乳腺癌患者同伴教育者总体幸福感现状及影响因素研究  

General well-being and its influencing factors in peer educators of breast cancer

作　　者：王悦[1] 刘飞 朱丹[1] 王影新[2] 谷洪涛[3] 万巧琴[4] WANG Yue;LIU Fei;ZHU Dan;WANG Yingxin;GU Hongtao;WAN Qiaoqin

机构地区：[1]北京大学第一医院甲状腺乳腺外科,北京市100034 [2]北京大学第一医院护理部,北京市100034 [3]北京大学第一医院普通外科教研室,北京市100034 [4]北京大学护理学院

出　　处：《中华护理杂志》2024年第2期191-197,共7页Chinese Journal of Nursing

基　　金：北京大学第一医院护理科研苗圃项目(2021MP022)。

摘　　要：目的调查乳腺癌患者同伴教育者的总体幸福感现状并分析其影响因素。方法采用便利抽样法,于2023年1月—2月选取8所三级医院的210例乳腺癌患者同伴教育者作为调查对象,采用一般资料问卷、总体幸福感量表、心理韧性量表、社会支持评定量表进行调查,采用多重线性回归分析乳腺癌患者同伴教育者总体幸福感的影响因素。结果共回收206例乳腺癌患者同伴教育者资料,总体幸福感得分为(86.70±14.08)分;多重线性回归分析结果显示,心理韧性、对支持的利用度和目前每月治疗自费是总体幸福感的影响因素(P<0.001)。结论乳腺癌患者同伴教育者的总体幸福感水平较高,完善乳腺癌患者的社会支持系统,遴选心理韧性较强、善于利用社会支持和目前治疗自费金额低的同伴教育者,关注同伴教育者的心理状态,及时给予积极的心理干预,有助于有提高乳腺癌患者同伴教育者的总体幸福感,保障同伴教育的质量和可持续性。Objective To investigate the general well-being of breast cancer peer educators and to analyze its influencing factors.Methods Convenience sampling method was used to select 210 breast cancer peer educators from 8 tertiary hospitals in China from January to February 2023.General information questionnaires,General Well-Being Scale,Cornor-Davidson Resilience Scale,and Social Support Rating Scale were used for investigation.Multiple linear regression analysis was used to explore the influencing factors of the general well-being in peer educators of breast cancer.Results A total of 206 breast cancer peer educators were investigated.The general well-being score was(86.70±14.08).The results of multiple linear regression analysis showed that psychological resilience,the utilization of social support and the current self-funded treatment of less than 1,000 yuan per month were the influencing factors of general well-being(P<0.001).Conclusion The general well-being of breast cancer peer educators is at a high level.Improving the social support system for breast cancer patients,selecting peer educators with strong psychological resilience,high utilization of social support and low self-funded treatment,and paying attention to the psychologic status of peer educators,providing timely and positive psychological interventions will help to raise the general well-being of breast cancer peer educators and ensure the quality and continuity of peer education.

关 键 词：乳腺肿瘤 同伴教育者 总体幸福感 心理韧性 社会支持 护理 

分 类 号：R473.73[医药卫生—护理学]