乳腺癌相关淋巴水肿患者自我护理行为现状及影响因素研究  

The status and influencing factors of self-care behavior in patients with breast cancer related lymphedema

作　　者：尤渺宁[1,2] 万巧琴 吕治华[1] 康京京[1] 田军[1] 曹祥 关睿琦 侯春雨 于子然 YOU Miaoning;WAN Qiaoqin;LYU Zhihua;KANG Jingjing;TIAN Jun;CAO Xiang;GUAN Ruiqi;HOU Chunyu;YU Ziran(Department of Breast Oncology,Peking University Cancer Hospital and Beijing Institute for Cancer Research,Beijing 100142,China;School of Nursing,Peking University,Beijing 100191,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所乳腺肿瘤内科,北京市100142 [2]北京大学护理学院,北京市100191

出　　处：《护理管理杂志》2022年第9期648-654,共7页Journal of Nursing Administration

基　　金：科技部“主动健康和老龄化科技应对”重点专项(2020YFC2008804);北京大学郎泰护理科研基金资助项目(LTHL18MS10)。

摘　　要：目的调查乳腺癌相关淋巴水肿患者自我护理行为现状,并分析其影响因素。方法采用便利抽样方法,选取2021年7月至12月北京市某肿瘤专科医院淋巴水肿康复护理门诊151例乳腺癌相关淋巴水肿患者为研究对象;运用一般资料问卷、乳腺癌相关淋巴水肿患者自我护理行为量表、乳腺癌淋巴水肿症状指数量表和淋巴水肿健康信念问卷对患者进行调查。结果乳腺癌相关淋巴水肿患者自我护理行为得分为51~96(71.66±7.36)分,得分指标为63.98%;分层回归分析结果显示:最终模型拟合成功(F=23.471,P<0.01),乳腺癌相关淋巴水肿患者年龄、体质指数、手术方式和健康信念是其自我护理行为的影响因素(P<0.05),可以解释乳腺癌相关淋巴水肿患者自我护理行为总体水平变异的26.2%。其中,健康信念能独立影响自我护理行为总体水平变异的12.6%,即健康信念水平越高,其自我护理行为水平越高。结论乳腺癌相关淋巴水肿患者的自我护理行为处于中等偏下水平,有待提高;健康信念是乳腺癌相关淋巴水肿患者自我护理行为重要的影响因素。医护人员应重视评估乳腺癌相关淋巴水肿患者的健康信念水平,制订有针对性的管理计划,提高患者健康信念水平,从而达到提高患者自我护理行为水平的目的。Objective To investigate the status of self-care behavior in patients with breast cancer-related lymphedema(BCRL)and analyze its influencing factors.Methods A total of 151 patients with BCRL were investigated from July to December 2021 by convenience sampling strategy from the lymphema rehabilitation clinic of a cancer hospital in Beijing.General situation questionnaire,the Breast Cancer Related Lymphedema Self-Care Scale(BCRL-SCS),Breast Cancer and Lymphedema Symptom Experience Index,and Lymphedema Health Belief Questionnaire were used to conduct the investigation.Results The score of BCRL-SCS was 51~96(71.66±7.36),and the scoring rate was 63.98%.Stratified regression analysis showed that the final model fitting was successful(F=23.471,P<0.01).Age,body mass index(BMI),operation mode and health belief were the influencing factors of self-care behavior(P<0.05),which explained 26.2%of the variation.Health belief independently affected 12.6%of the variation,which meaned the higher level of health belief,the higher level of self-care behavior.Conclusion The level of self-care behavior of patients with BCRL is lower than the middle level and needs to be improved.Health belief is an important influencing factor of self-care behavior of patients with BCRL.Medical staff should pay attention to developing targeted management plans to improve patients'health beliefs level about self-care and enhance the level of patients'self-care behavior.

关 键 词：乳腺癌相关淋巴水肿 自我护理行为 健康信念 

分 类 号：R473.6[医药卫生—护理学] R473.73[医药卫生—临床医学]