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乳腺癌幸存者自我倡权能力现状及其影响因素

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目的:探讨乳腺癌幸存者自我倡权能力现状及其影响因素.方法:回顾性分析 2019 年 9 月至 2022 年 9 月该院收治的239 例原发性乳腺癌化疗患者的临床资料,采用女性癌症幸存者自我倡权量表(FSACS)评估患者自我倡权能力现状,并比较不同一般资料患者自我倡权能力,分析乳腺癌幸存者自我倡权能力低的影响因素.结果:239 例乳腺癌幸存者平均FSACS评分为(67.76±9.02)分,处于中等水平;不同年龄、性格特征、婚姻状况、患病时间、生育情况、手术方式、工作性质、化疗周期、病理类型、医保情况乳腺癌幸存者FSACS评分比较,差异均无统计学意义(P>0.05);不同家庭人均月收入、文化程度、自我效能感、心理一致感、社会支持乳腺癌幸存者FSACS评分比较,差异均有统计学意义(P<0.05);多元线性回归分析结果显示,家庭人均月收入≤4000 元、文化程度初中及以下、低水平自我效能感、低水平心理一致感、低水平社会支持均为乳腺癌幸存者自我倡权能力低的危险因素(P<0.05).结论:家庭人均月收入≤4000 元、文化程度初中及以下、低水平自我效能感、低水平心理一致感、低水平社会支持均为乳腺癌幸存者自我倡权能力低的危险因素.
Status and influencing factors of self-advocacy ability of breast cancer survivors
Objective:To explore status and influencing factors of self-advocacy ability of breast cancer survivors.Methods:The clinical data of 239 patients with primary breast cancer undergoing chemotherapy admitted to the hospital from September 2019 to September 2022 were retrospectively analyzed.The female self-advocacy in cancer survivorship(FSACS)was used to evaluate the status of patients'self-advocacy ability,and the self-advocacy abilities of the patients with different general data were compared.The influencing factors of low self-advocacy ability of the breast cancer survivors were analyzed.Results:The average FSACS score of the breast cancer survivors was(67.76±9.02)points,which was at a moderate level.There were no significant differences in the FSACS scores among the breast cancer survivors with different ages,personality characteristics,marital status,duration of illness,fertility,surgical methods,nature of work,chemotherapy cycle,pathological types,and medical insurance(P>0.05).There were statistically significant differences in the scores among the breast cancer survivors with different family per capita monthly income,education level,self-efficacy,sense of coherence and social support(P<0.05).Multivariate linear regression analysis showed that the family per capita monthly income≤4000 yuan,junior high school education level and below,low level of self-efficacy,low level of sense of coherence and low level of social support were risk factors for the low self-advocacy ability of the breast cancer survivors(P<0.05).Conclusions:Family per capita monthly income≤4000 yuan,education level of junior high school and below,low level of self-efficacy,low level of psychological consistency,and low level of social support are the risk factors for the low self-advocacy ability of breast cancer survivors.

Breast cancerSelf-advocacyInfluencing factor

郝松艳

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南阳医学高等专科学校第一附属医院中西医结合肿瘤科,河南 南阳 473058

乳腺癌 自我倡权 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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