原发性肝癌患者创伤后成长的横断面调查及影响因素分析

发布时间：2018-11-06 17:52

【摘要】：目的调查原发性肝癌患者创伤后成长的现状,探究成长的特征和影响因素,为临床医护人员制定和完善肝癌患者创伤后成长的干预模式提供理论依据。方法采用便利抽样方法,根据纳入和排除标准选取2016年7月至2016年12月在重庆医科大学附属第二医院感染病科住院治疗的138例原发性肝癌患者作为本次的调查研究对象。使用一般资料调查问卷、简体中文版创伤后成长评定量表、心理痛苦温度计、领悟社会支持量表进行相关资料的收集。应用SPSS19.0统计软件进行数据分析。结果1.原发性肝癌患者创伤后成长总得分为(57.62±12.49)。各维度得分情况:人生感悟(20.20±4.92)分、与他人关系(9.01±2.19)分、个人力量(8.36±2.69)分、自我转变(10.30±3.02)分、新的可能性(9.76±2.55)分。2.原发性肝癌患者心理痛苦总得分为(6.38±1.63),处于中度水平。3.原发性肝癌患者的社会支持总得分为(60.50±9.35)。各维度得分情况:家庭支持(22.90±3.58)分、朋友支持(19.45±3.98)分、其他支持(18.15±4.29)分。4.单因素分析显示:不同的长期居住地、婚姻状况、文化程度、职业、家庭平均月收入、住院费用支付方式、主要照顾者、肝癌病程、肿瘤转移、治疗方式、合并除肝炎其他的慢性病、肿瘤家族史、肝功能Child-Pugh分级的原发性肝癌患者创伤后成长总得分差异有统计学意义(P0.05)。5.相关性分析显示:原发性肝癌患者创伤后成长总得分与心理痛苦总得分(r=-0.289,0.01)之间呈现负相关的关系,与领悟社会支持量表总得分(r=0.412,P0.01)之间呈现正相关的关系。6.回归分析显示:社会支持、肝癌病程、文化程度最后进入创伤后成长的回归方程,共同解释创伤后成长的总得分的25.3%。结论原发性肝癌患者普遍存在不同程度的创伤后成长,社会支持、肝癌病程、文化程度是影响原发性肝癌患者创伤后成长的最重要因素。
[Abstract]:Objective to investigate the current situation of post-traumatic growth in patients with primary liver cancer (HCC) and to explore the characteristics and influencing factors of growth so as to provide a theoretical basis for clinical doctors and nurses to formulate and perfect the intervention model of post-traumatic growth in patients with hepatocellular carcinoma (HCC). Methods according to the criteria of inclusion and exclusion, 138 patients with primary liver cancer were selected from July 2016 to December 2016 in the infectious department of the second affiliated Hospital of Chongqing Medical University. General data questionnaire, simplified Chinese version posttraumatic growth scale, psychological pain thermometer and perceived social support scale were used to collect relevant data. SPSS19.0 statistical software was used to analyze the data. Result 1. The total score of posttraumatic growth in patients with primary liver cancer was (57.62 卤12.49). The scores of each dimension were (20.20 卤4.92), (9.01 卤2.19), (8.36 卤2.69), (10.30 卤3.02), (9.76 卤2.55) and (9.76 卤2.55), respectively. The total score of psychological pain in patients with primary liver cancer was (6.38 卤1.63), which was at the moderate level of 3.3%. The total score of social support in patients with primary liver cancer was (60.50 卤9.35). The scores of each dimension were as follows: family support (22.90 卤3.58), friend support (19.45 卤3.98), other support (18.15 卤4.29). Univariate analysis showed that: different long-term residence, marital status, education, occupation, average monthly income of family, payment of hospitalization expenses, main caregivers, course of liver cancer, tumor metastasis, treatment, There were significant differences in the total scores of post-traumatic growth in patients with primary liver cancer complicated with other chronic diseases, family history of tumor and Child-Pugh grade of liver function (P0.05). Correlation analysis showed that there was a negative correlation between the total score of post-traumatic growth and the total score of psychological pain (r-0.289, 0.01) in patients with primary liver cancer, and the total score of perceived social support scale (r-0.412). P0.01). The regression analysis showed that social support, the course of liver cancer and the education level finally entered the regression equation of post-traumatic growth, and explained the total score of post-traumatic growth by 25.3%. Conclusion Post-traumatic growth, social support, course of liver cancer and education are the most important factors affecting post-traumatic growth in patients with primary liver cancer.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

【参考文献】