摘要
目的 探讨肝癌患者肝切除术后重返工作准备度现状及影响因素.方法 回顾性选取2022年1月～2023年12月赣州市人民医院肝胆胰外科收治的肝癌患者100例,采用一般资料调查表、重返工作准备度量表、领悟社会支持量表、重返工作自我效能问卷、情绪困扰评定量表、癌症疲乏量表和社会影响量表进行调查,运用T检验、方差分析、Spearman相关分析、多元线性回归分析进行数据的统计分析.结果 重返工作准备度与社会支持、自我效能正相关(r＞0),与情绪困扰、癌症疲乏、病耻感负相关(r＜0),均P＜0.05.不同年龄、家庭人均月收入、学历水平、子女数目、疾病分期、术后有无并发症者重返工作准备度分值间,差异有统计学意义(P＜0.05),不同性别、婚姻状态、医疗支付方式、有无合并其他慢性病、术后时长、职业类型、工作性质者重返工作准备度分值间,差异无统计学意义(P＞0.05).年龄较大、家庭人均月收入较低、学历水平较低、子女数目≥2个、疾病分期较高、并发症、社会支持及自我效能低、情绪困扰、癌症疲乏、病耻感严重均是重返工作准备度的影响因素(P＜0.05).结论 肝癌患者肝切除术后重返工作准备度存在一定不足,且影响患者重返工作准备度的因素较多,临床实际可参照患者具体特征实施针对性护理及防控,以此促使患者及早回归正常的社会工作及生活.
Abstract
Objective To investigate the status quo and influencing factors of return to work readiness in patients with hepatocellular carcinoma after hepatectomy.Methods 100 patients with liver cancer admitted to the Department of Hepatobiliary and Pan-creatic Surgery of Ganzhou People's Hospital from January 2022 to De-cember 2023 were retrospectively selected.General data questionnaire,ready-to-work scale,perceptive social support scale,re-work self-efficacy questionnaire,emotional distress rating scale,cancer fatigue scale and social impact scale were used to investigate.T-test,ANOVA(Analysis of variance),Spearman correlation analysis and Multi-ple linear regression analysis were used for statistical analysis of the data.Results Return to work readiness was positively correlated with social support and self-efficacy(r＞0),and negatively correlated with emotional distress,cancer fatigue and stigma(r＜0),all P＜0.05.There were statistically significant differences in the scores of return to work readiness among different ages,per capita monthly family income,educational level,number of children,disease stages,and postoperative complications(P＜0.05),and the scores of re-turn to work readiness among different genders,marital status,medical payment methods,whether other chronic diseases were combined,postoperative duration,occupation type,and nature of work.There was no significant difference(P＞0.05).Older age,lower per capita monthly family income,lower educational level,≥2 children,higher disease stage,complications,low social support and self-efficacy,e-motional distress,cancer fatigue,and severe stigma were all influencing factors of return to work readiness(P＜0.05).Conclusion There are some deficiencies in the readiness of patients with liver cancer to return to work after hepatectomy,and there are many factors affecting the readiness of patients to return to work.In clinical practice,targeted nursing and prevention can be implemented according to the specific characteristics of patients,so as to promote patients to return to normal social work and life as soon as possible.
维普
万方数据