摘要
目的分析影响原发性肝癌介入治疗依从性的相关因素及预防护理措施。方法研究对象为广东省农垦中心医院2019年2月-2021年2月收治的100例原发性肝癌介入治疗患者,通过随机数表法将其分为对照组和实验组,每组均50例,对照组进行常规护理,实验组进行综合护理,对比两组患者治疗依从率,同时根据其依从性情况将其分为A组(依从性佳和依从性尚可)和B组(依从性差),对可能影响其治疗依从性的相关因素进行单因素分析和多因素Logistic回归分析。结果实验组治疗依从率明显高于对照组(P<0.05)。A组和B组患者性别以及婚姻状况比较无统计学意义(P>0.05),年龄、个人月收入、社会支持以及文化水平比较存在明显差异(P<0.05)。A组和B组患者肝外转移以及AFP水平比较无统计学意义(P>0.05),Child-Pugh分级以及肿瘤直径比较存在明显差异(P<0.05)。多因素Logistic回归分析结果显示年龄、个人月收入、社会支持、文化水平以及Child-Pugh分级是影响患者治疗依从性的独立危险因素(P<0.05)。结论影响原发性肝癌介入治疗依从性的独立危险因素分别为年龄、个人月收入、社会支持、文化水平以及Child-Pugh分级,临床需要根据上述危险因素及时采取综合护理干预措施,以尽量提高患者治疗依从性。
Objective To analyze the related factors and preventive nursing measures that affect the compliance of interventional therapy for primary liver cancer.Methods The subjects of the study were 100 patients with primary liver cancer who were treated in our hospital from February 2019 to February 2021.They were divided into a control group and an experimental group by a random number table method,each with 50 cases,and the control group performed routine care.The experimental group will be given comprehensive care.The treatment compliance rate of the two groups is compared.According to their compliance,they are divided into group A(good compliance and acceptable compliance)and group B(poor compliance),and the factors which may affect the related factors of treatment compliance were analyzed by single factor analysis and multivariate Logistic regression analysis.Results The treatment compliance rate of the experimental group was significantly higher than that of the control group(P<0.05).The gender and marital status of patients in group A and B were not statistically significant(P>0.05),and there were significant differences in age,personal monthly income,social support,and cultural level(P<0.05).The comparison of extrahepatic metastasis and AFP level in group A and group B was not statistically significant(P>0.05),and there were significant differences in Child-Pugh classification and tumor diameter(P<0.05).The results of multivariate Logistic regression analysis showed that age,personal monthly income,social support,education level,and Child-Pugh classification were independent risk factors that affected patients'treatment compliance(P<0.05).Conclusion The independent risk factors that affect the compliance of interventional therapy for primary liver cancer are age,personal monthly income,social support,education level,and Child-Pugh classification.Clinical needs should be based on the above risk factors to take comprehensive nursing interventions in a timely manner to maximize patient treatment Compliance.
作者
许俊宏
曾连珠
何敏超
XU Junhong;ZENG Lianzhu;HE Minchao(Department of Digestive and Respiratory Medicine,Guangdong Provincial Agricultural Reclamation Central Hospital,Zhanjiang,Guangdong,524000)
出处
《智慧健康》
2022年第19期143-146,171,共5页
Smart Healthcare
关键词
原发性肝癌
介入治疗
依从性
影响因素
综合护理
预防措施
Primary liver cancer
Interventional therapy
Compliance
Influencing factors
Comprehensive nursing
Preventive measures
