肝癌介入术后复发转移患者失志综合征现状调查、危险因素及护理对策分析

Investigation of the Status,Risk Factors,and Nursing Strategies for Demoralization Syndrome in Patients with Recurrent and Metastatic Hepatocellular Carcinoma After Interventional Therapy

目的 调查肝癌介入术后复发转移患者失志综合征(DS)现状、危险因素,制定护理对策。方法 选取在安阳市肿瘤医院2022年1月至2024年1月期间接受治疗的70例肝癌介入术后复发转移患者,采用中文版失志量表(DSMV)调查患者DS现状,收集其基本资料,并进行单因素与多元线性回归分析以明确DS发生的危险因素。结果 70例肝癌介入术后复发转移患者中DS-MV得分为(39.10±5.06)分;其中,无助感得分为(8.55±1.19)分、沮丧感得分为(9.86±1.27)分、失败感得分为(6.26±1.27)分、无意义感得分为(5.34±1.15)分、情绪不安感得分为(9.09±1.68)分。年龄<60岁、文化程度为高中及以下、家庭月收入情况<5 000元、心理弹性低水平、社会支持水平为低水平患者的DS-MV得分更高,差异有统计学意义(P <0.05)。多元线性回归分析结果显示,年龄、家庭月收入情况、文化程度、心理弹性、社会支持水平是肝癌介入术后复发转移患者DS现状的独立危险因素,差异有统计学意义(P <0.05)。结论 肝癌介入术后复发转移患者的DS水平较高,年龄、文化程度、家庭月收入情况、社会支持水平、心理弹性等因素均会对其造成影响,需制定专业的护理对策。

Objective To investigate the status and risk factors of demoralization syndrome(DS)in patients with recurrent and metastatic hepatocellular carcinoma after interventional therapy and to develop nursing strategies.Methods Seventy patients with recurrent and metastatic Hepatocellular carcinoma after interventional therapy treated at Anyang Tumor Hospital from January 2022 to January 2024 were selected.The Chinese version of the Demoralization Scale-mandarin Version(DS-MV)was used to assess the status of DS in these patients.Basic patient information was collected,and univariate and multivariate linear regression analyses were conducted to identify the risk factors for DS.Results The DS-MV score of the 70 patients with recurrent and metastatic Hepatocellular carcinoma after interventional therapy was 39.10±5.06.The scores for helplessness,dysphoria,sense of failure,sense of meaninglessness,and emotional unease were 8.55±1.19,9.86±1.27,6.26±1.27,5.34±1.15,and 9.09±1.68,respectively.Patients younger than 60 years,with a high school education or lower,a monthly household income of less than 5,000 yuan,low psychological resilience,and low social support had higher DS-MV scores,with statistically significant differences(P<0.05).Multivariate linear regression analysis showed that age,monthly household income,education level,psychological resilience,and social support were independent risk factors for DS in patients with recurrent and metastatic Hepatocellular carcinoma after interventional therapy,with statistically significant differences(P<0.05).Conclusion The level of DS is relatively high in patients with recurrent and metastatic Hepatocellular carcinoma after interventional therapy.Factors such as age,education level,monthly household income,social support,and psychological resilience can affect DS levels.Professional nursing strategies should be developed to address these factors.