青年女性乳腺癌患者生育忧虑特征的潜在剖面分析及护理对策

doi:10.3761/j.issn.0254-1769.2023.16.012

摘要/Abstract

摘要：

目的基于潜在剖面分析，了解青年女性乳腺癌患者生育忧虑水平的类别特征，探究不同类别乳腺癌患者生育忧虑水平的影响因素。方法通过横断面研究，采用便利抽样法，选取2022年1月—9月在福建省4所三级甲等医院就诊的225例青年女性乳腺癌患者作为调查对象。采用一般资料调查表、癌症后生育忧虑量表进行调查。结果潜在剖面分析结果显示，青年女性乳腺癌患者生育忧虑特征可分为3个潜在类别：低生育忧虑-高不孕接受度组（26.56%）、中生育忧虑-担忧自身健康组（60.49%）、高生育忧虑-担忧妊娠能力组（12.95%）。多元Logistic回归分析结果显示，年龄、子女个数、受教育程度、保乳状况和疾病病程是青年女性乳腺癌患者生育忧虑的影响因素（P<0.05）。结论青年女性乳腺癌患者生育忧虑水平存在明显的异质性，建议医护人员根据不同类别患者生育忧虑的特征开展心理疏导、生育信息支持及生育能力保护等干预措施，以缓解患者的生育忧虑。

关键词: 乳腺肿瘤, 青年女性, 生育忧虑, 潜在剖面分析, 肿瘤护理

Abstract:

Objective Based on latent profile analysis，the latent classes of reproductive concerns in young female breast cancer patients were identified，and the influencing factors of different classes were explored. Methods In this cross-sectional study，a total of 225 young female breast cancer patients from 4 tertiary A hospitals in Fujian Province were enrolled as investigation subjects via convenience sampling methodology. General information questionnaire and Reproductive Concerns After Cancer scale（RCAC） were utilized as the investigating tools. Results The reproductive concerns in young female breast cancer patients could be divided into 3 classes，including low reproductive concern and high infertility acceptance group（26.56%），moderate reproductive concern and self-health worry group（60.49%），and high reproductive concern and potential fertility worry group（12.95%）. Multivariate logistic regression outputs demonstrated that age，child numbers，education level，breast-conserving status and course of disease were influencing factors regarding to reproductive concerns among young female breast cancer patients. Conclusion The reproductive concerns among young female breast cancer patients had apparent classification characteristics. It is suggested that medical staff should carry out psychological counseling，fertility information support，fertility protection according to the characteristics of different reproductive concerns，so as to reduce the reproductive concerns of patients.

Key words: Breast Neoplasms, Young Female, Reproductive Concerns, Latent Profile Analysis, Oncologic Nursing

刘翠婷, 陈良英, 陈春莺, 高惠婷, 周红娟, 刘翠萍, 丘丽娟. 青年女性乳腺癌患者生育忧虑特征的潜在剖面分析及护理对策[J]. 中华护理杂志, 2023, 58(16): 1989-1995.

LIU Cuiting, CHEN Liangying, CHEN Chunying, GAO Huiting, ZHOU Hongjuan, LIU Cuiping, QIU Lijuan. Latent profile analysis of reproductive concerns characteristics in young female breast cancer patients[J]. Chinese Journal of Nursing, 2023, 58(16): 1989-1995.

图/表 5

表1 青年女性乳腺癌患者的一般资料和生育忧虑潜在类别的单因素分析[例（百分比，%）]

Table 1 General data and univariate analysis of potential categories of reproductive concerns among young female breast cancer patients[case（percentage，%）]

表2 青年女性乳腺癌患者生育忧虑潜在剖面模型的拟合指标

Table 2 Potential categories of reproductive concerns among young female breast cancer patients

图1 青年女性乳腺癌患者生育忧虑3个潜在类别的特征分布

Figure 1 The characteristic distribution of 3 potential categories of reproductive concerns among young female breast cancer patients

表3 自变量赋值方式

Table 3 Assignment of independent variables

表4 青年女性乳腺癌患者生育忧虑潜在类别的多元Logistic回归分析

Table 4 Results of the univariate logistic analysis of the reproductive concerns classes of young female breast cancer patients

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