乳腺癌化疗患者自我倡权能力现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2023.07.003

摘要/Abstract

摘要：

目的调查乳腺癌化疗患者自我倡权能力水平并分析其影响因素，为临床实施针对性干预提供参考。方法采用一般资料调查表、女性癌症幸存者自我倡权量表、社会支持评定量表、心理一致感量表对湖北省某所三级甲等医院甲乳外科240例乳腺癌化疗患者进行调查。结果 240例乳腺癌化疗患者自我倡权得分为（68.89±10.66）分，自我倡权与社会支持呈正相关（r=0.723，P<0.001），与心理一致感呈正相关（r=0.569，P<0.001）。多元线性回归分析显示，年龄、文化程度、社会支持、心理一致感是患者自我倡权能力的影响因素，解释总变异的61.4%。结论乳腺癌化疗患者自我倡权能力处于中等水平，在自我决策、与医护人员沟通以及寻求有效支持方面皆存在一定问题，医护人员应予以重视，关注高龄及文化程度低的患者，同时帮助患者提高心理一致感以及获取、利用社会支持的能力，进而提升患者的自我倡权水平。

关键词: 乳腺肿瘤, 化疗, 自我倡权, 社会支持, 心理一致感, 影响因素分析, 护理

Abstract:

Objective To investigate the level of self-advocacy ability of female breast cancer patients with chemotherapy，and to analyze its influencing factors，so as to provide references for clinical implementation of targeted intervention. Methods A total of 240 breast cancer patients with chemotherapy were investigated by general data questionnaire，Female Self-Advocacy in Cancer Survivorship Scale，Social Support Rating Scale，and Sense of Coherence Scale. Results The self-advocacy score of 240 breast cancer chemotherapy patients was（68.89±10.66）；there was a positive correlation between self-advocacy and social support（r=0.723，P<0.001）；it was also positively correlated with the sense of coherence（r=0.569，P<0.001）. The results of multiple linear regression analysis showed that age，educational level，social support and the sense of coherence were the influential factors of self-advocacy ability of breast cancer patients with chemotherapy，which explained 61.4% of the total variation. Conclusion The self-advocacy ability of breast cancer patients with chemotherapy is at medium level，and there are some problems in self-decision-making，effective communication with medical staff and seeking social support. Medical staff should pay attention to patients with advanced age and low education level，and help patients improve their sense of coherence and their ability to obtain and use social support，so as to improve the level of self-advocacy of patients.

Key words: Breast Neoplasm, Chemotherapy, Self-Advocacy, Social Support, Sense of Coherence, Root Cause Analysis, Nursing Care

何丽, 胡露红, 崔金锐, 邓妍, 褚彦香, 王玮荻, 王倩云. 乳腺癌化疗患者自我倡权能力现状及影响因素分析[J]. 中华护理杂志, 2023, 58(7): 788-793.

HE Li, HU Luhong, CUI Jinrui, DENG Yan, CHU Yanxiang, WANG Weidi, WANG Qianyun. Status and influencing factors of self-advocacy in breast cancer patients with chemotherapy[J]. Chinese Journal of Nursing, 2023, 58(7): 788-793.

图/表 4

表1 乳腺癌化疗患者自我倡权能力的单因素分析结果（n=240）

Table 1 The univariate analysis of self-advocacy in breast cancer chemotherapy patients（n=240）

表2 乳腺癌化疗患者自我倡权总分及各维度得分（n=240）

Table 2 The total and each dimension score about self-advocacy in breast cancer chemotherapy patients （n=240）

表3 乳腺癌化疗患者自我倡权各维度与社会支持、心理一致感的相关性分析（n=240，r值）

Table 3 Correlation analysis of various dimensions of self-advocacy with social support and sense of coherence among breast cancer chemotherapy patients（n=240，r value）

表4 乳腺癌化疗患者自我倡权能力影响因素的多元线性回归分析结果（n=240）

Table 4 Results of multiple linear regression analysis of factors influencing the self-advocacy ability of breast cancer chemotherapy patients（n=240）

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