首页|乳腺癌术后化疗患者正念水平的相关影响因素及护理措施分析

乳腺癌术后化疗患者正念水平的相关影响因素及护理措施分析

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目的:分析乳腺癌术后化疗患者正念水平的相关影响因素及护理措施.方法:选取2021年4月—2022年4月南阳市中心医院收治的140例女性乳腺癌术后化疗患者作为研究对象,采用五因素正念量表(FFMQ)评估所有患者的正念水平.收集患者年龄、文化程度等一般资料,采用多因素logistic回归分析模型分析影响乳腺癌术后化疗患者正念水平的相关因素.结果:140例乳腺癌术后化疗患者的FFMQ评分为(70.59±3.47)分,处于较低水平;单因素分析结果显示,年龄、婚姻状况、职业与乳腺癌术后化疗患者的正念水平无关,差异无统计学意义(t=0.467、1.051、17.854,P>0.05);居住地、文化程度、月收入、社会支持、化疗次数、家庭关系与患者的正念水平有关,差异有统计学意义(t=13.504、89.977、11.144、9.923、16.195、14.061,P<0.05);多因素logistic回归分析结果显示,居住地在农村(β:2.365,OR:10.675,95%CI:2.631~16.875)、小学文化程度(β:2.037,OR:9.257,95%CI:1.835~11.528)、月收入≤3 000元(β:1.675,OR:7.835,95%CI:1.462~8.429)、无社会支持(β:2.169,OR:10.093,95%CI:2.165~14.235)、化疗次数>2次(β:1.832,OR:8.832,95%CI:1.631~9.620)、家庭关系不和睦(β:1.752,OR:8.263,95%CI:1.538~9.263)为乳腺癌术后化疗患者正念水平的独立影响因素.结论:乳腺癌术后化疗患者的正念水平处于中等水平,影响正念水平的相关因素包括居住地在农村、小学文化程度、月收入≤3 000元、无社会支持、化疗次数>2次、家庭关系不和睦,临床需予以高度重视,积极采取针对性护理措施,以提高患者的正念水平.
Analysis of Influencing Factors Related to the Level of Positive Thinking and Nursing Measures in Postoperative Chemotherapy Patients with Breast Cancer
Objective:To analyze the influencing factors and nursing measures related to the level of positive thinking in postoperative chemotherapy patients with breast cancer.Methods:140 female postoperative breast cancer chemotherapy patients admitted to the hospital from April 2021 to April 2022 were selected as the study subjects,and the Five-Factor Positive Mindfulness Scale(FFMQ)was used to assess the positive mindfulness level of all patients.General data such as age and education level were collected,and multifactorial logistic regression analysis model was used to analyze the relevant factors affecting the level of positive thoughts in postoperative chemotherapy patients with breast cancer.Results:The FFMQ score of 140 patients with postoperative chemotherapy for breast cancer was(70.59±3.47),which was at a low level.Univariate analysis showed that age,marital status,and occupation were not related to the level of positive thoughts in postoperative chemotherapy patients with breast cancer,and the difference was not statistically significant(t=0.467,1.051,17.854;P>0.05).Place of residence,education,monthly income,social support,number of chemotherapy treatments,and family relationships were associated with the patients'level of positive thinking,and the difference was statistically significant(t=13.504,89.977,11.144,9.923,16.195,14.061;P<0.05).Multifactorial logistic regression analysis showed that residence was in rural areas(β:2.365,OR:10.675,95%CI:2.631~16.875),elementary school education(β:2.037,OR:9.257,95%CI:1.835~11.528),monthly income≤3 000 yuan(β:1.675,OR:7.835,95%CI:1.462~8.429),no social support(β:2.169,OR:10.093,95%CI:2.165~14.235),>2 chemotherapy treatments(β:1.832,OR:8.832,95%CI:1.631~9.620),and incompatible family relationships(β:1.752,OR:8.263,95%CI:1.538~9.263)were independent influencing factors of the level of positive thinking in postoperative chemotherapy patients with breast cancer.Conclusion:The level of positive thinking of postoperative chemotherapy patients with breast cancer is at an intermediate level,and the relevant factors affecting the level of positive thinking include living in rural areas,primary school education,monthly income≤3 000 yuan,and no social support,chemotherapy frequency>2 times,and poor family relationship.The clinic needs to pay great attention to this,and actively take targeted nursing measures to improve the level of positive thinking of the patients.

Breast cancerChemotherapyMindfulness levelInfluencing factors

陈姗姗

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南阳市中心医院肿瘤内科二病区,河南 南阳 473000

乳腺癌 化疗 正念水平 影响因素

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(6)
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