety in patients with primary liver cancer.Results The total average score of death anxiety in 302 patients with primary liver cancer was(8.28±2.48),of which 61 patients had low death anxiety(20.2%)and 241 cases had high death anxiety(79.8%).Univariate analysis showed that gender,education level,religious belief,life threatening experience in 5 years,bereavement experience within 5 years,and cancer cell metastasis had statistically significant differences in death anxiety scale scores(all P<0.05).Multiple linear regression analysis showed that gender,education level,religious belief,life threatening experience in 5 years,bereavement experience in 5 years,and cancer cell metastasis were the influencing factors of death anxiety in patients with primary liver cancer(all P<0.05).Conclusions The death anxiety of patients with primary liver cancer is at a high level.Targeted intervention measures should be taken according to the above influencing factors(especially female patients with low education level,no religious belief,life threatening experience in 5 years,bereavement experience in 5 years,and cancer cell metastasis)to reduce their death anxiety and improve their quality of life.

关 键 词：肝癌 死亡焦虑 现状 影响因素 

分 类 号：R473.73[医药卫生—护理学]