康复期乳腺癌患者家庭功能的调查研究  

Survey of Family Function in Rehabilitative Breast Cancer Patients

作　　者：王林[1] 王丕琳[1] 宋茂民[1] 刘均娥[2] 

机构地区：[1]首都医科大学附属北京天坛医院乳腺科,北京市100050 [2]首都医科大学,北京市100069

出　　处：《中国康复理论与实践》2015年第6期723-726,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：首都卫生发展科研专项项目(No.首发2011-2004-06)

摘　　要：目的调查乳腺癌治疗后患者的家庭功能状况。方法采用一般情况调查表和家庭功能指数评分(APGAR)问卷对245例康复期乳腺癌患者的一般情况、疾病信息、家庭功能指数进行调查,并分析影响其家庭功能的因素。结果参与调查的康复期乳腺癌患者APGAR为(7.51±1.17)分。其中,家庭功能良好者180例(73.5%),存在中、重度功能障碍者分别有52例(21.2%)和13例(5.3%)。在多元回归分析中发现,影响康复期乳腺癌患者家庭功能指数的因素主要包括是否复发和(或)转移(β=-9.671)、婚姻状况(β=8.29)和是否参加抗癌团体(β=7.402)。结论乳腺癌治疗后患者家庭功能存在一定的问题,值得重视。对于复发、转移的患者需给与更多的关注。健康的婚姻和有益的社交有利于维持良好的家庭功能。Objective To investigate the conditions of family function of rehabilitative breast cancer patients and its related factors. Methods Self-administrated questionnaire and the family APGAR （adaptation, partnership, growth, affection, resolve） index questionnaire were used in 245 breast cancer patients to investigate their general and illness information, and their family APGAR index. The factors relat- ed with the family function of breast cancer patients were analyzed. Results The APGAR score of the participants was （7.51 ＋ 1.17）, and the condition of family was graded from good （73.5%）, moderate impairment （21.2%） to severs impairment （5.3%）. The multiple regression analysis found that the stage of the disease （13=-9.671）, the condition of marriage （13=8.29） and their social activities （13=7.402） related with the APGAR index in rehabilitative breast cancer patients. Conclusion The family function needs attention, especially the metastasis ones in breast cancer patients. A healthy marriage and beneficial socialization contribute to keep good family function.

关 键 词：乳腺癌 家庭关怀 家庭功能指数 康复 

分 类 号：R737.9[医药卫生—肿瘤]