宫颈癌根治术后患者自我形象认知水平及影响因素分析

Analysis of self-image cognition level and influencing factors of cervical cancer patients after radical operation

目的观察宫颈癌根治术后患者自我形象认知水平,分析其影响因素。方法选择2018年4月至2019年11月于本院完成宫颈癌根治术治疗的宫颈癌患者90例,观察患者自我形象认知水平[通过自我形象量表(BIS)评估],根据BIS评分将患者分为自我形象认知水平低下(BIS>10分)和自我形象认知水平正常(BIS≤10分)两组,分析患者基线资料,并通过单因素与多因素分析宫颈癌根治术后患者自我形象认知影响因素。结果52例患者BIS总分>10分,自我形象认知水平低下;单因素与多项Logistic回归分析显示,文化程度低、未绝经、认知融合高、应对方式消极、社交回避与苦恼、家庭支持低为宫颈癌根治术后患者自我形象认知水平低下的影响因素(OR>1,P<0.05)。结论宫颈癌患者根治术后普遍存在自我形象认知水平低下的情况,可能受患者文化程度低、未绝经、认知融合高、应对方式消极、社交回避与苦恼、家庭支持低等因素影响,临床应重视上述影响,并针对性给出合适干预方案。

Objective To observe the self-image cognition level of cervical cancer patients after radical resection,analyze the influencing factors.Methods A total of 90 patients with cervical cancer who underwent radical surgery in our hospital from April 2018 to November 2019 were selected to observing the self-image perception level of the patients[by self-image scale(BIS)assessment].According to the BIS score,the patients were divided into two groups:low self-image cognition level(BIS>10 points)and normal self-image cognition level(BIS≤10 points).The baseline data of the patients were analyzed,and through single factor and multi-factors,the factors influencing patients’self-image cognition after radical operation for cervical cancer were analyzed.Results A total of 52 patients had a total BIS score of>10 and a low self-image perception level.The results of single factor and multiple logistic regression analysis showed that low education level,non-menopausal,high cognitive integration,negative coping style,social avoidance and distress,low family support were the influencing factors of low self-image cognition of patients after radical cervical cancer resection(OR>1,P<0.05).Conclusion Cervical cancer patients generally have low self-image cognition after radical operation,which may be affected by factors such as low education,non-menopause,high cognitive integration,negative coping styles,social avoidance and distress,and low family support.The clinic should pay attention to the above-mentioned influences,and provide appropriate intervention programs.