未婚女性乳腺癌术后患者健康坚韧性影响因素的调查分析

Investigation and analysis of influencing factors of health tenacity in unmarried female breast cancer patients after operation

目的探讨未婚女性乳腺癌术后患者健康坚韧性的主要影响因素,为临床制订护理干预措施提供理论依据。方法采用目的取样研究法,选取天津市3所三级甲等医院(天津市肿瘤医院、天津市中心妇产科医院、天津市人民医院)未婚女性乳腺癌术后患者222例,采用应对方式问卷(SCSQ)、社会支持评定量表(SSRS)、健康坚韧性问卷(RHHI-24)和自行设计的一般资料调查表进行问卷调查,分析患者健康坚韧性的主要影响因素。结果222例未婚女性乳腺癌术后患者健康坚韧性总分为(75.58±8.87)分,处于中等水平;积极应对得分为(2.16±0.53)分,消极应对得分为(1.56±0.44)分;社会支持总分为(39.93±8.45)分,高于国内常模。回归分析显示,社会支持状况、病程分期、医疗费用来源、积极应对及其居住地是未婚女性乳腺癌术后患者健康坚韧性的主要影响因素(t=-5.403~5.908,P<0.05或0.01)。结论加强对社会支持低、病程分期晚、经济状况差、消极应对及其非城市居住的未婚女性乳腺癌术后患者的护理干预,鼓励患者采取积极应对方式,最大程度地为患者提供全方位的社会支持,以期提高患者健康坚韧性水平。

Objective To explore the main influencing factors of health tenacity of unmarried female breast cancer patients after operation,and to provide theoretical basis for clinical nursing intervention.Methods A total of 222 unmarried female breast cancer patients were selected from 3 Grade 3A hospitals in Tianjin(Tianjin Cancer Hospital,Tianjin Central obstetrics and Gynecology Hospital,Tianjin People′s Hospital).The Simplified Coping Style Questionnaire(SCSQ),Social Support Rating Scale(SSRS),was used in the study.The Revised Health Hardiness Inventor(RHHl-24)and the self-designed general data questionnaire were used to analyze the main influence of the patient′s health tenacity.Results The total score of health tenacity among 222 unmarried female breast cancer patients after operation was 75.58±8.87,which was located at the middle level;the score of positive coping was 2.16±0.53 and negative coping was 1.56±0.44;the total score of social support was 39.93±8.45,which was higher than score of domestic norm.The regression analysis showed that the main factors of health tenacity were social support,the stages of breast cancer,the source of medical expenses,positive coping and place of residence in unmarried female breast cancer patients after operation(t=-5.403-5.908,P<0.05 or 0.01).Conclusions We should strengthen nursing intervention for unmarried female breast cancer patients with low social support,late course of disease,poor economic status,negative coping and non-urban residence,and encourage patients to adopt positive coping style.Provide all-round social support to patients in order to improve the patient's health and tenacity.