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子宫内膜癌患者经验性回避现状及影响因素分析

Analysis of experiential avoidance status of patients with endometrial cancer and its influencing factors
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摘要 目的 探讨子宫内膜癌(EC)患者经验性回避(EA)现状及影响因素。方法 收集72例EC患者的病历资料,采用接纳与行动问卷第二版(AAQ-Ⅱ)评估患者的EA水平。比较不同临床特征EC患者的EA水平,采用Pearson相关性分析法分析EC患者疾病不确定感、家庭关怀度、社会支持与EA水平的相关性,采用多元线性回归分析EC患者EA的影响因素。结果 72例EC患者AAQ-Ⅱ评分为(30.25±7.27)分。不同婚姻状况、肿瘤数目、文化程度、居住地、睡眠时间、肿瘤转移情况、用药种类EC患者AAQ-Ⅱ评分比较,差异均有统计学意义(P﹤0.05)。EC患者的疾病不确定感与EA水平呈正相关(r=0.399,P﹤0.01);家庭关怀度与EA水平呈负相关(r=-0.471,P=0.012);社会支持与EA水平呈负相关(r=-0.343,P﹤0.01)。多元线性回归分析结果显示,肿瘤数目、用药种类、家庭关怀度评分、疾病不确定感评分、社会支持度评分均是EC患者EA的影响因素(P﹤0.05)。结论 EC患者的EA水平较高。肿瘤数目、用药种类、家庭关怀度评分、疾病不确定感评分、社会支持度评分均是EC患者EA的影响因素。 Objective To investigate the experiential avoidance(EA)status of patients with endometrial carcinoma(EC)and its influencing factors.Method The medical records of 72 EC patients were collected and the EA levels were assessed by acceptance and action questionnaire-2nd edition(AAQ-II).The level of EA in EC patients with different clini-cal characteristics was compared,the correlation between disease uncertainty,family caring degree,social support and EA level in EC patients were analyzed by Pearson correlation analysis,and the influencing factors of EA in EC patients were analyzed by multiple linear regression.Result The score of AAQ-II in 72 EC patients was(30.25±7.27)points.There were statistically significant differences in AAQ-II scores among EC patients with different marriage status,tumor num-ber,education level,residence,sleep time,tumor metastasis and drug use(P<0.05).The disease uncertainty of EC pa-tients was positively correlated with EA level(r=0.399,P<0.01),the family caring degree was negatively correlated with EA level(r=-0.471,P=0.012),the social support was negatively correlated with EA level(r=-0.343,P<0.01).Multiple linear regression analysis showed that the number of tumors,drug use,family caring degree score,disease uncertainty score and social support score were influencing factors for EA in EC patients.(P<0.05).Conclusion The EA levels of EC patients are high.The number of tumors,drug use,family caring degree score,disease uncertainty score and social support score are influencing factors for EA in EC patients.
作者 范欣 王翠兰 罗家寿 FAN Xin;WANG Cuilan;LUO Jiashou(Department of Gynecology and Obstetrics,Nanping First Hospital of Fujian Province,Nanping 353000,Fujian,China)
出处 《癌症进展》 2024年第22期2459-2463,共5页 Oncology Progress
基金 福建省自然科学基金(2020J011277)。
关键词 子宫内膜癌 经验性回避 影响因素 endometrial carcinoma experiential avoidance influencing factor
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