肝癌患者疾病接受度现状及影响因素分析-现代医学

肝癌患者疾病接受度现状及影响因素分析

单位：1. 海南省临高县人民医院肿瘤外科, 海南临高 571800;
2. 海南省人民医院肝胆胰外科一区, 海南海口 570311;
3. 海南省人民医院胆胰外科, 海南海口 570311

分类号：R473.73

出版年·卷·期（页码）：2023·51·第四期（468-473）

摘要：

目的:调查肝癌患者疾病接受度现状，并分析其影响因素。方法:采用一般资料调查表、疾病接受度量表(AIS)、特质应对方式问卷(TCSQ)和社会支持评定量表(SSRS)对2021年1月至2022年7月在海南省临高县人民医院和海南省人民医院就诊的343例肝癌患者进行调查，最终回收有效问卷的患者315例，分析其疾病接受度现状，采用Pearson相关分析探讨TCSQ、SSRS得分与AIS得分的相关性，采用多元线性回归分析AIS得分的影响因素。结果:肝癌患者AIS得分为(18.81±3.48)分；不同性别、文化程度、家庭人均月收入、居住地、癌症分期、癌症转移情况的肝癌患者AIS得分比较，差异有统计学意义(P＜0.05)；肝癌患者积极应对、SSRS总分及各维度得分与AIS得分均呈正相关(P＜0.05)，消极应对得分与AIS得分呈负相关(P＜0.05)；性别、文化程度、癌症是否转移、消极应对、SSRS总分是AIS得分的主要影响因素，可预测54.8%的总变异。结论:肝癌患者疾病接受度为低水平。医护人员要加强对女性、文化程度低和癌症发生转移患者的关注，帮助患者转变应对方式并调动其社会支持系统，从而提高其疾病接受度。

Objective: To investigate the status of acceptance of illness among liver cancer patients and analyze its influencing factors. Methods: 343 patients with liver cancer who were treated in Hainan Lingao County People's Hospital and Hainan General Hospital from January 2021 to July 2022 were investigated by the general information questionnaire, acceptance of illness scale(AIS),trait coping style questionnaire(TCSQ) and social support rating scale(SSRS). 315 patients with valid questionnaires were finally collected, and the status of acceptance of illness was analyzed. Pearson correlation analysis was used to explore the correlation between TCSQ, SSRS scores and AIS scores, and multiple linear regression was used to analyze the influencing factors of AIS scores. Results: The AIS scores of patients with liver cancer were(18.81±3.48) points; there were statistically significant differences in AIS scores among patients with liver cancer of different sex, education levels, average income per person in family, residence, disease stages, and whether the cancer was metastatic(P<0.05); positive coping scores, total scores and all dimensions scores of SSRS were positively correlated with AIS scores in patients with liver cancer(P<0.05), while negative coping scores were negatively correlated with AIS scores(P<0.05);Gender, education level, whether cancer was metastatic, negative coping, and the total scores of SSRS were the main influencing factors of AIS scores, which could predict 54.8% of the total variation. Conclusion: The acceptance of illness in liver cancer patients is low. Medical staff should give more attention to women, patients with low education and cancer metastasis, help patients change their coping styles and mobilize their social support system, so as to improve their acceptance of illness.

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