胸腔镜下肝部分切除术后患者灵性健康水平及其相关影响因素分析

Analysis of the level of spiritual health and its related influencing factorsin patients after thoracoscopic partial hepatectomy

目的 分析胸腔镜下肝部分切除术后患者灵性健康水平及其相关影响因素。方法 选取2022年2月至2023年12月在该院择期行胸腔镜下肝部分切除术治疗的患者110例,术后1周,使用慢性疾病治疗功能评估-灵性量表-12(FACIT-Sp-12)评定患者灵性健康水平,调查患者基础资料,经多元线性回归分析胸腔镜下肝部分切除术后患者灵性健康水平及其相关影响因素。结果 胸腔镜下肝部分切除术后1周,110例患者FACIT-Sp-12评分为(27.69±3.58)分,提示患者灵性健康水平中等。经多元线性回归分析,无宗教信仰、重度疲乏、睡眠障碍、希望水平低下、家庭关怀度障碍是胸腔镜下肝部分切除术后患者灵性健康水平的影响因素(P<0.05)。结论 胸腔镜下肝部分切除术后患者灵性健康水平中等,受宗教信仰、疲乏程度、睡眠状况、希望水平、家庭关怀度因素影响,可据此加强睡眠、心理支持、家庭干预等,以期提高患者灵性健康水平。

Objective To analyze the level of spiritual health and its related influencing factors in patients after thoracoscopic partial hepatectomy.Methods A total of 110 patients who underwent elective thoracoscopic partial hepatectomy in the hospital from February 2022 to December 2023 were selected.One week after surgery,the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale-12(FACIT-Sp-12)was used to assess the patients′spiritual health level,and their basic information was surveyed.Multivariate linear regression analysis was performed to identify the level of spiritual health and its related influencing factors in patients after thoracoscopic partial hepatectomy.Results One week after surgery,the FACIT-Sp-12 score of the 110 patients after thoracoscopic partial hepatectomy was(27.69±3.58)points,indicating a moderate level of spiritual health.According to the multivariate linear regression analysis,the absence of religious beliefs,severe fatigue,sleep disturbances,low levels of hope,and impaired family care were the influencing factors of spi ritual health in patients after thoracoscopic partial hepatectomy(P<0.05).Conclusion The level of spiritual health in patients after thoracoscopic partial hepatectomy is moderate and is influenced by religious beliefs,fatigue levels,sleep status,hope levels,and family care.Based on these findings,measures such as strengthening sleep,psychological support,and family intervention can be implemented to improve patients′spiritual health levels.