摘要
目的 调查乳腺癌化疗患者养育忧虑现状并分析其影响因素,为制定针对性的干预策略提供依据.方法 采用便利抽样法,使用一般资料调查表、养育忧虑问卷、中文版压力知觉量表、养育胜任感量表、家庭关怀度指数问卷,对山东省济南市两所三级甲等医院的272例乳腺癌化疗患者进行调查.结果 乳腺癌化疗患者养育忧虑得分为(3.74±0.70)分.多元线性回归分析显示,婚姻状况、未成年子女个数、最小未成年子女的年龄、疾病分期、化疗周期、压力知觉、养育胜任感和家庭关怀度是女性乳腺癌化疗患者养育忧虑的主要影响因素(P均<0.05),共解释总变异的68.8%.结论 乳腺癌化疗患者的养育忧虑处于中等偏高水平,医护人员应重视对患者养育忧虑水平的评估,制定有针对性的干预对策,以提高患者的生活质量.
Abstract
Objective:This article is to evaluate breast cancer patients'parenting concerns during chemotherapy and identify factors for improved interventions.Methods:A total of 272 breast cancer patients undergoing chemotherapy from two tertiary hospitals in Jinan,Shandong Province were selected by convenience sampling and investigated with the general information questionnaire,the parenting concerns questionnaire(PCQ),the Chinese version perceived stress scale(CPSS),the parenting sense of competence scale(PSOCS),the family APGAR index questionnaire.Results:The parenting concern score of breast cancer patients with chemotherapy was 3.74±0.70.Marital status,number of minor children,the youngest child's age,disease stage,chemotherapy cycle,perceived stress,parenting sense of competence,and family care were significant predictors of these concerns(all P<0.05),accounting for 68.8%of the variance.Conclusion:Chemotherapy-treated breast cancer patients exhibit moderate to high parenting concerns,and medical staff should assess and create targeted interventions to boost their quality of life.