乳腺癌患者个人掌控感及其影响因素研究  

Study on the level of mastery and its influencing factors in patients with breast cancer

作　　者：张婷[1] 李惠萍[1] 杨娅娟[1] 吴卫琴[1] 苏丹[1] 

机构地区：[1]安徽医科大学护理学院,安徽合肥230601

出　　处：《现代预防医学》2018年第2期251-254,共4页Modern Preventive Medicine

基　　金：安徽省高校自然科学研究项目(KJ2017A165);安徽医科大学校科研基金项目(2017xkj018)

摘　　要：目的探讨乳腺癌患者个人掌控感现状及其影响因素,为临床心理护理提供依据。方法在安徽省某2所三甲医院便利抽取288名住院乳腺癌患者为调查对象,采用一般资料调查问卷、生活掌控感量表、自尊量表、一般自我效能感量表、多元领悟社会支持量表、生活定向测验修订版量表对其进行问卷调查。利用SPSS 13.0对调查结果进行统计描述,采用方差分析、t检验、Pearson相关性分析和多元线性回归分析个人掌控感的影响因素。结果乳腺癌患者个人掌控感总均分为(26.83±3.86)分;乳腺癌患者个人掌控感总分与自尊、一般自我效能感、乐观、领悟社会支持得分均呈正相关(r=0.332-0.403,均P<0.01)。多因素分析显示,一般自我效能感、自尊和领悟社会支持是乳腺癌患者个人掌控感的影响因素。结论临床护理人员应动态观察乳腺癌患者个人掌控感水平变化,同时应针对其中的影响因素针对性的加以干预。Objective To explore the level and influencing factors of mastery in breast cancer patients, so as to provide the reference for clinical psychological nursing. Methods A total of 288 patients from two Grade HI A hospitals in Anhui area were investigated with General Information Questionnaire, Mastery Scale for Chinese version, Self-Esteem Scale General Self- efficacy Scale, Multidimensional Scale of Perceived Social Support and Revised Life Orientation Test. SPSS13.0 software wasused to statistically describe the data, and analysis of variance, t-test, Pearsoncorrelation analysis and multivariate linear regression analysis were used to analyze the influencing factors of mastery. Results The average score was 26.83 ~3.86 for mastery. Self-esteem, self-efficacy, optimism and social support had positive correlation with mastery （r=0.332- 0.403, P〈 0.01）. The result of multivariate linear regression analysis showed that self-esteem, self-efficacy and social support were the influencing factors of mastery in patients with breast cancer. Conclusion Nurses should pay more attention to the change of mastery in breast cancer patients, and take diversified measures to promote the level of mastery.

关 键 词：乳腺癌 掌控感 影响因素分析 

分 类 号：R395[哲学宗教—心理学]