摘要
目的调查乳腺癌患者家庭调适与就医延迟的现状,并分析两者之间的关系,为缩短乳腺癌患者就医延迟时间,提高患者生存率提供理论依据。方法采用一般情况调查表、家庭亲密度与适应性量表中文版(family adaptation and cohesion evaluation scalesⅡ‐Chinese version,FACEⅡ‐CV)及自编的就医情况调查表,以便利抽样的方法,选取安徽省肿瘤医院2023年1—7月乳腺外科、普外科、肿瘤科就诊的212例乳腺癌术后患者为对象进行调查,共回收有效问卷209份,有效回收率98.6%。结果乳腺癌患者就医总延迟率为52.1%;家庭亲密度与适应性维度得分分别为(36.84±7.27)分和(35.30±6.28)分;单因素分析结果表明,家庭人均月收入水平、是否为贫困户或低保户是乳腺癌患者就医延迟的相关因素(P均<0.01);偏相关分析结果显示,乳腺癌患者家庭亲密度与适应性得分与就医延迟时间呈负相关(P均<0.05)。多因素线性回归分析结果显示,在乳腺癌患者家庭调适2个维度中,家庭亲密度对就医延迟的影响更大。结论安徽省肿瘤医院就诊的女性乳腺癌患者就医延迟情况严重,家庭亲密度与适应性处于较低水平,患者的家庭亲密度与适应性水平均对就医延迟时间产生显著的负向影响。建议相关部门进一步展开乳腺癌发病危险因素和乳腺自检等方面的知识普及,医护人员可尝试发挥家庭调适功能,以改善患者的就医延迟情况。
Objective:To investigate the current situation of family adjustment and delay in breast cancer patients and analyze the relationship between themand provide a theoretical basis for shortening the delay time and improving the survival rate of breast cancer patients.Methods:general situation questionnaire,family intimacy and adaptability scale,Chinese version(family adaptation and cohesion evaluation scalesⅡ-Chinese version,FACEⅡ-CV)and the self-compiled medical information questionnaire.By convenience sampling methods,212 patients of breast cancer surgery in breast surgery,general surgery and oncology departments of Anhui Cancer Hospital were selected from January to July 2023.A total of 209 valid questionnaires were collected and effective recovery rate was 98.6%.Results:The total delay rate of medical treatment for patients with breast cancer was 52.1%;family intimacy and adaptive dimension scores were(36.84±7.27)and(35.30±6.28)respectively;the univariate analysis showed that the per capita monthly income,poor family and subsistence-allowance faimilywere the related factors of the delay of breast cancer patients(P<0.01);the partial correlation analysis showed that family intimacy and adaptive delay of breast cancer patients were negatively correlated(P<0.05).The results of multivariate linear regression analysis showed that family intimacy affected the medical delay in breast cancer patients more in the two dimensions of family adjustment.Conclusion:Female breast cancer patients in Anhui Cancer Hospital have serious delay,their family intimacy and adaptability are at a low level,and their family intimacy and adaptability level have a significant negative impact on the delay time.It is suggested that the relevant departments should further popularize the knowledge of the risk factors of breast cancer and breast self-examination,and the medical and nursing staff can try to play the role of family adjustment function to improve the delay of patients'medical treatment.
作者
席妮
胡伟男
雷紫微
严文浩
肖锦铖
XI Ni;HU Weinan;LEI Ziwei;YAN Wenhao;XIAO Jincheng(School of Health Management,Anhui Medical University,Hefei 230032,China)
出处
《山东第一医科大学(山东省医学科学院)学报》
CAS
2023年第12期910-916,共7页
Journal of Shandong First Medical University & Shandong Academy of Medical Sciences
基金
安徽省教育厅人文社会科学研究重点项目(SK2019A0164)
公共健康社会治理安徽省哲学社会重点实验室资助项目(PHG202308)。
关键词
乳腺癌
就医延迟
家庭调适
家庭亲密度与适应性
breast cancer
medical delay
family adjustment
family intimacy and adaptability