摘要
目的分析肝细胞癌患者反刍性沉思的影响因素。方法选取四川大学华西医院2019年8月至2020年12月收治的153例肝细胞癌患者作为研究对象,评估患者反刍性沉思情况。根据反刍性沉思两个维度的评分将其分为侵入性反刍性沉思组(侵入性反刍性沉思评分≥目的性反刍性沉思评分,108例)和目的性反刍性沉思组(侵入性反刍性沉思评分<目的性反刍性沉思评分,45例),记录两组基线资料,通过单因素及多因素分析肝细胞癌患者反刍性沉思的影响因素。结果153例肝细胞癌患者的问卷回收率为100.00%,其反刍性沉思评分处于中等水平。侵入性反刍性沉思组女性、小学及以下文化程度、家庭月收入<3000元者占比及视觉模拟评分法(VAS)评分高于目的性反刍性沉思组,巴塞罗那临床肝癌分期为A期者占比低于目的性反刍性沉思组,差异有统计学意义(P<0.05)。多因素分析结果显示,女性、家庭月收入低、巴塞罗那临床肝癌分期高、VAS评分高是肝细胞癌患者发生侵入性反刍性沉思的独立危险因素(OR>1,P<0.05);文化程度高是其保护因素(OR<1,P<0.05)。结论肝细胞癌患者易出现侵入性反刍性沉思,与性别、家庭月收入、巴塞罗那临床肝癌分期、VAS评分密切相关。
Objective To analyze the influencing factors of ruminative meditation in patients with hepatocellular carcinoma.Methods A total of 153 patients with hepatocellular carcinoma admitted to West China Hospital,Sichuan University from August 2019 to December 2020 were selected as subjects to evaluate ruminative meditation.According to the two dimensions of ruminative meditation,they were divided into invasive ruminative meditation group(invasive ruminative meditation score≥purposive ruminative meditation score,108 cases)and the purposive ruminative meditation group(invasive ruminative meditation<purposive ruminative meditation score,45 cases).Baseline data of the two groups were recorded,and the influencing factors of invasive ruminative meditation in hepatocellular carcinoma patients were analyzed by univariate and multivariate analysis.Results The recovery rate of 153 hepatocellular carcinoma patients was 100.00%,and the ruminative meditation score was in the middle level.The proportion of female,patients of primary school education or below,patients of family monthly income<3000 yuan,and visual analogue scale(VAS)score of the invasive ruminative meditation group were higher than those of the purposive ruminative meditation,and the proportion of Barcelona clinical liver cancer stage A in group was lower than that in purposive ruminative meditation,and the differences were statistically significant(P<0.05).Multivariate analysis showed that female,low family monthly income,high Barcelona clinical liver cancer stage,and high VAS score were independent risk factors for the development of invasive ruminative meditation in hepatocellular carcinoma patients(OR>1,P<0.05).High education level was a protective factor(OR<1,P<0.05).Conclusion Patients with hepatocellular carcinoma are prone to intrusive rumination,which is closely related to gender,family monthly income,Barcelona clinical liver cancer stage,and VAS score.
作者
魏明芳
申明
任宏飞
张铭光
WEI Mingfang;SHEN Ming;REN Hongfei;ZHANG Mingguang(Department of Gastroenterology,West China Hospital,Sichuan University,Sichuan Province,Chengdu 610041,China)
出处
《中国医药导报》
CAS
2022年第2期108-111,共4页
China Medical Herald
关键词
肝细胞癌
反刍性沉思
性别
文化程度
家庭月收入
视觉模拟评分法
Hepatocellular carcinoma
Ruminative meditation
Gender
Education level
Family monthly income
Visual analogue scale
