年轻女性癌症患者生育忧虑现状及其影响因素分析  

Reproductive concerns and its influencing factors in young female cancer patients

作　　者：乔婷婷[1] 陈丹丹[1] 郑蔚[1] 邢伟[1] 张苇[1] 史艳萍[1] 

机构地区：[1]郑州大学第二附属医院,河南郑州450000

出　　处：《现代预防医学》2017年第1期64-68,共5页Modern Preventive Medicine

基　　金：2013年度河南省重点科技攻关项目(132102310397)

摘　　要：目的调查年轻女性癌症患者生育忧虑现状,并分析其影响因素。方法采用一般资料调查表及中文版癌症后生育忧虑量表对380名年轻女性癌症患者进行调查分析。结果年轻女性癌症患者生育忧虑总分为(57.26±8.340)分;年轻女性癌症患者的文化程度、子女数、生育意愿及癌症类型进入生育忧虑的回归方程,能够解释总变异的35.0%;其中回归分析显示,癌症类型的3个虚拟变量中,甲状腺癌患者与乳腺癌患者相比,其生育忧虑水平为低(β=-0.151,t=-2.499,P=0.013);而妇科恶性肿瘤及大肠癌患者与乳腺癌患者的生育忧虑水平无差异。结论年轻女性癌症患者的生育忧虑水平较高,个体文化程度、子女数、生育意愿及癌症类型是影响生育忧虑的重要因素,医务人员应针对影响因素采取有效的心理干预策略。Objective To investigate reproductive concerns of young female cancer patients,and analyze its influencing factors. Methods A total of 380 patients were selected to fill in questionnaires including general information questionnaire and Chinese version of the Reproductive Concerns After Cancer. Results The overall reproductive concerns score for young female cancer patients was 57.26±8. 340. Educational level,the number of children, fertility desire and types of cancer entered the multiple regression equations and explained the variance of 35.0%. Compared to breast cancer patients, thyroid cancer patients with lower level of reproductive concerns （β= - 0.151, t = - 2. 499, P = 0. 013 ） , while reproductive concerns scores of colorectal cancer and gynecological cancer patients showed no difference. Conclusion Young female cancer patients have higher reproductive concerns. Educational level, the number of children, fertility desire and types of cancer are influencing factors of reproductive concerns. Health care workers should adopt effective mental health improvement strategies.

关 键 词：女性 癌症 生育忧虑 影响因素分析 

分 类 号：R15[医药卫生—营养与食品卫生学]