Abstract: Objective To observe the current situation of humanistic care needs of elderly patients with primary liver cancer undergoing interventional therapy, and to analyze the influencing factors. Methods Eighty-six elderly patients with primary liver cancer who received interventional therapy in our hospital from January 2018 to August 2019 were selected as the research objects. The self-made humanistic care demand questionnaire was used to investigate the current situation of humanistic care needs of all the selected patients. According to the survey results, the selected patients were divided into high humanistic care demand group and low humanistic care demand group. All patients were investigated with self-made baseline data questionnaire. The baseline data of patients with primary liver cancer were collected, and all factors that may affect the demand for humanistic care were included. The single factor and multi factor analysis were carried out to analyze the factors leading to the high demand for humanistic care in elderly patients with primary liver cancer undergoing interventional therapy. Results According to the survey, 23 cases (26.74%) had high demand for humanistic care. The results of single factor and multiple logistic regression analysis showed that women, more hospitalization times, children as the main caregivers, poor awareness of primary liver cancer knowledge, and poor family support function were all influencing factors of higher demand for humanistic care in patients with primary liver cancer (all OR>1, P<0.05). Conclusion Women, more hospitalization times, children as the main caregivers, poor awareness of primary liver cancer knowledge, and poor family support function may be the important factors leading to the increase of humanistic care needs of elderly patients with primary liver cancer during interventional treatment, and early intervention should be given.

Key words: Primary liver cancer, Interventional therapy, Humanistic care needs, Influencing factors

摘要： 目的 观察老年原发性肝癌介入治疗患者人文关怀需求现状,分析影响患者人文关怀需求的因素。方法 选取2018年1月至2019年8月期间本院接受介入治疗的86例老年原发性肝癌患者作为研究对象,使用自制人文关怀需求问卷调查全部入选者的人文关怀需求现状,依据调查结果将入选者分为人文关怀需求较高组与人文关怀需求较低组,使用自制基线资料问卷调查记录全部患者的基线资料,并纳入全部可能对人文关怀需求产生影响的因素,分析对导致老年原发性肝癌介入治疗患者人文关怀需求较高的各因素进行单因素及多因素分析。结果 本研究纳入的86例原发性肝癌患者经调查发现,人文关怀需求较高的患者有23例,占比为26.74%;初步经单因素与多项logistic回归分析结果显示,女性、住院次数多、子女为主要照顾者、对原发性肝癌知识的认知度较差、家庭支持功能较差均是原发性肝癌患者人文关怀需求较高的影响因素(均OR>1,P<0.05)。结论 女性、住院次数多、子女为主要照顾者、对原发性肝癌知识的认知度较差、家庭支持功能较差均可能是导致原发性肝癌介入治疗患者人文关怀需求增加重要因子,对于存在上述情况的老年原发性肝癌患者,介入治疗期间应重视其人文关怀需求,并给予早期干预。

关键词: 原发性肝癌, 介入治疗, 人文关怀需求, 影响因素