原发性肝癌介入治疗依从性的影响因素及护理对策分析

Analysis of Influencing Factors and Nursing Strategies for Compliance with Interventional Therapy for Primary Liver Cancer

目的 分析原发性肝癌(PLC)患者介入治疗依从性的影响因素,制定护理对策。方法 选取2019年1月至2023年10月在濮阳市安阳地区医院接受治疗的共计98例PLC患者进行分析,统计介入治疗依从性情况,进行单因素与多因素Logistic回归分析以明确介入治疗依从性的影响因素。结果 98例PLC患者介入治疗不依从29例,不依从率为29.59%;不依从组与依从组相比年龄> 60岁、高中及以下文化程度、个人月收入≤4 000元、疾病认知水平未掌握、肿瘤大小≥5 cm、低社会支持状态、消极应对占比更高,差异有统计学意义(P <0.05);多因素Logistic回归分析发现,年龄> 60岁(OR=2.731)、文化程度高中及以下(OR=3.022)、个人月收入≤4 000元(OR=4.510)、疾病认知水平未掌握(OR=6.074)、肿瘤大小≥5 cm(OR=2.943)、低社会支持状态(OR=5.284)、消极应对(OR=6.224)是影响PLC患者介入治疗依从性的独立危险因素,差异有统计学意义(P <0.05)。结论 PLC患者介入治疗依从性的影响因素包括年龄、个人月收入、文化程度、肿瘤大小、疾病认知水平、社会支持度及应对方式等,临床需要制定相应的护理对策,促进治疗依从性提高。

Objective To analyze the influencing factors of intervention treatment compliance in patients with primary liver cancer(PLC) and develop nursing strategies.Methods A total of 98 PLC patients who were received treatment in Anyang District Hospital in Puyang City from January 2019 to October 2023 were selected for analysis.The compliance with interventional treatment was statistically analyzed,and univariate and multivariate logistic regression analyses were conducted to clarify the influencing factors of interventional treatment compliance.Results Among 98 PLC patients,there were 29 cases of non-compliance with treatment,with a non-compliance rate of 29.59%.In comparision of the compliant group,the proportion of age > 60 years old,education level of high school or below,personal monthly income ≤ 4 000 yuan,lack of understanding of disease,tumor size ≥ 5 cm,low social support status,negative coping strategies in the non compliant group were higher,and the difference was statistically significant(P < 0.05).The results of multivariate logistic regression analysis showed that age > 60 years old(OR =2.731),education level of high school and below(OR =3.022),personal monthly income ≤ 4 000yuan(OR =4.510),lack of understanding of disease(OR =6.074),tumor size ≥ 5 cm(OR =2.943),low social support status(OR =5.284),and negative coping(OR =6.224) were independent risk factors affecting intervention treatment compliance in PLC patients,and the difference was statistically significant(P < 0.05).Conclusion The influencing factors of intervention treatment compliance in PLC patients include age,personal monthly income,educational level,tumor size,disease cognition level,social support,and coping strategies.Clinical nursing strategies need to be developed to promote treatment compliance improvement.