肝癌患者介入治疗后心理痛苦耐受性的现状及影响因素分析
Analysis of Current Status and Influencing Factors of Psychological Distress Tolerance in Liver Cancer Patients after Interventional Therapy.
作者信息
Yang Li, Zhou Liuyin, Zhao Chaofu, Lan Lingdan, Ji Chao, Tu Jianfei, Xu Weidan
机构信息
Department of Operating Room, the Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Central Hospital, Lishui, China.
Department of Operating Room, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central Hospital, Lishui, China.
出版信息
Psychiatry Clin Psychopharmacol. 2024 Dec 17;34(4):342-348. doi: 10.5152/pcp.2024.24956.
BACKGROUND
Interventional therapy, currently, has become a major method for the clinical treatment of liver cancer patients. However, interventional therapy can also lead to various toxic side effects, and combined with the impact of the disease itself, liver cancer patients often experience more severe emotional distress. Improving individuals' levels of psychological distress tolerance may reduce sensitivity to negative life events and experiences. At this stage, there is no relevant literature reporting on the psychological distress tolerance of liver cancer patients after interventional therapy. This study investigates and analyzes psychological distress tolerance in liver cancer patients after interventional therapy, aiming to optimize personalized nursing interventions and improve patients' long-term quality of life.
METHODS
This study is a cross-sectional study. Convenience sampling is adopted. Liver cancer patients who underwent interventional therapy in our hospital from August 2023 to May 2024 were selected. General Information Questionnaire, Psychological Distress Tolerance Scale, Psychological Resilience Scale, Fear of Progression Questionnaire-Short Form, and Perceived Social Support Scale were used for data collection. Multiple linear regression analysis was performed to identify the influencing factors of psychological distress tolerance in liver cancer patients after interventional therapy.
RESULTS
The total score of psychological distress tolerance in 157 liver cancer patients was 26.88 ± 4.15, with item scores for each dimension ranging from low to high, namely, pain endurance and pain management. The results of multiple linear regression analysis showed that age, tumor size, number of tumors, psychological resilience, fear of disease progression, and perceived social support were influencing factors of psychological distress tolerance in liver cancer patients after interventional therapy (P < .05).
CONCLUSION
The level of psychological distress tolerance in liver cancer patients after interventional therapy needs to be improved, and it is relevant to age, tumor size, number of tumors, psychological resilience, fear of disease progression, and perceived social support.
背景
目前，介入治疗已成为肝癌患者临床治疗的主要方法。然而，介入治疗也会导致各种毒副作用，再加上疾病本身的影响，肝癌患者常经历更严重的情绪困扰。提高个体的心理困扰耐受力可能会降低对负面生活事件和经历的敏感性。现阶段，尚无关于介入治疗后肝癌患者心理困扰耐受力的相关文献报道。本研究对介入治疗后肝癌患者的心理困扰耐受力进行调查分析，旨在优化个性化护理干预措施，提高患者的长期生活质量。
方法
本研究为横断面研究。采用便利抽样法。选取2023年8月至2024年5月在我院接受介入治疗的肝癌患者。使用一般资料问卷、心理困扰耐受力量表、心理弹性量表、疾病进展恐惧问卷简表和领悟社会支持量表进行数据收集。采用多元线性回归分析确定介入治疗后肝癌患者心理困扰耐受力的影响因素。
结果
157例肝癌患者心理困扰耐受力总分26.88±4.15，各维度项目得分由低到高依次为疼痛耐受力和疼痛管理。多元线性回归分析结果显示，年龄、肿瘤大小、肿瘤数量、心理弹性、疾病进展恐惧和领悟社会支持是介入治疗后肝癌患者心理困扰耐受力的影响因素（P<.05）。
结论
介入治疗后肝癌患者的心理困扰耐受力水平有待提高，且与年龄、肿瘤大小、肿瘤数量、心理弹性、疾病进展恐惧和领悟社会支持有关。
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