乳腺癌患者内分泌治疗依从性与疾病感知的相关分析

Correlation analysis between endocrine therapy adherence and illness perception in breast cancer patients

目的探讨乳腺癌患者内分泌治疗依从性以及其与疾病感知水平的相关性。方法采用便利抽样法，选取2017年1—6月在黑龙江省大庆市某三甲医院肿瘤科接受治疗的乳腺癌患者100例为研究对象。应用乳腺癌内分泌治疗依从性问卷和疾病感知问卷简化版调查患者的内分泌治疗依从性和疾病感知水平，并应用Pearson相关分析和多元线性回归分析二者的关系。结果共回收有效问卷98份。除条目3、6、7外，乳腺癌患者疾病感知各条目得分及总分与内分泌治疗依从性均呈正相关（P〈0．05）。除条目7外，疾病感知各条目得分及总分均进入依从性回归方程。结论乳腺癌患者疾病感知与内分泌治疗的依从性相关，应通过积极引导和干预，提高患者对疾病的正性感知水平，从而改善患者内分泌治疗的依从性。

Objective To explore the correlation between endocrine therapy adherence and illness perception （IP） in breast cancer patients. Methods From January to June 2017, a total of 100 breast cancer patients treated in Oncology Department at a Class m Grade A hospital in Daqing City of Heilongjiang Province were selected as subjects by convenience sampling. The endocrine therapy adherence and IP of patients were investigated with the breast cancer endocrine therapy adherence questionnaire and Brief Illness Perception Questionnaire （B1PQ）. Pearson correlation and multiple linear regression were used to analyze the correlation between them. Results A total of 98 valid questionnaires were collected totally. Except for entry 3, 6 and 7, the scores on entries and total score of IP of patients were positively correlated with the endocrine therapy adherence （P 〈 0.05）. Except for entry 7, score of each entry and total score aU entered the regression equation of adherence. Conclusions The IP of breast cancer patients has a correlation with the endocrine therapy adherence. We should raise the level of positive IP of patients by positive direction and intervention so as to improve endocrine therapy adherence of patients.