护理学报 ›› 2020, Vol. 27 ›› Issue (6): 35-38.doi: 10.16460/j.issn1008-9969.2020.06.035
148例肝癌术后患者灵性健康现状及影响因素分析
彭红a, 刘春b, 顾静a, 唐梅a, 陶莉a
- 德阳市人民医院 a.心身医学科; b.肝胆外科,四川 德阳 618000
Spiritual Health of Patients after Hepatocellular Carcinoma Resection and Its Influence Factors: A 148-case Study
PENG Honga, LIU Chunb, GU Jinga, TANG Meia, TAO Lia
摘要： 目的 探讨肝癌术后患者灵性健康现状及其影响因素,为肝癌术后患者灵性健康的干预构建提供理论支撑。方法 采用便利抽样法,选取2016年1月—2017年12月在四川德阳某人民医院肝胆外科住院的148例肝癌术后患者作为研究对象,采用家庭支持量表、中文版益处发现评定量表和中文版慢性病治疗功能评估-灵性量表-12对患者进行调查,采用多元线性回归分析肝癌术后患者灵性健康的影响因素。结果 肝癌术后患者灵性健康总分为总分（27.78+8.54）分;多元线性回归结果显示：婚姻状况、肿瘤病理分期、家庭支持、益处发现是肝癌术后患者灵性健康的影响因素（P<0.01）,共解释总变异的71.3%。结论 本组肝癌患者灵性健康处于中等水平,建议医务人员重点关注无配偶及肿瘤病理分期为Ⅲ期的肝癌术后人群的灵性健康,增加患者的社会支持力度,采用人生回顾、书写表露等干预方案最大化引导患者发现人生的意义和尊严。针对益处发现水平较低的患者,可以采用叙事护理等方案促进患者发现生命的意义及价值,协助患者采取积极途径认识-应对-适应癌症,从而提高肝癌术后患者灵性健康。
中图分类号:
- R471
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