护理学杂志2024,Vol.39Issue(1) :52-55.DOI:10.3870/j.issn.1001-4152.2024.01.052

中青年乳腺癌术后患者积极度及影响因素分析

Determinants of patient activation in young and middle-aged breast cancer survivors after surgery

李苗 李红梅 张俊 李盼盼 张宇彤 王茜 李沁瑶
护理学杂志2024,Vol.39Issue(1) :52-55.DOI:10.3870/j.issn.1001-4152.2024.01.052

中青年乳腺癌术后患者积极度及影响因素分析

Determinants of patient activation in young and middle-aged breast cancer survivors after surgery

李苗 1李红梅 1张俊 2李盼盼 1张宇彤 1王茜 1李沁瑶1
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作者信息

  • 1. 山西医科大学汾阳学院(山西汾阳,032200)
  • 2. 山西省汾阳医院甲乳病区
  • 折叠

摘要

目的 了解中青年乳腺癌术后患者积极度现状并分析影响因素,为采取干预措施提高患者积极度提供参考.方法 便利抽取208例乳腺癌术后患者为研究对象,采用一般资料调查表、患者积极度量表、社会影响量表(测评病耻感)、社会支持评定量表及乳腺癌幸存者自我效能感量表进行调查.结果 中青年乳腺癌术后患者积极度得分为(58.10±9.45)分.多元线性回归分析显示,文化程度、是否保留乳房、病耻感、社会支持及自我效能感是中青年乳腺癌术后患者积极度的影响因素(均P<0.05).结论 中青年乳腺癌术后患者积极度处于中等水平,受多因素影响;可通过降低病耻感、增强社会支持及提高自我效能感,提高乳腺癌患者的自我管理积极度.

Abstract

Objective To identify the level and determinants of patient activation in young and middle-aged breast cancer survivors af-ter surgery,and to provide reference for targeted interventions.Methods Using convenience sampling method,208 patients after breast cancer surgery within 1 year were selected and completed a battery of questionnaires,including a general information ques-tionnaire,the Patient Activation Scale,the Social Impact Scale(to measure stigma),the Social Support Rating Scale and the Breast Cancer Survivor Self-Efficacy Scale.Results The sample scored(58.10士9.45)for patient activation.Multiple linear regres-sion analysis showed that education level,whether the breast was preserved,stigma,social support and self-efficacy were the in-fluencing factors of patient activation(all P<0.05).Conclusion Activation in young and middle-aged breast cancer survivors after surgery is at medium level,and is affected by many factors.Medical staff can lower stigma of patients,and enhance their social support and self-efficacy,to improve patient activation.

关键词

中青年/乳腺癌/积极度/病耻感/社会支持/自我效能感/自我管理/社会认知理论

Key words

young and middle-aged people/breast cancer/activation/stigma/social support/self-efficacy/self-manage-ment/social cognitive theory

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基金项目

山西省研究生实践创新项目(2023SJ173)

山西医科大学汾阳学院科研项目(2022C29)

吕梁市科技计划(吕科发[2020]33号-15)

出版年

2024
护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
参考文献量25
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