肛瘘术后患者症状群负担现状及影响因素分析

Analysis of the Current Situation and Influencing Factors of Symptom Burden in Patients After Anal Fistula Surgery

目的 对肛瘘术后患者症状负担进行现状调查并分析症状负担的影响因素。方法 选取2022年1月至2022年12月就诊于徐州市中医院肛肠科的118例肛瘘术后患者为研究对象,采用一般资料、中文版Memorial症状评估量表、生活质量量表对入组患者进行问卷调查。采用Pearson相关分析法分析症状和生活质量之间的相关性。采用单因素结合多因素回归分析的方法对症状负担得分进行多影响因素分析。结果 本研究共纳入118例肛瘘术后患者,年龄范围25~78岁,平均(52.35±9.33)岁,男性71例(60.17%)。量表评估结果显示:肛瘘术后患者症状负担得分(23.84±6.67)分、生活质量得分(62.33±8.41)分。相关分析结果显示:症状负担与生活质量得分间呈负相关关系,相关系数r=-0.437,P=0.004。影响因素分析结果如下:年龄、性别、受教育程度及生活质量是肛瘘术后患者症状负担的影响因素(P <0.05)。结论 肛瘘术后患者的症状负担水平较高。肛瘘术后患者症状负担与生活质量呈负相关关系。年龄、肛瘘术后患者症状负担的影响因素有性别、受教育程度及生活质量。临床护理人员应重视患者存在的、潜在的症状并及时给予症状管理,对降低患者的症状负担,改善肛瘘术后患者的就医体验和生活质量有重要意义。

Objective To investigate the current situation of symptom burden in patients after anal fistula surgery and analyze the influencing factors of symptom burden.Methods A total of 118 postoperative patients with anal fistula who visited the Department of Anorectal Surgery at Xuzhou Traditional Chinese Medicine Hospital from January 2022 to December 2022 were selected as the study subjects.General information,Chinese version of the Memorial Symptom Assessment Scale,and Quality of Life Scale were used to conduct a questionnaire survey on the enrolled patients.Use Pearson correlation analysis to analyze the correlation between symptoms and quality of life.Adopting the method of combining single factor and multiple factor regression analysis,and conducting multiple influencing factor analysis on symptom burden scores.Results A total of 118postoperative patients with anal fistula were included in this study,with a minimum age of 25 years and a maximum age of 78 years,with an average age of(52.35±9.33) years.There were 71 males(60.17%).The evaluation results of the scale showed that the symptom burden score and quality of life score of patients after anal fistula surgery were(23.84±6.67) and(62.33±8.41),respectively.The correlation analysis results show that there is a negative correlation between symptom burden and quality of life score,with a correlation coefficient of r=-0.437 and P=0.004.The results of the analysis of influencing factors are as follows:age,gender,education level,and quality of life are the influencing factors of symptom burden in patients after anal fistula surgery(P<0.05).Conclusions The symptom burden level of patients after anal fistula surgery is relatively high.There is a negative correlation between symptom burden and quality of life in patients undergoing anal fistula surgery.The influencing factors of age,postoperative symptom burden of anal fistula patients include gender,education level,and quality of life.Clinical nursing staff should pay attention to the existing and potential symptoms of patients and provide timely symptom management,which is of great significance in reducing the burden of symptoms on patients,improving the medical experience and quality of life of patients after anal fistula surgery.