乳腺癌术后化疗患者社会限制现状及影响因素研究
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女,硕士在读,主管护师

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Social constraints status in breast cancer patients on postoperative chemotherapy:influencing factors
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    目的 调查乳腺癌术后化疗患者社会限制现状并分析其影响因素,为制定针对性护理干预策略提供参考。 方法 以便利抽样法选取湖北省武汉市2所三级甲等医院的214例乳腺癌患者,采用一般资料调查表、社会限制量表、社会影响量表、情绪抑制量表及癌症患者自我管理效能量表进行调查。 结果 乳腺癌术后化疗患者社会限制总分为26.20±7.40;乳腺癌术后化疗患者的社会限制与社会影响、情绪抑制呈正相关,与癌症自我管理效能感呈负相关(均P<0.05)。 多元线性回归分析显示,社会影响、年龄、文化程度和家庭人均月收入是乳腺癌术后化疗患者社会限制的主要影响因素(均P<0.05),可解释总变异的48.80%。 结论 乳腺癌术后化疗患者感知社会限制处于中等偏下水平,感知社会限制受多因素影响。医护人员需特别关注年轻、低收入、高文化程度乳腺癌患者社会限制的评估,采取针对性干预措施,降低患者的社会限制水平,促进其身心健康。

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    Objective To investigate the current situation of social constraints in breast cancer patients on postoperative chemotherapy and analyze the influencing factors, and to provide a reference for targeted nursing intervention. Methods A total of 214 breast cancer patients on postoperative chemotherapy from 2 hospitals in Wuhan, Hubei province were selected by convenience sampling method,then they were surveyed by utilizing the general information questionnaire, the Social Constraints Scale (SCS), the Social Impact Scale (SIS), the Emotional Inhibition Scale (EIS), and the Chinese-version Strategies Used by People to Promote Health (C-SUPPH)which measures self-management self-efficacy in patient populations. Results The patients scored (26.20±7.40) points in social constraints, which was positively correlated with social impact and emotional inhibition, while negatively correlated with self-management self-efficacy (all P<0.05).Multiple linear regression analysis showed that social impact, age, education background and family income were influencing factors of social constraints (all P<0.05),which could explain 48.80% of the total variation. Conclusion Social constraints in breast cancer patients on postoperative chemotherapy is slightly below medium level, and is affected by several factors.Special attention should be paid to the assessment of social constraints in patients who are young, have low income, or high level of education.Medical staff should take targeted intervention measures to reduce the level of social constraints in the patients and promote their physical and mental health.

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沈雅琴,孙慧敏,王敏,颜希希.乳腺癌术后化疗患者社会限制现状及影响因素研究[J].护理学杂志,2023,38(15):30-34

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  • 收稿日期:2023-03-29
  • 最后修改日期:2023-05-09
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  • 在线发布日期: 2023-12-29