脑胶质瘤患者术前自我准备度现状及影响因素分析

Analysis of the status quo and influencing factors of preoperative self-readiness in patients with brain gliomas

目的基于自我调节常识模型探究脑胶质瘤患者术前自我准备度现状及影响因素,为针对性术前健康教育方案的制定提供参考。方法便利选取在神经外科行手术治疗的221例脑胶质瘤患者为研究对象,采用一般资料调查问卷、择期手术患者术前自我准备度量表、电子健康素养量表、患者积极度量表、正性负性情绪量表进行问卷调查,采用多元线性分层回归分析脑胶质瘤患者术前自我准备度的影响因素。结果脑胶质瘤患者术前自我准备度得分为(57.63±13.70)分。术前自我准备度与电子健康素养、积极度、正性情绪呈正相关(均P<0.05),与负性情绪呈负相关(P<0.05)。控制一般资料后,电子健康素养、积极度、正性情绪、负性情绪是术前自我准备度的主要影响因素(均P<0.05),可解释总变异的53.7%。结论脑胶质瘤患者术前自我准备度处于中等水平,仍需进一步提高。医护人员应针对不同特征患者进行个性化术前健康教育,以提升患者术前自我准备水平。

Objective To explore the status quo and influencing factors of preoperative self-readiness in patients with brain gliomas based on the common-sense model of self-regulation,so as to provide a reference for the formulating targeted preoperative health education programs.Methods A total of 221 patients with brain gliomas were conveniently selected as the research subjects.A ge-neral data questionnaire,the Preoperative Self-Readiness Scale in Patients Undergoing Elective Surgery,the eHealth Literacy Scale,the Patient Activation Measure,and the Positive and Negative Affect Scale were used to conduct a questionnaire survey.Multiple linear hierarchical regression analysis was used to analyze the influencing factors of preoperative self-preparation in patients with brain gliomas.Results The preoperative self-readiness score of patients with brain gliomas was 57.63±13.70 points.Preoperative self-readiness score was positively correlated with eHealth literacy score,activation score and positive affect score(all P<0.05),and negatively correlated with negative affect score(P<0.05).After controlling the general data,eHealth literacy,activation,positive affect,and negative affect were the influencing factors of preoperative self-readiness(all P<0.05),which could explain 53.7%of the total variation.Conclusion The preoperative self-readiness of patients with brain gliomas is at a moderate level and needs to be further improved.Medical staff should conduct personalized preoperative health education for patients with different characteristics to improve the level of preoperative self-readiness of patients.