腹腔镜结直肠癌根治术后患者社会功能现状及其相关因素

Current status and associated factors of social function in patients after laparoscopic radical resection of colorectal cancer

摘要

目的: 探讨腹腔镜结直肠癌根治术后患者社会功能现状,并分析其相关因素。方法 采用便利抽样法,选取 2024年 3 月至 11 月收治的 261 例腹腔镜结直肠癌手术后患者作为研究对象。采用一般资料调查表、社会功能缺陷量表进行问卷调查。采用非参数检验与多元线性回归分析探讨社会功能缺陷的相关因素。结果 患者社会功能缺陷总得分中位数为2(0, 3）分, 152 例（58.2%）存在不同程度的社会功能缺陷。营养状况、睡眠质量及付费方式是患者社会功能缺陷的相关因素（P<0.05）。结论 腹腔镜结直肠癌手术后患者社会功能亟待改善。营养状况、睡眠质量及付费方式与其社会功能缺陷相关,医护人员应关注营养状况差、睡眠质量不佳的患者,对不同付费方式的患者提供针对性支持,以改善其社会功能,促进术后康复。

Abstract

Objective: To investigate the current status of social function in patients after laparoscopic radical resection of colo- rectal cancer, and analyze its associated factors. Methods: A convenience sampling method was adopted to select 261 patients with colo- rectal cancer after laparoscopic surgery admitted from Mar.to Nov. 2024 as the research subjects.General information questionnaire and the social disability screening schedule were used to conduct a questionnaire survey.Nonparametric tests and multiple linear regression analysis were used to explore the associated factors of social functional impairment. Results: The median total score of social functional impairment in patients was 2(0, 3), and 152 patients（58.2%）exhibited different degrees of social functional impairment.Nutritional status, sleep quality, and payment method were associated factors of social functional impairment in patients（P<0.05）. Conclusions: Social function of patients after laparoscopic colorectal cancer surgery urgently needs to be improved.Nutritional status, sleep quality, and payment method are associated with social functional impairment.Healthcare professionals should pay attention to patients with poor nutritional status and poor sleep quality, and provide targeted support for patients with different payment methods, so as to improve their social function and promote postoperative rehabilitation.

关键词

结直肠肿瘤 / 腹腔镜检查 / 手术后期间 / 社会功能 / 因素分析 / 统计学

Key words

Colorectal neoplasms / Laparoscopy / Postoperative period / Social function / Factor analysis / statistical

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基金资助

山东大学齐鲁第二医院培育基金（2023HL29）