内镜下内痔套扎术患者生命质量影响因素及其与主观幸福感、病耻感的关系

Influencing Factors of Quality of Life and Its Relationship with Subjective Well-being and Stigma in Patients undergoing Endoscopic Internal Hemorrhoid Ligation

目的探讨影响内镜下内痔套扎术患者生命质量的因素,分析生命质量与主观幸福感、病耻感的关系。方法对2020年1月-2023年12月在青岛市胶州中心医院行内镜下内痔套扎术的530例患者进行生命质量评定量表(SF-36)、总体幸福感量表(GWB)、慢性疾病病耻感量表(SSCI)调查,分析影响内镜下内痔套扎术患者生命质量的因素以及其与主观幸福感、病耻感的关系。结果内痔套扎术患者生命质量得分为(71.53±8.96)分,便秘、痔核大小、疾病严重程度、术后感染情况不同的内痔套扎术患者生命质量得分差异有统计学意义(P<0.05),多元线性回归分析结果提示,便秘、痔核过大、术后感染均是内痔套扎术患者生命质量的影响因素(P<0.05)。Pearson相关性结果显示,内痔套扎术患者生命质量得分与主观幸福感得分呈正相关(r=0.553,P<0.001),与病耻感得分呈负相关(r=-0.608,P<0.001)。结论便秘、痔核过大、术后感染均可能是内痔套扎术患者生命质量的影响因素,临床需密切注意患者术后恢复情况,及时采取干预措施改善患者生命质量,降低其病耻感,提高主观幸福感。

Objective To explore the influencing factors of quality of life and analyze its relationship with subjective well-being and stigma in patients undergoing endoscopic internal hemorrhoid ligation.Methods A total of 530 patients undergoing endoscopic hemorrhoid ligation in Jiaozhou Central Hospital,Qingdao,were enrolled between January 2020 and December 2023,and their demographic data,36-item short-form(SF-36),general well-being scale(GWB)and stigma scale for chronic illness(SSCI)were investigated.Influencing factors of quality of life and its relationship with subjective well-being and stigma in patients undergoing endoscopic hemorrhoid ligation were analyzed.Results SF-36 score in patients undergoing endoscopic hemorrhoid ligation was(71.53±8.96)points,and there were significant differences in SF-36 scores among patients with different constipation degree,hemorrhoids size,di-sease severity and postoperative infection(P<0.05).The results of multiple linear regression analysis showed that constipation,large hemorrhoids,and postoperative infection were influencing factors of quality of life(P<0.05).The results of Pearson correlation analysis showed that quality of life score was positively correlated with score of subjective well-being(r=0.553,P<0.001),while negatively correlated with stigma score(r=-0.608,P<0.001).Conclusion Constipation,large hemorrhoid and postoperative infection may be the influencing factors of quality of life in patients undergoing endoscopic hemorrhoid ligation.It is necessary to pay close attention to postoperative recovery of patients and take timely intervention measures to improve quality of life,reduce stigma and improve subjective well-being.