女性乳腺癌术后化疗患者需求现状及影响因素分析

Analysis on demand status and influencing factors of female breast cancer patients undergoing postoperative chemotherapy

目的了解女性乳腺癌术后化疗患者需求现状及影响因素。方法采用便利抽样法,选取2021年2月至6月于武汉大学人民医院和湖北省肿瘤医院就诊的120例女性乳腺癌术后化疗患者和配偶为研究对象,采用一般资料调查表、女性乳腺癌患者需求评估量表、女性乳腺癌患者配偶需求评估量表、安德森症状评估量表进行调查。结果女性乳腺癌术后化疗患者需求总分为101.50(94.00,107.75)分,处于中等偏上水平。不同文化程度、医疗费用支付方式和肿瘤有无转移的患者需求得分比较,差异有统计学意义(P<0.05)。患者需求与神经-心理症状群(r=0.196)、胃肠道症状群(r=0.187)、配偶需求(r=0.238)呈正相关(P<0.05)。医疗费用支付方式、肿瘤有无转移、神经-心理症状群和配偶需求进入回归模型(P<0.05),共解释患者需求得分总变异的33.2%。结论女性乳腺癌术后化疗患者需求处于中等偏上水平,应提供针对性的干预措施,促进患者需求满足和疾病转归。

Objective To understand the demand status and influencing factors of female breast cancer patients undergoing postoperative chemotherapy.Methods By convenience sampling method,a total of 120 female breast cancer patients with postoperative chemotherapy and their spouses visited the Renmin Hospital of Wuhan University and Hubei Cancer Hospital from February to June 2021 were selected as the survey subjects.General information questionnaire,female breast cancer patient needs assessment scale,female breast cancer patients’spouses needs assessment scale,and Anderson symptom assessment scale were used to conduct questionnaire surveys.Results Total needs of female breast cancer patients with postoperative chemotherapy was 101.50(94.00,107.75)points,which was above middle level.There were statistically significant differences in the demand scores of patients with different education levels,medical expense payment methods,and tumor metastasis(P<0.05).Patients’needs were positively correlated with neuro-psychological symptom group(r=0.196),gastrointestinal symptom group(r=0.187),and spouse need(r=0.238)(P<0.05).Medical expense payment mode,tumor metastasis,neuro-psychological symptom group,and spouse need were entered into the regression equation(P<0.05),which explained 33.2%of the total variation of patients’needs score.Conclusion The needs of female breast cancer patients undergoing postoperative chemotherapy are above medium level,so provide targeted intervention measures,and promote patient needs satisfaction and the healing of the disease.