摘要
目的探究原发性肝癌介入治疗患者习得性无助感的影响因素。方法采用横断面调查研究,便利选取于2020年8月至2021年10月在空军军医大学第二附属医院进行介入治疗的221例原发性肝癌患者为研究对象。采用一般资料调查问卷、习得性无助感量表、亲密关系支持问卷进行问卷调查。结果本次调查的221例原发性肝癌介入治疗患者习得性无助感总分为(74.12±6.55)分。性别、文化程度、家庭人均月收入、介入治疗次数、感知配偶支持是原发性肝癌介入治疗患者习得性无助感的主要影响因素(调整后R^(2)=0.891,F=65.65,P<0.05)。结论原发性肝癌介入治疗患者习得性无助感处于较高水平,针对男性、文化程度较低、家庭人均月收入较低、介入治疗次数较多、感知配偶支持水平较低的原发性肝癌介入治疗患者,医护人员可以采用辩证行为疗法、症状群干预、配偶支持干预等方式,降低患者的习得性无助感。
Objective To investigate the influencing factors of learned helplessness in patients with primary liver cancer treated by interventional therapy.Methods This study was a cross-sectional study.The 221 patients with primary liver cancer treated by interventional therapy in the Second Affiliated Hospital of Air Force Military Medical University from August 2020 to October 2021 were selected as the subjects.General data statistics,Learned Helplessness Scale and Support in Intimate Relationships Rating Scale were used for questionnaire survey.Results The total score of learned helplessness in the 221 patients with primary liver cancer treated by interventional therapy was 74.12±6.55.Gender,education level,family per capita monthly income,number of interventions and perceived spouse support were the main influencing factors of learned helplessness in patients with primary liver cancer treated by interventional therapy(adjusted R^(2)=0.891,F=65.65,P<0.05).Conclusions The sense of learned helplessness of patients with primary liver cancer treated by interventional therapy is at a high level.According to patients with features of male,lower education level,lower family per capita monthly income,more number of interventional therapy or lower perceived spouse support,medical staff can use dialectical behavior therapy,symptom group intervention,spouse support intervention and other methods to reduce learned helplessness of patients.
作者
王娜
史金凤
赵蓉
郭晶
索丹丹
杨青
李沛
Wang Na;Shi Jinfeng;Zhao Rong;Guo Jing;Suo Dandan;Yang Qing;Li Pei(Liver Diseases Center,Department of Infectious Diseases,the Second Affiliated Hospital of Air Force Military Medical University,Xi′an 710038,China;Department of Oncology,the Second Affiliated Hospital of Air Force Military Medical University,Xi′an 710038,China)
出处
《中国实用护理杂志》
2022年第18期1400-1405,共6页
Chinese Journal of Practical Nursing
关键词
护理
原发性肝癌
介入治疗
习得性无助感
感知配偶支持
Nursing care
Primary liver cancer
Interventional therapy
Learned helplessness
Perceived spouse support
