Analysis on the psychological resilience and its influencing factors among patients after hepatectomy / 中国实用护理杂志

ABSTRACT

Objective To investigate the psychological resilience and its influencing factors among patients after hepatectomy. Methods A total of 126 cases of hepatocellular carcinoma patients undergoing surgery eradication were selected. 1 d before the patients discharged,the general information was collected, the patients were investigated by using psychological elasticity scale, medical coping questionnaire, social support rating scale, quality of life measurement scale of liver cancer patients. The correlations between variables were analyzed by using Pearson correlation analysis. The influencing factors of psychological resilience were analyzed by using multiple linear regression equation. Results The overall psychological resilience score for patients after hepatectomy was (54.73 ± 10.61) points. The psychological resilience among patients after hepatectomy was related with age, educational level and postoperative hospital stay(t=2.959,3.452,2.507,P<0.05).Pearson correlation analysis showed that the psychological resilience among patients after hepatectomy was positively correlated with the confront coping, social support score, objective support, subjective support, supportive utilization, total quality of life, physical function, psychological function and social function (r =0.208-0.429, P<0.05), while was negatively correlated with avoiding coping, resignation coping, symptoms/side effects (r =-0.187,-0.442,-0.325, P<0.05). Multivariate stepwise linear regression analysis showed that resignation coping, subjective support, objective support, physical function and postoperative time entered the regression model and explained 59.4% of all the variation. Conclusions Patients after hepatectomy had poor psychological resilience, postoperative time, resignation coping, subjective support, supportive utilization and physical function were important influencing factors.