Objective To explore the change track of dietary treatment adherence of primary hepatic cancer patients and its influencing factors.Methods A convenience sample of 243 hepatic cancer patients undergoing their first treatment in the Second Affiliated Hospital of Wenzhou Medical University between March 2021 and April 2022 was selected.The ini-tial data collection was completed before discharge(T0),followed by collecting data on dietary treatment adherence scale at 1 month(T1),3 months(T2)and 6 months(T3)after the first treatment.Results The dietary treatment adher-ence scores at points T0,T1,T2 and T3 were(37.62±6.53)points,(37.82±6.34)points,(37.12±6.10)points and(34.43±5.76)points.The differences between T0-T1,T0-T2 and T1-T2 were not statistically significant(P＞0.05),while the differences between T0-T3,T1-T3 and T2-T3 were statistically significant(P＜0.05).Three potential trajectory categories could be identified by the potential category growth model:"closely follow group"accounted for 30.87％(75 cases),"relaxed group"accounted for 33.33％(81 cases)and"underappreciated group"accounted for 35.80％(87 cases).Religious beliefs,risk of malnutrition,living alone and health beliefs were the influencing factors in determining the potential trajectory category of dietary treatment adherence.Conclusion Medical staff should respect patients'religious beliefs,assist patients at risk of severe malnutrition in developing a correct understanding of the dis-ease,cooperate with the community to provide accurate care services for patients living alone,accurately assess their health beliefs,and improve the diet treatment adherence.
Primary hepatic cancerDietary treatment adherenceLongitudinal study
维普
万方数据
