青年女性乳腺癌患者自我倡权现状及影响因素分析

Status quo and influencing factors of self-advocacy in young female breast cancer patients

目的了解青年女性乳腺癌患者自我倡权水平并分析其影响因素,为临床干预提供参考。方法采用便利抽样法于2021年5月至2022年6月选取濮阳市人民医院、濮阳市油田总医院的250例青年女性乳腺癌患者作为研究对象。采用一般资料调查表、女性癌症幸存者自我倡权量表、青年癌症患者心理痛苦量表及家庭复原力评定量表进行横断面调查。采用多元逐步线性回归分析青年女性乳腺癌患者自我倡权影响因素。结果共235例青年女性乳腺癌患者完成调查,其自我倡权总分为(77.04±12.76)分,心理痛苦总分为(108.25±18.36)分,家庭复原力总分为(112.93±25.20)分,患者自我倡权与心理痛苦呈负相关(r=-0.548,P<0.001),与家庭复原力呈正相关(r=0.596,P<0.001)。文化程度、性格类型、家庭月收入、自觉经济压力、工作现况、生育意愿、亲密关系、确诊时长、心理痛苦及家庭复原力为青年女性乳腺癌患者自我倡权水平的影响因素(R^(2)=0.595,F=35.31,P<0.01)。结论青年女性乳腺癌患者自我倡权水平有待进一步提高。医护人员应根据影响因素采取针对性措施,以提高其自我倡权水平。

Objective To understand the level of self-advocacy in young female breast cancer patients and analyze its influencing factors,so as to provide reference for clinical intervention.Methods A total of 250 young female breast cancer patients from Puyang People′s Hospital and Puyang Oilfield General Hospital from May 2021 to June 2022 were selected as research objects by convenience sampling method.A cross-sectional survey was conducted using the general information questionnaire,Female Self-Advocacy in Cancer Survivorship,Cancer Distress Scales for Adolescent and Young Adults and Family Resilience Assessment Scale.Multiple stepwise linear regression was used to analyze the influencing factors of self-advocacy in young women with breast cancer.Results A total of 235 young female breast cancer patients completed the survey.The total score for self-advocacy was(77.04±12.76)points,the total score of psychological distress was(108.25±18.36)points,and the total score of family resilience was(112.93±25.20)points.Self-advocacy was negatively correlated with psychological distress(r=-0.548,P<0.001),and positively correlated with family resilience(r=0.596,P<0.001).Education level,personality type,family monthly income,perceived economic pressure,work status,fertility,intimate relationship,diagnosis time,psychological distress and family resilience were the influencing factors of self-advocacy of young female breast cancer patients(R^(2)=0.595,F=35.31,P<0.01).Conclusions The level of self-advocacy of young female breast cancer patients should be further improved.Medical staff should take targeted measures according to influencing factors to improve their self-advocacy level.