肝癌患者疾病感知状况、希望水平与生活质量的关系研究

Study on the Relationship between Disease Perception Status,Hope Level and Quality of Life in Patients with Liver Cancer

目的:探讨肝癌患者疾病感知状况、希望水平与生活质量的相关性。方法:选取我院2017年10月~2020年10月收治的肝癌患者126例,采用疾病感知问卷(BIPQ)评估患者的感知状况,利用Herth希望指数量表(HHI)评估希望水平,患者的生活质量经简明生活质量量表(SF-36)评估。分析肝癌患者BIPQ、HHI评分与临床资料的关系。根据肝癌患者BIPQ评分,将其分成BIPQ≥48分组、BIPQ<48分组,根据HHI评分分成HHI≥24分组、HHI<24分组,比较不同BIPQ、HHI评分患者的SF-36评分。分析肝癌患者BIPQ、HHI评分与SF-36评分的相关性。结果:受教育年限<9年、临床分期Ⅲ期、合并肝硬化的患者BIPQ评分高于受教育年限≥9年、临床分期Ⅰ-Ⅱ期、无肝硬化的患者,而受教育年限<9年、临床分期Ⅲ期、家庭月收入<3000元、合并肝硬化的患者HHI评分低于受教育年限≥9年、临床分期Ⅰ-Ⅱ期、家庭月收入≥3000元、无肝硬化的患者(P<0.05)。BIPQ≥48分组的社会功能、躯体功能、躯体疼痛、心理健康、躯体角色功能、精力、情绪角色功能、总体健康评分低于BIPQ<48分组,HHI≥24分组SF-36各维度评分高于HHI<24分组(P<0.05)。BIPQ评分与SF-36各维度评分呈负相关,HHI评分与SF-36各维度评分呈正相关(P<0.05)。结论:肝癌患者疾病感知状况以及希望水平受多种因素影响,且二者与生活质量密切相关,疾病负面感知越低、希望水平越高的患者生活质量越好。

Objective:To explore the correlation of disease perception status,hope level and quality of life in patients with liver cancer.Methods:126 patients with liver cancer in our hospital from October 2017 to October 2020 were selected.The perception status of patients was assessed by the brief illness perception questionnaire(BIPQ),the hope level was assessed by Herth hope index(HHI),and the quality of life was assessed by the 36-item medical outcomes study short-form(SF-36).The relationship between BIPQ,HHI scores and clinical data of liver cancer patients was analyzed.According to the BIPQ scores of patients with liver cancer,they were divided into BIPQ≥48 scores group and BIPQ<48 scores group.According to HHI scores,they were divided into HHI≥24 scores group and HHI<24 scores group.The SF-36 scores of patients with different BIPQ and HHI scores were compared,and the correlation between BIPQ,HHI scores and SF-36 scores in patients with liver cancer.were analyzed.Results:The BIPQ score of patients with educational years<9 years,clinical stageⅢand combined with liver cirrhosis were higher than those of patients with educational years≥9 years,clinical stageⅠ-Ⅱand patients without liver cirrhosis.And the HHI score of patients with educational years<9 years,clinical stageⅢ,family monthly income<3000 yuan and combined with liver cirrhosis were lower than those of patients with educational years≥9 years,clinical stageⅠ-Ⅱ,family monthly income≥3000 yuan and patients without liver cirrhosis(P<0.05).The social function,physical function,mental health,physical pain,energy,physical role function,emotional role function and overall health scores of the BIPQ≥48 scores group were lower than those in the BIPQ<48 scores group,and the scores of the HHI≥24 scores group were higher than those in the HHI<24 scores group(P<0.05).The BIPQ score was negatively correlated with the SF-36 dimension scores,and the HHI score was positively correlated with the SF-36 dimension scores(P<0.05).Conclusion:The disease perception status and hope level of liver cancer patients are affected by many factors,and they are closely related to the quality of life.The lower the negative perception of disease and the higher the hope level of patients with liver cancer,the better the quality of life.