摘要
目的 了解青年女性乳腺癌患者自我倡权水平并分析其影响因素.方法 采用便利抽样法,选取2022年1 月至2023年6 月浙江大学医学院附属杭州市第一人民医院收治的青年乳腺癌患者196 例为研究对象.采用一般资料调查表、女性癌症幸存者自我倡权量表、社会支持评定量表、心理弹性量表对患者进行调查.采用单因素及多重线性回归模型分析影响青年女性乳腺癌患者自我倡权的相关因素.结果 青年女性乳腺癌患者自我倡权总分为(76.20±11.08)分.多重线性回归分析显示,家庭人均月收入、文化程度、患病时长(7~12个月、≥12 个月)、心理弹性、社会支持水平(中等水平、高水平)均是青年女性乳腺癌患者自我倡权水平的影响因素(t分别=4.17、3.99、2.11、3.32、3.82、2.56、4.69,P均<0.05).结论 青年女性乳腺癌患者自我倡权处于中等水平,临床工作者应关注青年患者自我倡权行为,及时识别该人群个性特征,针对性制定干预策略,提高其自我倡权能力及生活质量.
Abstract
Objective To understand the self advocacy level of young women with breast cancer and analyze its influ-encing factors.Methods A total of 196 young breast cancer patients admitted to Hangzhou First People's Hospital Affili-ated to Zhejiang University School of Medicine from January 2022 to June 2023 were selected as the research objects by convenience sampling method.All of the patients were investigated with the general information questionnaire,self-advoca-cy scale for female cancer survivors,social support assessment scale and psychological resilience scale.Single factor and multiple linear regression models were used to analyze the related factors affecting the self advocacy of young women with breast cancer.Results The total score of self advocacy of young women with breast cancer was 76.20±11.08.Multi-ple linear regression analysis revealed that per capita monthly income,education level,length of illness,psychological re-silience,and social support were factors affecting self-advocacy level in young female breast cancer patients(t=4.17,3.99,2.11,3.32,3.82,2.56,4.69,P<0.05).Conclusion Young female breast cancer patients'self advocacy is at the middle level.Clinical workers should pay attention to young patients'self advocacy behavior,identify their personality characteristics in time,formulate targeted interventions,and improve their self advocacy ability and quality of life.