原发性肝癌患者灵性健康水平及其影响因素分析

Spiritual health and its influencing factors in primary liver cancer patients

目的调查原发性肝癌患者灵性健康水平现状并探讨其影响因素,为制订干预措施提供依据。方法2017年10月—2018年6月,采用目的抽样的方法选择某三级甲等医院接受手术治疗的原发性肝癌患者为130例为研究对象。采用一般情况调查表、慢性疾病治疗功能评估-灵性量表(FACIT-Sp)和社会支持评定量表对其进行调查。采用单因素分析和Logistic回归分析患者灵性健康水平的影响因素。结果共回收有效问卷119份。119例原发性肝癌患者中,FACIT-Sp得分低水平者67例,占56.3%;中等水平者32例,占26.9%;高等水平者20例,占16.8%。年龄、有无宗教信仰、家庭月收入、是否接受放化疗、社会支持水平是患者灵性健康的影响因素(P<0.05)。结论原发性肝癌患者灵性健康多处于中低水平,护理人员因根据其影响因素为患者提供有针对性的干预,提高其灵性健康水平。

Objective To investigate the status of spiritual health in patients with primary liver cancer and explore its influencing factors,so as to provide basis for formulating intervention measures.Methods From October 2017 to June 2018,a total of 130 patients with primary liver cancer who underwent surgical treatment in a ClassⅢGrade A hospital were selected by purposive sampling method.Surveys were conducted using a general condition questionnaire,the Functional Assessment of Chronic Illness Therapy(FACIT-Sp),and a Social Support Rating Scale.The influencing factors of spiritual health were analyzed by single factor analysis and Logistic regression analysis.Results A total of 119 valid questionnaires were collected.There were 67 cases with low FACIT-Sp score,accounting for 56.3%;32 cases with intermediate grade,accounting for 26.9%;20 cases with high grade,accounting for 16.8%among the 119 patients.Age,religious beliefs,family monthly income,whether or not receiving radiotherapy and chemotherapy,and social support were the factors affecting patients'spiritual health(P<0.05).Conclusions The spiritual health of patients with primary liver cancer is mostly at the low-to-medium level.Nursing staff are suggested to provide tailored nursing interventions based on their influencing factors to improve their spiritual health.