摘要
目的进行晚期肝癌住院患者尊严感现状的横断面调查。方法选择医院2019年1月—2020年1月共90例晚期肝癌患者为研究对象,采用中文版患者尊严量表(PDI)进行尊严感调查,通过单因素及多元线性逐步回归分析,调查晚期肝癌住院患者尊严感的影响因素。结果90例晚期肝癌患者PDI总评分为68.44±4.84分,尊严明显受损者(>50分)62例,受损率68.89%,其中生存困境评分最高,社会支持评分最低;不同经济情况、学历、治疗方式、居住方式PDI评分差异具有统计学意义(P<0.05);不同性别、婚姻状况比较差异无统计学意义(P>0.05);多元线性逐步回归分析法进行多因素分析显示,ECOG评分、NRS评分、LINK评分、经济情况、治疗方式、年龄是晚期肝癌住院患者尊严感的影响因素(P<0.05)。结论晚期肝癌住院患者普遍存在尊严感下降现象,受到活动能力、疼痛、年龄以及病耻感等多种因素的影响,应开展针对性护理措施以提升患者尊严感。
Objective To applied the cross sectional study status for the dignity of inpatients with advanced liver cancer.Methods A total of 90 patients in the hospital with the advanced liver cancer from January 2019 to January 2020 were selected as the research objects.Taken the Chinese version of patient dignity inventory(PDI)to applied the dignity research,univariate and multivariate linear stepwise regression analysis was performed to investigate the influence factors of hospitalized advanced liver cancer patients dignity.Results The PDI total score of 90 patients with advanced liver cancer was 68.44±4.84 points,62 patients with significantly impaired dignity(>50 points),the impairment rate was 68.89%and the survival dilemma score was the highest and social support score was the lowest.The PDI scores of different economic conditions,educational background,treatment modes and residence modes,the differences for those factors were statistically significant(P<0.05),while there were no statistically significant differences between different genders and marital status(P>0.05).Multivariate linear stepwise regression analysis of the multivariate analysis showed that,ECOG score,NRS score and LINK score,economic status,treatment mode and age were related factors to the sense of dignity of inpatients with advanced liver cancer.Conclusion Inpatients with the advanced liver cancer have a decreased sense of dignity,which is affected by various factors such as activity ability,pain,age and stigma,etc.Targeted nursing measures should be taken to improve patients’sense of dignity.
作者
杨丹琳
YANG Danlin(The Seventh Hospital of Wuhan,Wuhan 430071,China)
出处
《护理实践与研究》
2021年第5期673-676,共4页
Nursing Practice and Research
关键词
晚期肝癌
住院患者
尊严感
相关因素
Advanced liver cancer
Inpatients
Dignity
Related factors
