乳腺癌患者术后恐动症现状及影响因素研究

Status of postoperative kinesiophobia among breast cancer patients and its influencing factors

目的调查乳腺癌患者术后恐动症现状,分析其影响因素。方法对169例乳腺癌术后患者,采用一般资料调查表、恐动症Tampa量表、简易应对方式问卷、视觉模拟评分法、焦虑自评量表进行调查,分析乳腺癌患者术后恐动症的影响因素。结果乳腺癌患者术后恐动症得分为(36.23±5.28)分,50例(29.59%)患者存在恐动症。多元线性回归分析显示,文化程度、家庭人均月收入、是否行淋巴结清扫、积极应对、疼痛程度、焦虑情绪是乳腺癌患者术后恐动症的影响因素(P<0.05,P<0.01),可解释恐动症总变异的38.30%。结论乳腺癌患者术后恐动症发生率较高,医护人员需采取针对性干预措施帮助患者降低术后恐动症水平,使患者早期开展功能锻炼,促进身体康复。

Objective To investigate the status of postoperative kinesiophobia in breast cancer patients and to analyze its influencing factors.Methods A total of 180 postoperative breast cancer patients were selected and investigated with a demographic questionnaire,the Tampa Scale of Kinesiophobia,the Simplified Coping Style Questionnaire(SCSQ),the Visual Analogue Scale,and the Self-rating Anxiety Scale.Results The breast cancer patients(36.23±5.28)points in kinesiophobia,with 50 cases(29.59%)being found to have kinesiophobia.Multiple linear regression analysis showed that education levels,household monthly income per person,whether having had lymph node dissection,active coping scores,pain scores and anxiety scores were the influencing factors of postoperative kinesiophobia in breast cancer patients.All these factors could explain 38.30%of the total variation of kinesiophobia.Conclusion The incidence of postoperative kinesiophobia in breast cancer patients is high,which should arouse the attention of me-dical staff.Targeted intervention measures should be taken to help patients reduce the level of postoperative kinesiophobia,so that patients can carry out early functional exercise and speed up physical recovery.