Status quo of rumination in primary liver cancer patients receiving chemotherapy after surgery and its influencing factors

Objective To explore status quo of rumination in primary liver cancer (PLC) patients receiving chemotherapy after surgery and its influencing factors. Methods Totally 165 PLC patients receiving surgery in a ClassⅢ Grade A hospital in Heilongjiang Province from October 2016 to December 2017 were selected by convenient sampling and investigated with the general information questionnaire, Rumination Rating Scale (RRS) and Social Support Rating Scale (SSRS) . Totally 165 questionnaires were distributed, and 158 valid questionnaires were collected. Results The RSS score of the 158 PLC patients totaled (62.29±14.46) , including (33.43±7.32) for symptom rumination, (15.03±4.01) for forced thinking, and (13.83±3.66) for reflection. Multiple regression analysis showed that educational background, presence of comorbidities, frequency of chemotherapy, chemotherapy protocol and social support were the factors affecting the patients' rumination (P<0.05) . Conclusions Rumination is prevalent in PLC patients, which stands at a medium and severe level. Clinicians need to formulate targeted protocols based on the patients' specific conditions, improve their social support, and regulate their mode of rumination. Key words: Liver neoplasms; Rumination; Influencing factors