肿瘤医院护士对女性癌症患者生育力保护的知信行现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2024.12.012

摘要/Abstract

摘要：

目的调查肿瘤医院护士对女性癌症患者生育力保护的知信行现状并分析其影响因素，为临床开展相关护理服务工作提供依据。方法于2022年10月，通过便利抽样法，采用一般资料调查表、肿瘤医院护士对女性癌症患者生育力保护知信行问卷对天津市某三级甲等肿瘤医院的336名护士进行问卷调查，采用单因素分析及多元线性回归分析肿瘤医院护士对女性癌症患者生育力保护知信行水平的影响因素。结果最终纳入291名肿瘤医院护士，其对女性癌症患者生育力保护知信行问卷的总分为（88.08±12.78）分，知识、态度、行为维度得分分别为（46.13±8.66）、[31.00（29.00，33.00）]、[12.00（8.00，14.00）]分。多元线性回归分析结果显示，文化程度、职务、科室类别和是否学习过女性癌症患者生育力保护相关知识是肿瘤医院护士对女性癌症患者生育保护知信行水平的影响因素。结论肿瘤医院护士对女性癌症患者生育力保护的态度较为积极，但知识掌握不足，行为有待加强。护理管理者应重视提高肿瘤医院护士对女性癌症患者生育力保护的知识水平和实践能力，从而推动肿瘤生殖护理的发展。

关键词: 生育力保护, 肿瘤, 护士, 知识, 态度, 行为, 影响因素分析, 护理管理研究

Abstract:

Objective To investigate knowledge，attitude and practice towards the fertility preservation of female cancer patients among clinical nurses in a cancer hospital，and to analyze influencing factors，so as to provide references for clinical implementation of related nursing services. Methods A self-designed questionnaire was delivered to 336 nurses working at a tertiary oncology hospital in Tianjin. Univariate analysis and multiple linear regression were used to analyze the factors influencing the knowledge，attitude，and practice level of female fertility preservation among nurses in a cancer hospital. Results In October 2022，a total of 291 nurses completed the questionnaires. The score of the knowledge，attitude and practice were（46.13±8.66），31.00（29.00，33.00），12.00（8.00，14.00），respectively，and the total score was（88.08±12.78）. Multiple logistic regression analysis showed that education level，position，department types and whether or not getting the knowledge about fertility preservation of female cancer patients were the influencing factors for the total scores of knowledge，attitude and practice（P<0.05）. Conclusion Nurses who work at the cancer hospital have a positive attitude towards fertility preservation for female cancer patients，while their knowledge and practice level need be improved. Nursing administrators should attach importance to improving the knowledge level and practical ability of nurses in cancer hospitals to protect the fertility of female cancer patients，so as to promote the development of onco-fertility nursing in the future.

Key words: Fertility Preservation, Neoplasms, Nurse, Knowledge, Attitude, Practice, Root Cause Analysis, Nursing Administration Research

陈小岑, 阚中帆, 谷晨晨, 付雅鑫, 严玄月, 阎玲. 肿瘤医院护士对女性癌症患者生育力保护的知信行现状及影响因素分析[J]. 中华护理杂志, 2024, 59(12): 1490-1496.

CHEN Xiaocen, KAN Zhongfan, GU Chenchen, FU Yaxin, YAN Xuanyue, YAN Ling. Current situation and influencing factors of nurses’ knowledge，attitude and practice on fertility preservation of female cancer patients in a cancer hospital[J]. Chinese Journal of Nursing, 2024, 59(12): 1490-1496.

图/表 3

表1 291名肿瘤医院护士一般资料及对女性癌症患者生育力保护知信行的单因素分析

Table 1 Single factor analysis of general data and the scores of Knowledge，Attitude，and Practice Questionnaire of Fertility Preservation by 291 nurses in a cancer hospital

表2 291名肿瘤医院护士对女性癌症患者生育力保护知信行问卷各维度得分排名后三位的条目

Table 2 The bottom 3 items in each dimension of the Knowledge，Attitude，and Practice Questionnaire of Fertility Preservation by 291 nurses in a cancer hospital

表3 291名肿瘤医院护士对女性癌症患者生育力保护知信行的多元线性回归分析

Table 3 Multiple linear regression analysis of the total score of the Knowledge，Attitude，and Practice Questionnaire of Fertility Preservation by 291 nurses in a cancer hospital

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