结直肠癌患者术后生命意义现状及影响因素分析

Current status and influencing factors of postoperative life meaning in patients with colorectal cancer

目的:探讨结直肠癌患者的术后生命意义现状,并分析其影响因素,为临床干预提供依据。方法:2020年5—10月,采取便利抽样法选取郑州大学第一附属医院结直肠癌术后患者90例为研究对象。采用一般资料调查问卷、癌症患者生命意义量表、社会支持评定量表对其进行横断面调查。采用多重线性回归分析进行影响因素分析。本次调查共发放问卷90份,回收有效问卷83份。结果:83例结直肠癌患者的生命意义量表总分为(55.01±13.43)分,得分较低的2个维度分别是生活目标[(2.13±0.47)分]和接受与适应[(2.04±0.44)分]。Pearson相关分析显示,结直肠癌患者的社会支持评定量表总分及各维度得分均与癌症患者生命意义量表总分呈正相关(P<0.05)。多重线性回归分析结果显示,结直肠癌患者生命意义的影响因素为年龄、家庭人均月收入、疾病分期、是否造口、社会支持水平(P<0.05)。结论:结直肠癌患者生命意义处于中等偏下水平,临床医护人员应关注年龄较小、经济收入较差、疾病分期较高、造口患者,并增强其社会支持水平,从而提高结直肠癌患者的生命意义感,最终改善其生活质量。

Objective To explore the current status of postoperative life meaning in patients with colorectal cancer,and analyze its influencing factors,so as to provide a basis for clinical intervention.Methods From May to October 2020,90 cases of postoperative colorectal cancer patients in the First Affiliated Hospital of Zhengzhou University were selected as the research object by convenience sampling.The cross-sectional survey was conducted with the General Information Questionnaire,Cancer Patient Life Meaning Scale and Social Support Rating Scale.Multivariate linear regression analysis was used to analyze the influencing factors.A total of 90 questionnaires were distributed in this survey,and 83 valid questionnaires were returned.Results Among 83 patients with colorectal cancer,the total score of the Cancer Patient Life Meaning Scale was(55.01±13.43),and the two dimensions with low scores were life goals(2.13±0.47)and acceptance and adaptation(2.04±0.44).Pearson correlation analysis showed that the total score and dimension scores of the Social Support Rating Scale of colorectal cancer patients were positively correlated with the total score of the Cancer Patient Life Meaning Scale with statistical differences(P<0.05).The results of multiple linear regression analysis showed that the influencing factors of the life meaning of patients with colorectal cancer were age,family monthly income,disease stage,stoma and social support(P<0.05).Conclusions The life meaning of patients with colorectal cancer is at a moderately lower level.Clinical medical and nursing staff should pay attention to patients with young age,poor income,high disease stages and stoma,and enhance their level of social support,so as to increase the life meaning of colorectal cancer patients and ultimately improve their quality of life.