原发性肝癌患者肝动脉化疗栓塞术后心理弹性情况及影响因素分析

Analysis of psychological resilience and its influencing factors in patients with primary liver cancer after transcatheter arterial chemoembolization

目的:分析原发性肝癌(PLC)患者肝动脉化疗栓塞(TACE)术后心理弹性情况及其影响因素。方法:选取2020年4月至2022年7月在该院行TACE治疗的117例PLC患者进行横断面研究。采用心理弹性量表(CD-RISC)评估患者心理弹性水平,对TACE术后PLC患者心理弹性的相关因素进行单因素和多元线性回归分析。结果:117例PLC患者TACE术后CD-RISC总分为(56.27±4.48)分,低于国内常模。不同受教育程度、TACE治疗次数、应对方式评分、家庭功能、不良反应分级、恐惧疾病进展简化量表(FOP-Q-SF)评分的PLC患者TACE术后CD-RISC评分比较,差异有统计学意义(P<0.05)。受教育程度、TACE治疗次数、应对方式评分、家庭功能、不良反应分级、FOP-Q-SF评分均是PLC患者TACE术后心理弹性的影响因素(P<0.05)。结论:受教育程度、TACE治疗次数、应对方式、家庭功能、不良反应分级、恐惧情绪等均为TACE术后PLC患者心理弹性水平的影响因素,应予以针对性预防措施,以提高其心理弹性,改善其预后。

Objective:To analyze psychological resilience and its influencing factors in patients with primary liver cancer(PLC)after transcatheter arterial chemoembolization(TACE).Methods:A cross-sectional study was conducted on 117 PLC patients who were treated with TACE in this hospital from April 2020 to July 2022.The Connor-Davidson resilience scale(CD-RISC)was used to evaluate the psychological resilience of these patients.The related factors of psychological resilience of the PLC patients after TACE were analyzed by single factor and multiple linear regression.Results:The total score of CD-RISC in the 117 PLC patients after TACE was(56.27±4.48),which was lower than the domestic norm.There were statistically significant differences in CD-RISC scores after TACE in the PLC patients with different education levels,TACE treatment times,coping style scores,family function,adverse reaction grades,and Fear of Progression Questionnaire-Short Form(FOP-Q-SF)scores(P<0.05).Education level,TACE treatment times,coping style score,family function,adverse reaction grade and FOP-Q-SF score were all the influencing factors of the psychological resilience in the patients with PLC after TACE(P<0.05).Conclusions:Education level,TACE treatment times,coping style,family function,adverse reaction grade,fear and so on are the influencing factors of the psychological resilience levels of the PLC patients after TACE.Therefore,targeted preventive measures should be taken to improve the psychological resilience of these patients and improve their prognosis.