乳腺癌相关淋巴水肿患者症状困扰影响因素的路径研究
Pathways analysis of the symptom distress in patients with breast cancer-related lymphoedema and its influencing factors
刘洋 1王言言 2王冰洁 1梁琪 1张春梅3
作者信息
- 1. 天津中医药大学研究生院(天津,301600)
- 2. 天津市肿瘤医院淋巴水肿科
- 3. 天津中医药大学护理学院
- 折叠
摘要
目的 探讨乳腺癌相关淋巴水肿患者慢性病资源利用和自我护理行为在疾病感知与症状困扰间的链式中介作用,为实施针对性护理干预以减轻其症状困扰水平提供依据.方法 以便利抽样法选取淋巴水肿门诊就诊的415例乳腺癌相关淋巴水肿患者,使用一般资料调查表、简易版疾病感知问卷、慢性病资源调查问卷和乳腺癌相关淋巴水肿自我护理量表、乳腺癌相关淋巴水肿症状指数量表进行调查.结果 乳腺癌相关淋巴水肿患者症状困扰得分(75.14±21.38)分.患者症状困扰与疾病感知呈正相关,与慢性病资源利用、自我护理行为呈负相关(均P＜0.05).慢性病资源利用和自我护理行为在疾病感知与症状困扰间起链式中介作用,中介效应占总效应的17.36％.结论 乳腺癌相关淋巴水肿患者症状困扰处于中等偏低水平.疾病感知可直接影响症状困扰,亦通过慢性病资源利用和自我护理行为间接影响症状困扰.医护人员可以从降低患者的负性疾病感知,提高患者慢性病资源利用水平和自我护理行为着手,以改善患者症状困扰.
Abstract
Objective To explore the mediating role of chronic illness resources and self-care behavior on disease perception and symp-tom distress in patients with breast cancer-related lymphoedema,and to provide a reference for conducting targeted nursing inter-ventions to reduce their symptom distress.Methods A total of 415 outpatients with breast cancer-related lymphoedema were selected using convenience sampling method,then they were investigated by using a general information questionnaire,the Brief Ill-ness Perception Questionnaire(B-IPQ),the Chronic Illness Resources Survey(CIRS),the Breast Cancer Related Lymphedema Self-care Scale(BCRL-SS),and the Breast Cancer and Lymphedema Symptom Experience Index(BCLE-SEI).Results The partici-pants'total score of BCLE-SEI was 75.14±21.38,which was positively correlated with the score of B-IPQ,and was negatively correlated with the score of CIRS and BCRL-SS(all P＜0.05).Chronic illness resources and self-care behavior played mediating role between disease perception and symptom distress,which accounted for 17.36％of the total effect.Conclusions The symptom distress in patients with breast cancer-related lymphoedema is at a medium and low level.Disease perception can directly affect symptom distress,and it can also indirectly affect symptom distress through the chain mediating effects of chronic illness resources and self-care behavior.Medical staff can alleviate the symptom distress of this population via reducing their negative disease per-ceptions,and improving their level of chronic disease resource and self-care behavior.
关键词
乳腺癌/淋巴水肿/疾病感知/慢性病资源利用/自我护理行为/症状困扰/链式中介效应Key words
breast cancer/lymphedema/disease perception/chronic illness resources/self-care behavior/symptom dis-tress/chain mediating effect引用本文复制引用
基金项目
天津市研究生科研创新项目(2022SKY239)
天津中医药大学研究生科研创新项目(YJSKC-20221033)
出版年
2024
NETL
NSTL
万方数据