乳腺癌改良根治术后患者居家功能锻炼依从性发展轨迹探究  

Analysis of the development trajectory of home functional exercise compliance in breast cancer patients after modified radical mastectomy

作　　者：储小敏 许勤[2] 娄颖[1] 王子君[1] 张艳 CHU Xiaomin;XU Qin;LOU Ying;WANG Zijun;ZHANG Yan(Department of General Surgery,the Second Affiliated Hospital of Nanjing Medical University,Nanjing 210011,China)

机构地区：[1]南京医科大学第二附属医院普外科,南京210011 [2]南京医科大学,211166 [3]深圳大学总医院普外科,518000

出　　处：《临床肿瘤学杂志》2021年第7期633-637,共5页Chinese Clinical Oncology

摘　　要：目的观察乳腺癌改良根治术后患者居家功能锻炼依从性的发展轨迹,为临床个体化干预提供依据。方法收集2019年1月至2019年12月接受乳腺癌改良根治术的患者108例。采用乳腺癌术后功能锻炼依从性量表、抑郁自评量表(SDS)和焦虑自评量表(SAS),分别于术后2周、3个月、6个月进行居家功能锻炼依从性及心理状态调查。采用M plus软件潜变量数据模型绘制功能锻炼依从性发展轨迹,分析模型各亚组变化趋势。结果全组患者术后居家功能锻炼总体依从性呈现下降趋势,依从性高低与焦虑和抑郁心理状态呈负相关(-10.05)。结论乳腺癌患者术后居家功能锻炼依从性水平受心理状态影响,早期依从性水平决定后期依从性高低,尚不能通过社会特征预测患者术后依从性轨迹变化。Objective To observe the development trajectory of patients􀆳home functional exercise compliance after modified radical mastectomy,and thereby providing evidence for individualized intervention of functional exercise compliance.Methods A total of 108 patients undergoing modified radical mastectomy from January 2019 to December 2019 were collected.The compliance and mental status of home function exercise were investigated at 2 weeks,3 months and 6 months after operation by using the compliance scale for breast cancer,self⁃rating depression scale(SDS)and self⁃rating anxiety scale(SAS).The development trajectory of functional exercise compliance was performed by using M plus software latent variable data model,and the change trend of each subgroup of the model was further analyzed.Results The overall compliance of patients with home functional exercise after surgery showed a downward trend.The compliance was negatively correlated with their mental state(-1<r<0,P<0.05).The development trajectory of compliance showed four different types of groups,namely,“high compliance group”,“moderate compliance slowly decreasing group”,“moderate compliance rapid decreasing group”and“low compliance slowly decreasing group”.There were significant differences of slope factor and intercept factor among the category groups(P<0.05).No significant differences in the social characteristics such as education background,family per capita income,occupation,residence and working status were observed among the four groups(P>0.05).Conclusion Postoperative home functional exercise compliance level of breast cancer patients is affected by psychological state,and early compliance level determines the later stage.It is not yet possible to predict trajectory changes in patient compliance after surgery based on social characteristics.

关 键 词：乳腺癌 功能锻炼 依从性 发展轨迹 

分 类 号：R737􀆰[医药卫生—肿瘤]