云南省女性乳腺癌患者社会支持及其相关因素分析

Analysis on Social Support Status and Associated Factors among Breast Cancer Patients in Yunnan

目的了解云南省乳腺癌患者社会支持水平并探讨其影响因素.方法根据统一的纳入和排除标准对121例住院化疗乳腺癌患者进行问卷调查,内容包括社会人口学特征、社会支持水平和自我效能感,并对患者现有临床实验数据进行收集.数据以SPSS软件处理,进行频数描述,相关分析采用χ2检验和非参数检验.结果腺癌化疗患者社会支持总分、客观支持、主观支持、支持利用度的水平分别为(49.43±5.69)分,(13.35±2.51)分,(27.59±3.78)分,(8.50±1.98)分.将可能影响社会支持的9个变量:年龄、文化程度、婚姻状况、职业、月收入、居住地、宗教信仰、医疗费用支付类型、自我效能感纳入单因素分析,结果显示仅有婚姻状况、自我效能感与社会支持存在正相关,差异有统计学意义(P<0.05).结论云南省化疗乳腺癌患者社会支持水平整体较好,但对支持的利用不足.存在婚姻关系和提高自我效能能增强乳腺癌患者的社会支持水平.

Objectives To understand the social support levels among breast cancer patients in Yunnan, as well as to explore the factors associated with social support. Methods According to the unified inclusion and exclusion criteria,121 breast cancer in-patients with chemotherapy were interviewed with structured questionnaire.Social demographic characteristics, Xiao's Social Support Rating Scale,General Self-Efficacy Scale,clinical and experimental data were collected. SPSS version19.0 was used to analyze the frequency and the correlation between social support and influential variables were analyzed by using the chi-square test and non-parametric test. Results The levels of social support in total, objective social support, subjective social support and utilization degree for breast cancer patients were(49.43±5.69), (13.35±2.51), (27.59±3.78), (8.50±1.98) respectively.Marriage status and self-efficacy were associated with social support level significantly. The influencing factors such as age, education level, marital status,occupation, income, place of residence, religion, medical expenses payment type,self-efficacy were included in the univariate analysis. However, only marital status and self efficacy were positively correlated with social support (p<0.05) . Conclusions The breast cancer patients in Yunnan have a higher social support level overall. Having-marriage status and higher self-efficacy have a positive influence on breast cancer in patients' social support level.