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乳腺癌术后化疗患者自我倡权能力现状及影响因素研究

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目的 调查乳腺癌术后化疗患者自我倡权能力现状,分析其影响因素。方法 采用一般资料调查表、女性癌症幸存者自我倡权量表、中文版安德森症状评估量表、社会支持评定量表、乳腺癌幸存者自我效能感量表及医院焦虑抑郁量表对宁夏某肿瘤医院 200 例乳腺癌术后化疗患者进行调查。结果 乳腺癌术后化疗患者自我倡权总分为(65。48±7。05)分;乳腺癌术后化疗患者症状负担、社会支持、自我效能感得分均与患者自我倡权得分呈正相关(P<0。01 或P<0。05);多元线性回归分析显示,文化程度、恶心、健忘及对工作(包括家务劳动)干扰等症状、自我效能感是乳腺癌术后化疗患者自我倡权的影响因素(P<0。01 或 P<0。05)。结论 乳腺癌术后化疗患者自我倡权能力整体有待提高,医护人员应高度关注乳腺癌术后化疗患者的自我倡权能力,尤其是文化程度较低的患者,积极帮助患者提高自我效能感,并努力缓解恶心、健忘等症状,从而提升患者的自我倡权能力,为其预后和生存质量的改善提供有力的支持。
Status quo and influencing factors of self-advocacy ability in patients with postoperative chemotherapy for breast cancer
Objective To investigate the current status of self-advocacy ability in postoperative chemotherapy patients with breast cancer and analyze its influencing factors.Methods The general information questionnaire,female self advocacy in cancer survivorship,Chi-nese version of the M.D.Anderson symptom inventory,social support revalued scale,breast cancer survivors self-efficacy scale,and hospital anxiety and depression scale were used to investigate 200 postoperative chemotherapy patients with breast cancer at a oncology hospital in Ningxia.Results The total score of self-advocacy in patients with postoperative chemotherapy for breast cancer was(65.48±7.05).The scores of symptom burden,social support and self-efficacy were all positively correlated with the patients'self-advocacy scores after postoper-ative chemotherapy for breast cancer(P<0.01 or P<0.05).Multiple linear regression analysis indicated that educational level,nausea,forget-fulness,symptoms interfering with work(including household labor),and self-efficacy were influencing factors for self-advocacy in post-op-erative chemotherapy patients with breast cancer(P<0.01 or P<0.05).Conclusion The ability of self-advocacy in patients with postopera-tive chemotherapy for breast cancer needs to be improved in general,and healthcare professionals should pay great attention to the self-advo-cacy ability of postoperative chemotherapy patients with breast cancer,especially those with a low level of literacy,and actively help patients to improve their sense of self-efficacy and make efforts to alleviate nausea,amnesia and other symptoms,so as to enhance the self-advocacy a-bility of patients,and to provide strong support for the improvement of their prognosis and the quality of their survival.

breast cancerchemotherapyself-advocacysymptom burdenself-efficacy

张曦、张嘉怡、牛萌、王永琦、毛鸿琴、郭侠

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750004,银川市,宁夏医科大学总医院心脑血管病医院护理部

750004,银川市,宁夏医科大学护理学院

乳腺肿瘤 化疗 自我倡权 症状负担 自我效能感

宁夏回族自治区重点研发计划项目

2022CMG03082

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(5)
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