目的:了解乳腺癌患者侵袭性思维现状并分析其影响因素,为乳腺癌患者心理治疗与护理提供参考.方法:采用横断面研究,选取中南大学湘雅二医院2023年5月1日至10月31日住院的483例乳腺癌患者为研究对象,应用事件影响量表修订版(Impact of Event Scale-Revised,IES-R)、医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)、Locke-Wallace婚姻调适量表(Locke-Wollance Marital Adjustment Scale,LWMAS)对患者进行问卷调查.结果:483例患者侵袭性思维得分为12.76±4.61.多元线性回归分析结果显示焦虑、抑郁、婚姻质量、年龄、文化程度、放射治疗、化学治疗、肿瘤分期和生育史是乳腺癌患者侵袭性思维的影响因素(均P<0.01).结论:乳腺癌患者存在侵袭性思维,医护人员应根据患者的焦虑、抑郁、婚姻质量、年龄、文化程度、放射治疗、化学治疗、肿瘤分期、生育史进行个体化干预,以减少乳腺癌患者的侵袭性思维.
Status and influencing factors of instrusive thoughts in breast cancer patients
Objective:To understand the status of instrusive thoughts in breast cancer patients and analyze its influencing factors,providing a reference for psychological treatment and nursing care of breast cancer patients.Methods:A cross-sectional study was conducted with 483 breast cancer patients hospitalized at the Second Xiangya Hospital,Central South University,from May 1 to October 31,2023.The Impact of Event Scale-Revised(IES-R),Hospital Anxiety and Depression Scale(HADS)and Locke-Wallance Marital Adjustment Scale(LWMAS)were used to survey the patients.Results:The score of instrusive thoughts in the 483 patients was 12.76±4.61.Multiple linear regression analysis showed that anxiety,depression,marital quality,age,education level,radiotherapy,chemotherapy,tumor stage,and reproductive history were influencing factors of instrusive thoughts in breast cancer patients(all P<0.01).Conclusion:Breast cancer patients exhibit instrusive thoughts.Medical and nursing staff should provide individualized interventions based on the patients'anxiety,depression,marital quality,age,educational level,radiotherapy,chemotherapy,tumor stage,and reproductive history to reduce instrusive thoughts.
breast cancerinstrusive thoughtsinfluencing factorsanxietydepression
万方数据
维普
