CAJ | 학술논문

目的：调查原发性肝癌患者术后自我管理水平并分析其影响因素。方法采用自制问卷对195例原发性肝癌切除术后患者进行调查，包括饮食、治疗相关、躯体活动、情绪心理等相关因素。结果患者自我管理水平总体得分为（6．80±1．33）分，呈中等偏上水平，其中，治疗相关管理得分最低，为（6．42±1．82）分，不同年龄、受教育程度、医疗保险情况、家庭人均年收入的患者自我管理水平差异有统计学意义（χ2值分别为11．021，45．365，87．468，18．907；P＜0．05）。结论医务工作者在原发性肝癌术后患者复诊时，应详细询问和观察患者自我管理情况，针对不同的影响因素采取不同的健康教育方式，以提高患者自我管理能力，降低并发症的发生及提高患者的生活质量。
목적：조사원발성간암환자술후자아관리수평병분석기영향인소。방법채용자제문권대195례원발성간암절제술후환자진행조사，포괄음식、치료상관、구체활동、정서심리등상관인소。결과환자자아관리수평총체득분위（6．80±1．33）분，정중등편상수평，기중，치료상관관리득분최저，위（6．42±1．82）분，불동년령、수교육정도、의료보험정황、가정인균년수입적환자자아관리수평차이유통계학의의（χ2치분별위11．021，45．365，87．468，18．907；P＜0．05）。결론의무공작자재원발성간암술후환자복진시，응상세순문화관찰환자자아관리정황，침대불동적영향인소채취불동적건강교육방식，이제고환자자아관리능력，강저병발증적발생급제고환자적생활질량。
Objective To investigate the postoperative self-management level of primary hepatic carcinoma ( PHC ) patients and analyzed the associated factors .Methods Self-made questionnaires were distributed to 195 postoperative PHC patients , which included the factors such as diet , treatment, physical activity, patients’ emotional and psychology conditions .Results Patients’ self-management level ranged from the medium to higher level, with a total score of (6.80 ±1.33).The lowest score was (6.42 ±1.82) related to the treatment . The related factors of postoperative self-management level were including age , education , insurance and per capita annual income .And the differences were significant (χ2 =11.021, 45.365, 87.468, 18.907;P<0.05).Conclusions Medical workers should ask and observe the condition of patients ’ self-management at their referral , and give targeted health education to improve their self-management skills to reduce the incidence of complications and improve their quality of life .