原发性肝癌患者术后自我管理现状调查及相关因素分析

Investigation and factors analysis of postoperative self-management level of primary hepatic carcinoma patients

目的：调查原发性肝癌患者术后自我管理水平并分析其影响因素。方法采用自制问卷对195例原发性肝癌切除术后患者进行调查，包括饮食、治疗相关、躯体活动、情绪心理等相关因素。结果患者自我管理水平总体得分为（6．80±1．33）分，呈中等偏上水平，其中，治疗相关管理得分最低，为（6．42±1．82）分，不同年龄、受教育程度、医疗保险情况、家庭人均年收入的患者自我管理水平差异有统计学意义（χ2值分别为11．021，45．365，87．468，18．907；P＜0．05）。结论医务工作者在原发性肝癌术后患者复诊时，应详细询问和观察患者自我管理情况，针对不同的影响因素采取不同的健康教育方式，以提高患者自我管理能力，降低并发症的发生及提高患者的生活质量。

Objective To investigate the postoperative self-management level of primary hepatic carcinoma （ PHC ） patients and analyzed the associated factors .Methods Self-made questionnaires were distributed to 195 postoperative PHC patients , which included the factors such as diet , treatment, physical activity, patients’ emotional and psychology conditions .Results Patients’ self-management level ranged from the medium to higher level, with a total score of （6.80 ±1.33）.The lowest score was （6.42 ±1.82） related to the treatment . The related factors of postoperative self-management level were including age , education , insurance and per capita annual income .And the differences were significant （χ2 =11.021, 45.365, 87.468, 18.907;P〈0.05）.Conclusions Medical workers should ask and observe the condition of patients ’ self-management at their referral , and give targeted health education to improve their self-management skills to reduce the incidence of complications and improve their quality of life .