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

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