肝癌介入治疗患者心理痛苦现状及其影响因素分析

Analysis of current situation and influencing factors of psychological distress in patients with liver cancer interventional therapy

目的探讨肝癌介入治疗患者心理痛苦现状及其影响因素.方法用便利抽样方式选择南昌大学第二附属医院2021年1月-2022年5月收治的86例肝癌患者为研究对象,收集资料,分析肝癌介入治疗患者心理痛苦现状及其影响因素.结果86例肝癌介入治疗患者心理痛苦得分为(4.51±1.54)分,其中存在心理痛苦64例(74.42%),无心理痛苦22例(25.58%);单因素分析显示,家庭人均月收入、年龄、病理分期、应对方式、文化程度、肿瘤分化程度与肝癌介入治疗患者心理痛苦有关,有统计学差异(P<0.05);病程、肝功能Child-Pugh分级、婚姻状况、性别、肿瘤分型与肝癌介入治疗患者心理痛苦无关,无统计学差异(P>0.05);多因素分析显示,年龄<60岁(β=1.735,OR=5.667,95%CI=1.852-17.336)、家庭人均月收入<3000元(β=1.884,OR=6.577,95%CI=1.995-21.678)、病理分期Ⅳ期(β=1.360,OR=3.897,95%CI=1.347-11.279)、消极应对(β=1.442,OR=4.227,95%CI=1.287-13.884)、肿瘤低分化(β=2.554,OR=12.857,95%CI=2.770-59.684)是肝癌介入治疗患者心理痛苦的高危因素(P<0.05).结论肝癌介入治疗患者易发生心理痛苦,其受年龄、家庭人均月收入、病理分期、应对方式、肿瘤分化程度影响.

Objective To investigate the current status and influencing factors of psychological distress in patients with liver cancer interventional therapy.Methods A total of 86 patients with liver cancer who were admitted to our hospital from January 2021 to May 2022 were selected by convenience sampling as the research objects,and the data were collected to analyze the current status and influencing factors of psychological distress in patients undergoing interventional therapy for liver cancer.Results The psychological distress score of 86 patients with liver cancer interventional therapy was(4.51±1.54)points,of which 64 patients(74.42%)had psychological distress and 22(25.58%)had no psychological distress;pathological stage,coping style,educational level,and tumor differentiation degree were related to the psychological distress of patients with liver cancer interventional therapy,and there were statistical dfferences(P<0.05).Types were not associated with psychological distress in patients undergoing interventional therapy for liver cancer,and there was no statistical difference(P>0.05).That age<60(β=1.735,0R=5.667,95%CI=1.852-17.336),monthly income<3000 yuan(β=1.884,0R=6.577,95%CI=1.995-21.678),pathological stage IV(β=1.360,0R=3.897,95%CI=1.347-11.279),negative coping(β=1.442,OR=4.227,95%CI=1.287-13.884),poorly differentiated tumor(β=2.554,0R=12.857,95%CI=2.770-59.684)were high risk factors for psychological distress in patients with liver cancer interventional therapy(P<0.05).Conc lusion Patients undergoing interventional therapy for liver cancer are prone to psychological distress,which is affected by age,per capita monthly income of the family,pathological stage,coping style,and tumordifferentiation.