原发性肝癌患者心理脆弱水平及与希望和社会支持水平的关系OA

Objective To investigate the level of psychological vulnerability in patients with primary liver cancer(HCC)and analyze its relationship with hope and social support.Methods A total of 228 patients with HCC admitted to the Depart-ment of Hepatobiliary,Pancreatic and Splenic Surgery,The First Affiliated Hospital of Air Force Medical University,from June 2022 to May 2025 were selected as study participants.The general information questionnaire,Mental Vulnerability Questionnaire(MVQ),Herth Hope Index(HHI),and Social Support Rating Scale(SSRS)were used to survey the pa-tients'general data,psychological vulnerability,hope,and social support status.Pearson correlation analysis was used to explore the correlation between psychological vulnerability level and hope and social support levels in HCC patients.Multiple linear regression analysis was used to analyze the influencing factors of psychological vulnerability in HCC patients.Results The total MVQ score of HCC patients in this study was(61.31±7.67)points,the total HHI score was(26.72±3.91)points,and the total SSRS score was(35.67±4.46)points.Pearson correlation analysis showed that the psychological vul-nerability level of HCC patients was negatively correlated with both hope level and social support level(P<0.001).Statisti-cally significant differences were noted in psychological vulnerability scores among HCC patients of different genders,educa-tion levels,marital statuses,average monthly household incomes per capita,histories of hepatitis B,histories of liver cirrhosis,and clinical stages(P<0.05).Multiple linear regression analysis showed that gender(β=0.716,95%CI:0.396-1.036),education level(β=-0.827,95%CI:-1.166 to-0.488),marital status(β=0.643,95%CI:0.333-0.953),hope(β=-0.882,95%CI:-1.227 to-0.537),and social support(β=-0.914,95%CI:-1.265 to-0.563)were influencing factors of psychological vulner-ability level in HCC patients(P<0.05).Conclusion The psychological vulnerability of HCC patients is at a moderate level and is closely correlated with gender,education level,marital status,hope,and social support level.Clinically,attention should be paid to the psychological status of HCC patients who are female,have low education levels,and are not married,and interventions such as strengthening hope and social support networks should be used to reduce their psychological vulnerability.