新疆医科大学学报

目的了解原发性肝癌术后患者生命意义感、死亡态度以及生活质量现状,并探讨其相关性,以期为临床护理干预措施的制定提供依据。方法采用横断面调查的研究方法,选取2018年11月-2020年1月于本院肝胆外科行手术治疗的原发性肝癌患者101例,采用一般资料调查问卷、生命意义感量表汉化版、死亡态度描绘量表(修订版)、肝癌患者生活质量测定量表进行调查。结果原发性肝癌术后患者生命意义感总分为(39.47±8.96)分,接受死亡态度的自然维度均分为(15.80±1.66)分,生活质量平均得分为(121.60±28.43)分,结果提示原发性肝癌术后患者生命意义感与生活质量呈正相关。死亡态度中死亡恐惧、死亡逃避、趋近接受、逃离接受4个维度与生活质量呈负相关。自然接受与生活质量呈正相关。生命意义感与死亡恐惧呈负相关。结论原发性肝癌术后患者生命意义感及生活质量水平不高,死亡态度以自然接受为主。临床工作中,医护人员应全面了解患者状态,给予相应干预,帮助其积极寻求生命意义、形成科学的死亡态度,从而提升患者生活质量。

Objective To understand the sense of life significance, death attitude and quality of life of postoperative patients with primary liver cancer, and to explore the correlation between those factors and to provide the basis for the establishment of clinical nursing intervention measures. Methods A cross-sectional survey was performed in 101 patients with primary liver cancer who underwent hepatectomy in the Department of Hepatobiliary Surgery of the hospital from November 2018 to January 2020. The survey was performed by collecting the general information questionnaire,Chinese version of life significance scale, description of death attitude scale(Revised Version) and quality of life measurement scale for postoperative liver cancer patients were analyzed. Results The total score of life sense of the postoperative patients with primary liver cancer were(39.47±8.96), the average score of the dimension of natural acceptance were(15.80±1.66), and the average score of quality of life were(121.60±28.43), which showed that there were a positive correlation between the sense of life significance and the quality of life in the postoperative patients with primary liver cancer. Among the death attitude items, the four dimensions of death fear, death escape, approaching acceptance and escaping acceptance were negatively correlated with the quality of life, while the natural acceptance was positively correlated with the quality of life. The sense of meaning of life was negatively correlated with death fear.Conclusion The level of life significance and quality of life of postoperative patients with primary liver cancer was not satisfactory,and the death attitude was mainly as natural acceptance. In clinical work, medical staffs should fully understand the patient's condition, support the corresponding intervention and to help those patients actively searching for the meaning of life, forming a scientific attitude for death, so that to improve the quality of life in those postoperative patients.