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宫颈癌患者疾病接受度调查及影响因素分析

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目的:调查宫颈癌患者疾病接受度现状及影响因素.方法:选取2021年1月—2023年12月本院住院及门诊的宫颈癌患者160例作为研究对象,测定其疾病接受问卷(IAQ)评分,统计患者人口学资料及疾病特征资料,采用单因素及多因素分析筛选宫颈癌患者疾病接受度的影响因素.结果:160例宫颈癌患者中,疾病接受度低58例(36.3%)、疾病接受度中等87例(54.4%)、疾病接受度高15例(9.4%).宫颈癌患者不同年龄、婚姻状况、医疗支付方式、子女数量、不同疾病分期、发生复发或转移者IAQ得分有差异(P<0.05);多元回归模型结果提示,年龄小、未婚、医疗支付方式为城乡居民基本医疗保险、子女数少、疾病分期高、发生复发或转移均为宫颈癌患者疾病接受度的影响因素(均P<0.05).结论:临床应重视影响宫颈癌患者疾病接受度影响因素,积极给予咨询和心理支持,提高患者疾病治疗的依从性,提高治疗效果,促进术后恢复.
Investigation and the influence factors of the disease acceptance of patients
Objective:To investigate the status quo and the influencing factors of the disease acceptance of patients with cervical cancer.Methods:160 patients with cervical cancer during in-patient and out-patient from January 2021 to De-cember 2023 were selected as research objects.The score of illness ccceptance questionnaire(IAQ)of the patients was measured.The demographic data and disease characteristics of the patients were counted.Single factor and multiple factor analysis were used to screen the influencing factors of the disease acceptance of the patients with cervical cancer.Results:Among 160 patients with cervical cancer,there were 58 cases with low acceptance of the disease,accounting for 36.3%,there were 87 cases with moderate acceptance of the disease,accounting for 54.4%,and there were 15 ca-ses with high acceptance of the disease,accounting for 9.4%.There were statistically significant differences in the IAQ score among the patients with different age,among the patients with different marital status,among the patients with different medical payment method,among the patients with different number of children,or among the patients with different stages,recurrence or metastasis of cervical cancer(P<0.05).The results of multiple regression model indi-cated that the young age,the spinsterhood,the medical payment method as the basic medical insurance of urban and rural residents,the less number of children,the high stage of cervical cancer,and the recurrence or metastasis of cer-vical cancer of the patients were all the influencing factors of their disease acceptance(all P<0.05).Conclusion:The affecting factors of the disease acceptance of the patients with cervical cancer should be focused on in clinic.The pa-tients with cervical cancer should be given counseling and psychological support actively to increase the treatment com-pliance,to improve the treatment effect and to promote the postoperative recovery of the patients.

Cervical cancerDisease acceptanceInfluence factors

郑洁、檀亚玲、毛燕、吴倩

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浙江省杭州市肿瘤医院(310002)

宫颈癌 疾病接受度 影响因素

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(9)