首页|青年女性乳腺癌患者生育忧虑水平及影响因素的研究

青年女性乳腺癌患者生育忧虑水平及影响因素的研究

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目的:了解青年女性乳腺癌患者生育忧虑水平,并分析其影响因素.方法:选取本院2022年1月-2023年6月收治的青年女性乳腺癌患者为研究对象.采用一般资料调查表、癌症后生育忧虑量表、社会支持评定量表进行调查.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生育忧虑水平的相关因素.结果:青年女性乳腺癌患者生育忧虑量表得分为(63.9±11.5)分,社会支持得分为(40.7±5.3)分,社会支持与生育忧虑呈负相关(r=-0.479,P<0.001).多重线性回归分析显示,年龄(β=-0.105)、家庭经济收入(β=-0.196)、子女数量(β=-0.230)、疾病病程(β=0.118)、手术方式(β=0.184)、社会支持水平(β=-0.219)是青年女性乳腺癌患者生育忧虑的影响因素.结论:低龄、低收入、无子女、病程较长、术后乳房缺失的青年女性乳腺癌患者生育忧虑水平较高.增加社会支持,对患者生育忧虑具有保护作用.建议主动为患者提供生育咨询,制定个体化的治疗计划和生育保留方案,并鼓励患者主动寻求和利用社会支持缓解疾病压力,以降低生育忧虑.
Study on the fertility anxiety level and its influencing factors of young female patients with breast cancer
Objective:To understand the level of the fertility anxiety of young female patients with breast cancer,and to analyze its influence factors.Methods:The young female patients with breast cancer who admitted to hospital from Jan-uary 2022 to June 2023 were selected as the study subjects.The general data questionnaire,the post-cancer fertility worry scale and the social support rating scale were used to investigate.Univariate and multiple linear regression mod-els were used to analyze the associated factors affecting the level of the fertility anxiety of the young female patients with breast cancer.Results:The scores of the fertility anxiety and the social support of the young female patients with breast cancer were 63.9±11.5 points and 40.7±5.3 points.The social support of the young female patients with breast cancer was negatively associated with their fertility anxiety(r=-0.479,P<0.01).Multiple linear regression analysis showed that the age(β=-0.105),the family economic income(β=-0.196),the number of children(β=-0.230),the breast cancer duration(β=0.118),the surgical mode(β=0.184)and the social support(β=-0.219)of the young fe-male patients with breast cancer were the factors influencing their fertility anxiety.Conclusion:The young female pa-tients with breast cancer of the low age,the low income,the childless,the longer duration of breast cancer,or the postoperative breast loss have higher levels of fertility anxiety.Increasing the social support has a protective effect on the fertility anxiety of these patients.It is suggested to actively provide the fertility counseling for the young female pa-tients with breast cancer,develop the individualized treatment plans and fertility retention programs,and encourage the patients to actively seek and use social support to relieve their disease pressure,in order to reduce their fertility wor-ries.

Breast cancerYoung womenFertility anxietyInfluencing factor

谢婷、高杨虹、周芳

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浙江大学医学院附属杭州市第一人民医院(310006)

乳腺癌 青年女性 生育忧虑 影响因素

浙江省医药卫生科技计划

2023KY163

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(4)
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