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乳腺癌患者习得性无助感现状及其影响因素分析

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目的 探讨乳腺癌患者习得性无助感现状并分析其影响因素。方法 于2021年12月—2022年8月,选取广东省某三级甲等肿瘤专科医院收治的303例乳腺癌患者作为调查对象,采用一般情况调查表、习得性无助感量表、一般 自我效能感量表和社会支持评定量表进行调查。结果 303例乳腺癌患者习得性无助感得分(62。30±9。92)分;家庭月收入(β=-0。217)、临床分期(β=0。119)、是否保乳(β=0。269)、自我效能感(β=-0。260)、社会支持总分(β=-0。294)是习得性无助感的主要影响因素,可预测乳腺癌患者习得性无助感53。4%的变异。结论 乳腺癌患者习得性无助感水平较高。临床护理人员应注意评估患者习得性无助感水平,重点关注家庭月收入低、切除乳房和临床分期高的患者,并制订患者自我效能感和社会支持增进策略,从而降低其习得性无助感。
Analysis of learned helplessness status and influencing factors in breast cancer patients
Objective To explore the status of learned helplessness in breast cancer patients and analyze its influencing factors.Methods From December 2021 to August 2022,303 patients with breast cancer who were admitted to a tertiary A-level cancer hospital in Guangdong Province were selected as the subjects for investigation,and were assessed with the general information questionnaire,Leamed Helplessness Scale(LHS),General Self-Efficacy Scale(GSES),and Social Support Rating Scale(SSRS).Results The score of leamed helplessness in 303 breast cancer patients was(62.30±9.92).Family monthly income(β=-0.217),clinical staging(β=0.119),breast-conserving surgery(β=0.269),self-efficacy(β=-0.260),and total social support score(β=-0.294)were the main influencing factors of learned helplessness,which could predict 53.4%of the total variation.Conclusion The level of leamed helplessness in breast cancer patients is relatively high.Clinical nursing staffs should pay attention to evaluating the level of learned helplessness of patients,focusing on patients with low family monthly income,mastectomy and advanced clinical staging,and developing strategies to enhance patients'self-efficacy and social support,thereby reducing their level of leamed helplessness.

Breast cancerLeamed helplessnessSelf-efficacySocial support

李思琴、路虹、吴漫波、李慧君、高纪东、王梦颖、陈灵玫、车美悦

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518116 深圳市 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院乳腺外科

518116 深圳市 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院护理部

乳腺癌 习得性无助感 自我效能感 社会支持

2024

中华护理教育
中华护理学会

中华护理教育

影响因子:1.372
ISSN:1672-9234
年,卷(期):2024.21(1)
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