医学研究与教育 ›› 2022, Vol. 39 ›› Issue (3): 67-73.DOI: 10.3969/j.issn.1674-490X.2022.03.011

• 护理学 • 上一篇    下一篇

妇科癌症患者生育忧虑状况及影响因素分析

徐莉1,刘文娟2,张丽1   

  1. 1.滨州医学院护理学院, 山东 烟台 264003;
    2. 烟台毓璜顶医院妇科, 山东 烟台 264000
  • 收稿日期:2022-01-11 出版日期:2022-06-25 发布日期:2022-06-25
  • 通讯作者: 张丽(1978—),女,山东烟台人,副教授,硕士,硕士生导师,主要从事护理教育工作。E-mail: 176860377@qq.com
  • 作者简介:徐莉(1987—),女,山东烟台人,主管护师,在读硕士,主要从事妇科临床护理工作。 E-mail: xuli19871121@126.com
  • 基金资助:
    成人高等教育教学研究项目(BYCJKT202005)

Reproductive concern status and its influencing factors in gynecological cancer patients

XU Li1,LIU Wenjuan2,ZHANG Li1   

  1. 1.Nursing School of Binzhou Medical University, Yantai 264003, China; 2.Gynecology Department of Yantai Yuhuangding Hospital, Yantai 264000, China
  • Received:2022-01-11 Online:2022-06-25 Published:2022-06-25

摘要: 目的 了解妇科癌症患者生育忧虑现状,分析其影响因素。方法 采用癌症后生育忧虑量表、自我感受负担量表对134名妇科癌症住院患者进行问卷调查。结果 妇科癌症患者生育忧虑得分48.88±13.59,自我感受负担得分50.92±17.38。不同分组间(年龄、生育意愿、子女数目、沟通内容、自我感受负担水平)患者的生育忧虑水平差异有统计学意义(均P<0.01)。自我感受负担及各维度与生育忧虑呈正相关(P<0.01)。经多元线性回归分析:生育意愿、自我感受负担是生育忧虑的独立影响因素(均P<0.01)。结论 妇科癌症患者生育忧虑为中上水平。需重点关注有生育需求且自我感受负担重的患者。政府、医院和家庭三方共同努力,采取有效措施降低患者自我感受负担水平,可缓解其生育忧虑。

关键词: 妇科癌症, 生育忧虑, 自我感受负担

Abstract: Objective To understand the level of reproductive concern in gynecological cancer patients, and explore its status and influencing factors. Methods Reproductive Concerns after Cancer Scale(RCACs)and Self-perceived Burden Scale for Cancer Patients(SPBS-CP)were collected from 134 gynecologic cancer patients. Results Average RCAC score in gynecological cancer patients was 48.88±13.59.SPBS-CP score was 50.92±17.38.There were differences in reproductive concern levels among patients in different groups(age, willingness to bear children, number of children, content of communication, and self-perceived burden level)(P<0.01).Self-perceived burden and all dimensions were positively correlated with reproductive concern(P< 0.01). After multiple linear regression analysis:Fertility willingness and self-perceived burden were important independent influencing factors of reproductive concern in gynecological cancer patients(P< 0.01).Conclusion Gynecological cancer patients reproductive concern is above medium level. Attention should be paid to those with reproductive needs and heavy self-perceived burden. Taking effective measures to reduce the self-perceived burden of patients through the joint efforts of the government, the hospital and the family can alleviate their reproductive concern.

Key words: gynecological cancer, reproductive concern, self-perceived burden

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