乳腺癌术后患者自我形象影响因素研究  

Research on Factors Influencing Self-imaging of Patients after Breast Cancer Resection

作　　者：李瑜[1] 林细吟[2] 杨少雄[1] 叶丽萍[1] 

机构地区：[1]广州中医药大学护理学院基护教研室,广东广州510405 [2]中山大学护理学院基护教研室,广东广州510080

出　　处：《护理学报》2008年第9期83-85,共3页Journal of Nursing（China）

摘　　要：目的了解乳腺癌术后患者的自我形象水平,探讨影响乳腺癌术后患者自我形象水平的因素。方法采用乳腺癌患者自我形象量表、焦虑自评量表、抑郁自评量表、社会支持评定量表和自行设计的一般资料问卷对110例乳腺癌术后患者进行评估,使用stepwise多元回归分析患者自我形象的影响因素。结果术后患者的自我形象总体水平低于健康人群;乳腺癌术后患者自我形象水平与焦虑成负相关,与社会支持水平成正相关,并受患者的年龄、文化程度、配偶等多种因素影响。结论乳腺癌术后患者自我形象受多种因素影响,护理工作中应针对患者的影响因素存在情况给予个体化护理。Objective To understand the level of self-iamging of patients undergoing breast cancer resection, and explore the factors influencing their self-imaging. Methods 100 patients undergoing breast cancer excision were assessed by means of BIBCQ, SAS, SDS, SSS and self-designed questionnaire, and stepwise multiple regression analysis was then made of the various factors influencing the self-imaging. Results The overall self-imaging of the patients was worse than that of the healthy population. The patients＇ self- imaging level was negatively related to their anxiety, and positively related to the level of social support, and was influenced by factors such as their age, educational background, spouse, etc. Conclusion The self-imaging of patients undergoing breast cancer excision was influenced by various factors, and individualized nursing should be offered in light of the specific situation.

关 键 词：乳腺癌 自我形象 影响因素 焦虑 抑郁 社会支持 

分 类 号：R737.9[医药卫生—肿瘤] R395.1[医药卫生—临床医学]