原发性肝癌患者的心理痛苦程度及其相关因素

Psychological distress and related factors of patients with primary liver cancer

目的探讨原发性肝癌患者的心理痛苦程度及其相关因素。方法回顾性分析2018年10月~2019年5月我院收治的450例原发性肝癌患者的临床资料,所有患者均进行心理痛苦筛查工具(DMSM)问卷筛查,痛苦程度≥4分的150例为观察组,痛苦程度<4分的300例为对照组,对比两组相关资料,记录并分析可能导致心理痛苦的影响因素。结果单因素分析结果提示,两组中年龄、文化程度、睡眠障碍、疾病了解程度、医疗负担、不良情绪比较,差异有统计学意义(P<0.05);多因素分析结果提示,年龄≥40岁(β=0.693,OR=2.000,95%CI=1.330~3.008)、文化程度高中及以下(β=1.012,OR=2.750,95%CI=1.795~4.214)、有睡眠障碍(β=1.323,OR=3.755,95%CI=2.416~5.837)、疾病了解程度低(β=1.986,OR=7.286,95%CI=4.053~13.097)、有医疗负担(β=0.700,OR=2.015,95%CI=1.343~3.022)、有不良情绪(β=1.880,OR=3.279,95%CI=2.129~5.052)是引发原发性肝癌患者心理痛苦的危险因素(P<0.05)。结论针对引发原发性肝癌患者痛苦的危险因素,要增强关注程度,采取有效措施以降低患者的心理痛苦程度。

Objective To explore the psychological distress and related factors of patients with primary liver cancer.Methods The clinical data of 450 patients with primary liver cancer admitted to our hospital from October 2018 to May 2019 were retrospectively analyzed.All patients were screened by psychological distress screening tool(DMSM)questionnaire.A total of 150 cases with the degree of pain≥4 points were in the observation group,and 300 cases with the degree of pain less than 4 points were the control group.The related data of the two groups were compared,and the influencing factors that may cause psychological pain were recorded and analyzed.Results The results of single factor analysis indicated that there were statistically significant differences between the two groups in age,education level,sleep disorders,disease understanding,medical burden,and adverse emotions(P<0.05);the results of multifactor analysis indicated that the age was≥40 years old(β=0.693,OR=2.000,95%CI=1.330-3.008),high school education and below(β=1.012,OR=2.750,95%CI=1.795-4.214),had sleep disturbance(β=1.323,OR=3.755,95%CI=2.416-5.837),low level of disease understanding(β=1.986,OR=7.286,95%CI=4.053-13.097),medical burden(β=0.700,OR=2.015,95%CI=1.343-3.022),had bad emotions(β=1.880,OR=3.279,95%CI=2.129-5.052)were the risk factors for the psychological pain of patients with primary liver cancer(P<0.05).Conclusion In view of the risk factors that cause the suffering of patients with primary liver cancer,we should increase the degree of attention and take effective measures to reduce the degree of pain in patients.