196例乳腺癌化疗患者尊严现状及影响因素分析

Current Status of Dignity of 196 Breast Cancer Women Receiving Chemotherapy and Its Influence Factors

目的了解乳腺癌化疗患者的尊严现状,分析其影响因素。方法采用方便抽样法,2019年4—6月抽取北京市7所三级甲等医院的乳腺癌化疗患者作为研究对象。采用一般资料调查问卷、患者尊严量表、心理痛苦温度计及领悟社会支持量表,对其进行调查。采用多元线性回归分析乳腺癌化疗患者尊严的影响因素。结果本组乳腺癌化疗患者尊严得分为(38.21±12.98)分;多元线性回归分析结果显示,治疗方案、心理痛苦、社会支持进入回归方程(P<0.01),共解释乳腺癌化疗患者尊严总变异的41.6%。结论本组乳腺癌化疗患者的尊严处于轻度受损水平,建议医护人员重点关注有乳腺切除术史、心理痛苦评分较高及社会支持得分较低的乳腺癌化疗患者,根据其情况进行个性化指导,鼓励乳腺癌化疗患者之间多交流,鼓励亲友多向患者表达关心和爱,从而提高患者的尊严水平。

Objective To investigate the status quo of dignity in breast cancer women receiving chemotherapy and explore its influence factors.Methods With cross-sectional survey method,breast cancer women receiving chemotherapy from 7 tertiary grade-A hospitals were investigated by demographic questionnaire,Patients Dignity Inventory,Distress Thermometer and Perceived Social Support Scale from April to June 2019.Multiple linear regression was used to predict the influencing factors of patient dignity.Results The total score of dignity was 38.21±12.98.Multiple linear regression showed that three variables,including treatment plan,psychological distress and social support entered into the regression equation(P<0.01),which could explain 41.6%of the total variance of dignity.Conclusion The dignity of breast cancer women receiving chemotherapy is at a slightly low level.Medical staff should pay more attention to patients with history of mastectomy,those psychological distress and those without more social support and take continuous intervention to encourage family members and friends to extend care and love to the patients,thus to improve their dignity.