胆囊切除术患者术后自我感受负担及影响因素研究

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1、胆囊切除术患者术后自我感受负担及影响因素研究詹海花吴海燕康丽萍广东省深圳市龙华区龙华中心医院胃肠肝胆外科摘要：R的:探讨胆囊切除术患者术后自我感受负担及影响因素。方法:选取2015年12月2017年2月期间于我院进行胆囊切除术治疗的82例患者为研宂对象，将所有患者采用自我感受负担量表进行评估，并对评估结果进行比较，对影响患者自我感受负担的因素进行多因素logistic回归分析。结果:82例胆囊切除术患者中60例存在自我感受负担，发生率为73.17%，不同年龄、职业及疾病种类者的自我感受负担率比较，差异无统计学意义（P〉0.05），而其他不同个人基本情况、疾病及治疗情况者的

2、自我感受负担率比较，差笄有统计学意义（P〈0.05）。多因素logistic回归分析显示，性别、文化程度、医疗费用支付情况、收入情况、手术方式及并发基础疾病是患者术后自我感受负担的重要影响因素。结论：胆囊切除术患者术后自我感受负担明显，影响因素较多，应根据影响因素进行调节与干预。关键词：胆囊切除术;自我感受负担;影响因素;作者简介：詹海花，女，木科，主管护师收稿日期：2017-07-18Studyonthepostoperativeself-perceivedburdenandinfluencingfactorsinpatientswithcholecystectomyZ

3、HANHai-huaWUHai-vanKANGLi-pingLonghuaDistrictCentralHospitalofShenzhen;Abstract：Objective:Toexplorethepostoperativeself-perceivedburdenandinfluencingfactorsinpatientswithcholecystectomy.Methods:Atotalof82patientsundergoingcholecystectomyinourhospitalfromDecember2015toFebruary2017wereselec

4、tedastheresearchobjects.Self-perceivedburdenscalewasadoptedforassessmentofallpatients,andtheassessmentresultswerecomparedandmultivariatelogiSticregressionanalysiswasperformedfortheinfluencingfactorsofpatients'self-perceivedburden.Results:Therewas60outof82patientsundergoingcholecystectomyh

5、adself-perceivedburdenandtheincidenceratewas73.17%.Thedifferenceinself-perceivedburdenrateofdifferentages,occupationsanddiseaseswasnotstatisticallysignificant(P>0.05)，whilethedifferenceinself-perceivedburdenrateofdifferentindividualbasicstatuses,diseasesandtreatmentstatuswasstatisticallys

6、ignificant(P<0.05).Multivariatelogisticregressionanalysisshowedthatgender,educationlevel,paymentofmedicalexpenses,income，surgicalmethodandconcurrentunderlyingdiseaseswereimportantinfluencingfactorsofpostoperativeself-perceivedburden.Conclusion:Thepostoperativeself-perceivedburdenofpatient

7、swithcholecystectomyisobvious,andtherearemanyinfluencingfactors,whichshouldbeadjustedandintervenedaccordingtotheinfluencingfactors.Keyword：Cholecystectomy;Self-perceivedburden;Influencingfactors;Received：2017-07-18m囊切除术是治疗肭囊疾病的根治性方式，手术对患者造成的生理及心理波动明显，其中心理方面的波动变化日益受到