晚期肝癌患者疼痛自我效能感现状及其影响因素研究

Current status and influencing factors of pain self-efficacy in patients with advanced liver cancer

目的:调查晚期肝癌患者疼痛自我效能感现状,并分析其影响因素。方法:采用方便抽样的方法选取2018年6月—2019年12月某医院的245例晚期肝癌患者为研究对象,应用一般资料问卷、慢性疼痛自我效能感量表、疾病不确定感问卷进行调查,分析晚期肝癌患者疼痛自我效能现状及影响因素。结果:245例晚期肝癌患者的疼痛自我效能感评分为(2.34±0.32)分,其中得分最高为症状应对自我效能维度[(2.46±0.38)分],得分最低为躯体功能自我效能维度[(2.25±0.31)分]。单因素分析显示,不同年龄、婚姻状况、家庭人均收入、学历、医疗付费方式、吸烟史、饮酒史、家族史的晚期肝癌患者的疼痛自我效能感评分比较,差异均有统计学意义(P<0.05);Pearson相关分析显示,晚期肝癌患者的疼痛自我效能感与疾病不确定感评分呈负相关(r=-0.331,P<0.01)。多重线性回归分析显示,年龄、学历和疾病不确定感是晚期肝癌患者疼痛自我效能感的影响因素(P<0.01)。结论:晚期肝癌患者疼痛自我效能感得分处于中等水平,临床护理人员应根据其影响因素制订相应的措施,改善患者的疼痛自我效能感水平。

Objective To investigate the current status of pain self-efficacy in patients with advanced liver cancer,and analyze its influencing factors.Methods Using the convenient sampling method,a total of 245 patients with advanced liver cancer in a hospital from June 2018 to December 2019 were selected as the research objects.General information questionnaire,Chronic Pain Self-Efficacy Scale and Disease Uncertainty Questionnaire were used to investigate the current situation and influencing factors of pain self-efficacy in patients with advanced liver cancer.Results The pain self-efficacy score of 245 patients with advanced liver cancer was(2.34±0.32),of which the highest score was the symptom coping self-efficacy dimension[(2.46±0.38)],and the lowest score was the physical function self-efficacy dimension[(2.25±0.31)].Univariate analysis showed that the pain self-efficacy scores of advanced liver cancer patients with different ages,marital status,family income,education,medical payment methods,smoking history,drinking history and family history were compared,and the differences were statistically significant(P<0.05).Pearson correlation analysis showed that the pain self-efficacy of patients with advanced liver cancer was negatively correlated with the disease uncertainty score(r=-0.331,P<0.01).Multiple linear regression analysis showed that age,educational background and disease uncertainty were the influencing factors of pain self-efficacy in patients with advanced liver cancer(P<0.01).Conclusions The pain self-efficacy score of patients with advanced liver cancer is at a moderate level.Clinical nursing staff should formulate corresponding measures according to its influencing factors to improve the pain self-efficacy level of patients.