中青年女性乳腺癌患者根治术后放化疗期间失志症候群现状及其影响因素分析  

Current situation and influencing factors of demoralization syndrome among young and middle-aged female breast cancer patients with radiochemotherapy after radical resection

作　　者：肖雪 傅兰 李婷 韩佳南 Xiao Xue;Fu Lan;Li Ting;Han Jianan(Department of Geriatrics,Qingdao Stomatological Hospital,Qingdao 266001,China;Nursing Department,Siping Central Hospital of Jilin Province,Siping 136000,China;Nursing Department,Qingdao Stomatological Hospital,Qingdao 266001,China)

机构地区：[1]青岛市口腔医院老年科,266001 [2]吉林省四平市中心医院护理部,136000 [3]青岛市口腔医院护理部,266001

出　　处：《中华现代护理杂志》2020年第15期2005-2010,共6页Chinese Journal of Modern Nursing

基　　金：青岛市医疗卫生重点学科建设项目资助(2020-2022)。

摘　　要：目的:了解中青年女性乳腺癌患者根治术后放化疗期间失志症候群现状,分析其影响因素。方法:采用便利抽样方法,选取2019年1—9月在吉林省某三级甲等医院乳腺外科的中青年女性乳腺癌患者204例为研究对象。采用一般情况调查表、中文版失志量表(Demoralization Scale-Mandarin Version,DS-MV)、医学应对量表(Medical Coping Modes Questionnaire,MCMQ)、社会支持评定量表(Social Support Rate Scale,SSRS)对其进行调查。共发放问卷204份,回收有效问卷192份。结果:192例中青年女性乳腺癌患者DS-MV得分(33.72±14.23)分;MCMQ总分(42.49±8.83)分,其中面对应对(19.12±4.10)分,回避应对(14.28±3.26)分,屈服应对(9.39±3.48)分;SSRS总分(35.39±6.23)分。多重线性回归分析显示,年龄、文化程度、术后时间、面对应对、屈服应对、社会支持是乳腺癌患者失志的影响因素。结论:中青年乳腺癌患者根治术后放化疗期间失志处于较高水平。医护人员针对年龄较小、文化水平低、术后时间短、采取屈服应对方式面对疾病,且社会支持较低的患者,应给予针对性干预,促进其身心健康。Objective To explore the current situation of demoralization syndrome among young and middle-aged female breast cancer patients with radiochemotherapy after radical resection and to analyze its influencing factors.Methods From January 2019 to September 2019,this study selected 204 young and middle-aged female breast cancer patients of Breast Surgery at a ClassⅢGrade A hospital in Jilin Province as subjects by convenience sampling.All patients were investigated with the General Information Scale,Demoralization Scale-Mandarin Version(DS-MV),Medical Coping Modes Questionnaire(MCMQ)and the Social Support Rate Scale(SSRS).A total of 204 questionnaires were sent out and 192 valid questionnaires were collected.Results Among 192 young and middle-aged female breast cancer patients,the score of DS-MV was(33.72±14.23);the total score of MCMQ was(42.49±8.83),scores of confronce,avoidance and resignation dimension were(19.12±4.10),(14.28±3.26)and(9.39±3.48)respectively;the total score of SSRS was(35.39±6.23).Multiple linear regression analysis showed that the influencing factors of demoralization of breast cancer patients included the age,education level,time after surgery,confronce coping,resignation coping and social support.Conclusions Demoralization of young and middle-aged female breast cancer patients with radiochemotherapy after radical resection has a high level.Medical staff should provide targeted intervention for patients with young age,low level of education,short time after surgery,facing disease with the resignation coping style and low level of social support so as to improve their physical and mental health.

关 键 词：乳腺肿瘤 中青年女性 乳腺癌根治术 失志症候群 影响因素 

分 类 号：R473.73[医药卫生—护理学]