Abstract：Objective To analyze the influencing factors of ruminative meditation in patients with hepatocellular carcinoma. Methods A total of 153 patients with hepatocellular carcinoma admitted to West China Hospital, Sichuan University from August 2019 to December 2020 were selected as subjects to evaluate ruminative meditation. According to the two dimensions of ruminative meditation, they were divided into invasive ruminative meditation group (invasive ruminative meditation score ≥ purposive ruminative meditation score, 108 cases) and the purposive ruminative meditation group (invasive ruminative meditation ＜ purposive ruminative meditation score, 45 cases). Baseline data of the two groups were recorded, and the influencing factors of invasive ruminative meditation in hepatocellular carcinoma patients were analyzed by univariate and multivariate analysis. Results The recovery rate of 153 hepatocellular carcinoma patients was 100.00%, and the ruminative meditation score was in the middle level. The proportion of female, patients of primary school education or below, patients of family monthly income ＜ 3000 yuan, and visual analogue scale (VAS) score of the invasive ruminative meditation group were higher than those of the purposive ruminative meditation, and the proportion of Barcelona clinical liver cancer stage A in group was lower than that in purposive ruminative meditation, and the differences were statistically significant (P ＜ 0.05). Multivariate analysis showed that female, low family monthly income, high Barcelona clinical liver cancer stage, and high VAS score were independent risk factors for the development of invasive ruminative meditation in hepatocellular carcinoma patients (OR ＞ 1, P ＜ 0.05). High education level was a protective factor (OR ＜ 1, P ＜ 0.05). Conclusion Patients with hepatocellular carcinoma are prone to intrusive rumination, which is closely related to gender, family monthly income, Barcelona clinical liver cancer stage, and VAS score.
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