原发性肝癌术后化疗患者反刍思维现状及影响因素分析

Status quo of rumination in primary liver cancer patients receiving chemotherapy after surgery and its influencing factors

目的探讨原发性肝癌(PLC)术后化疗患者反刍思维现状及其影响因素。方法采用便利抽样法,选取2016年10月-2017年12月在某省三甲医院接受手术治疗的PLC患者165例为研究对象。采用一般资料调查表、反刍思维量表(RRS)及社会支持评定量表(SSRS)对其进行调查。本研究共发放问卷165份,回收有效问卷158份。结果158例PLC患者RRS总分为(62.29±14.46)分,其中症状反刍维度(33.43±7.32)分,强迫思考维度(15.03±4.01)分,反省深思维度(13.83±3.66)分。多元回归分析显示文化程度、出现并发症、化疗次数、化疗方案以及社会支持度是PLC患者反刍思维的影响因素(P<0.05)。结论反刍思维在PLC术后化疗患者中普遍存在,整体呈中重度水平。临床工作者应根据患者的具体情况,制定针对性干预方案,同时提高患者的社会支持度,调节患者的反刍思维方式。

Objective To explore status quo of rumination in primary liver cancer( PLC) patients receiving chemotherapy after surgery and its influencing factors. Methods Totally 165 PLC patients receiving surgery in a Class Ⅲ Grade A hospital in Heilongjiang Province from October 2016 to December 2017 were selected by convenient sampling and investigated with the general information questionnaire, Rumination Rating Scale( RRS) and Social Support Rating Scale( SSRS). Totally 165 questionnaires were distributed, and 158 valid questionnaires were collected. Results The RSS score of the 158 PLC patients totaled (62.29±14.46), including( 33.43±7.32) for symptom rumination,( 15.03±4.01) for forced thinking, and (13.83±3.66) for reflection. Multiple regression analysis showed that educational background, presence of comorbidities, frequency of chemotherapy, chemotherapy protocol and social support were the factors affecting the patients' rumination( P < 0.05). Conclusions Rumination is prevalent in PLC patients, which stands at a medium and severe level. Clinicians need to formulate targeted protocols based on the patients' specific conditions, improve their social support, and regulate their mode of rumination.