卵巢癌患者腹腔镜根治术后灵性健康状况及其影响因素

Spiritual health status and its influencing factors of patients with ovarian cancer after laparoscopic radical resection

目的分析卵巢癌患者腹腔镜根治术后灵性健康状况及其影响因素,为患者术后灵性健康情况的干预及改善提供参考依据。方法选取2020年1月至12月于上饶东信第五医院行腹腔镜根治术治疗的60例卵巢癌患者作为研究对象,分析患者的一般资料情况和中文版慢性病治疗功能评估-灵性量表-12(FACIT-Sp-12)评分,以及影响卵巢癌患者腹腔镜根治术后灵性健康的高危因素。结果60例卵巢癌患者腹腔镜根治术后平均FACIT-Sp-12得分为(25.90±2.57)分;依据FACIT-Sp-12得分是否<24分将其分为灵性健康较差组(n=38)和灵性健康良好组(n=22),灵性健康较差组中,年龄≥60岁、文化程度初中及以下、无宗教信仰、化疗次数≥2次、医疗费用支付方式的患者所占比例均高于灵性健康良好组,差异有统计学意义(P<0.05)。多因素分析结果显示,年龄≥60岁、初中及以下文化程度、化疗次数≥2次是卵巢癌患者腹腔镜根治术后灵性健康状况较差的影响因素。结论卵巢癌患者腹腔镜根治术后灵性健康状况处于中等偏下水平,其中年龄≥60岁、初中及以下文化程度、化疗次数≥2次是卵巢癌患者腹腔镜根治术后灵性健康状况较差的影响因素。

Objective To analyze the spiritual health status of patients with ovarian cancer after laparoscopic radical resection and its influencing factors,so as to provide reference for the intervention and improvement of the spiritual health of patients after surgery.Methods A total of 60 patients with ovarian cancer who underwent laparoscopic radical resection in Shangrao Dongxin Fifth Hospital from January 2020 to December 2020 were selected as the research subjects.The patient′s general information and the Chinese version of the Functional Assessment of Chronic Illness Therapy Spiritual(FACIT-Sp-12)score,as well as the high-risk factors affecting the spiritual health of patients with ovarian cancer after laparoscopic radical resection were analyzed.Results The average FACIT-Sp-12 score of 60 patients with ovarian cancer after laparoscopic radical resection was(25.90±2.57)points.The spiritual health of 60 patients was divided into the poor spiritual health group(n=38)and the good spiritual health group(n=22)according to whether the FACIT-Sp-12 score was less than 24 points.The proportions of patients in the poor spiritual health group with age≥60 years,junior high school education and below,no religious beliefs,chemotherapy times≥2,and medical expenses payment methods were higher than those in the spiritual health group,and the differences were statistically significant(P<0.05).Multivariate analysis showed that age≥60 years old,junior high school education level and below,and chemotherapy times≥2 times were influencing factors for poor spiritual health of patients with ovarian cancer after laparoscopic radical resection.Conclusion The spiritual health status of patients with ovarian cancer after laparoscopic radical resection is at a lower-middle level.Among them,age≥60 years old,junior high school education and below,and frequency of chemotherapy≥2 are influencing factors the poor spiritual health of patients with ovarian cancer after laparoscopic radical resection.