肿瘤相关科室和生殖科医生及肿瘤患者对生育力保护认知现状的调查研究  

Investigation and research on the cognition of the fertility preservation of the oncology and reproductive related physicians and the patients with cancer

作　　者：李嘉恒[1] 李乙江 李孟诺 赵贤玲 管一春[1] 刘艳丽[1] 贾琪[1] 李静[1] 杜姗姗 吕以东[1] LI Jiaheng;LI Yijiang;LI Mengnuo;ZHAO Xianling;GUAN Yichun;LIU Yanli;JIA Qi;LI Jing;DU Shanshan;LV Yidong(Reproductive Medicine Center,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan Province,450000)

机构地区：[1]郑州大学第三附属医院,450000

出　　处：《中国计划生育学杂志》2024年第5期1009-1016,1021,共9页Chinese Journal of Family Planning

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190365);国家重点研发计划“生育健康及妇女儿童健康保障”重点专项(2021YFC2700602)。

摘　　要：目的:对年轻肿瘤患者以及肿瘤相关科室医生、生殖科医生进行关于生育力保护(FP)认知情况的调查,寻求影响双方认知的因素,为实施开展FP提供更多支持。方法:2022年11月-2023年6月对河南省内7所医院的医生及肿瘤患者通过线上线下结合方式进行问卷调查,采集其基本信息和FP认知等相关资料,分析医生和患者对于FP的认知情况及态度。结果:共回收有效患者问卷69份,医生问卷256份。60.8%的肿瘤患者知道可以保存生育能力,仅47.8%的患者通过医生了解FP相关知识;63.8%的患者担心会刺激肿瘤复发等,46.4%有年龄相关顾虑。未生育和生育过女孩的患者更有了解FP的意愿,在化疗前已经了解放化疗损害的患者对FP的认知程度更高。中级职称、向患者说明放化疗影响、了解FP概念及意义、询问年轻患者生育需求的肿瘤相关科室医生更倾向于向患者推荐FP。是否知道肿瘤患者可以进行FP是生殖科医生是否向患者推荐FP的独立影响因素。结论:患者缺乏FP的相关认知,肿瘤相关科室和生殖科医生对于FP的认识尚不足,部分医院未开展FP实践工作,建立肿瘤-生殖多学科协作平台十分必要。Objective:To investigate the cognition of the fertility preservation(FP)of the young patients with cancer,the oncology related physicians and the reproductive physicians,in order to explore the factors affecting the cognition of the patients and the physicians,so as to provide more support for the implementation of FP.Methods:From November 2022to June 2023,the physicians and the patients with cancer from 7hospitals in Henan province were surveyed through a combination of online and offline questionnaire survey.The basic information,the FP cognition and other related data of the physicians and the patients were collected.The cognition and the attitude of the physicians and the patients towards FP were analyzed.Results:The valid questionnaires from 69patients and 256physicians were collected.60.8%patients with cancer knew FP,but only 47.8%patients learned the FP related knowledge from the physicians.63.8%patients concerned about the cancer recurrence because of the stimulating of FP and 46.4%patients concerned their age.The patients who were nulliparous or who had given birth to girls were more willing to learn about FP.The patients who had been aware of the damage of the chemoradiotherapy of the cancer before treatment had higher cognition on FP.The oncology related physicians with the intermediate professional titles,who had explained the effects of chemoradiotherapy to patients,who had understood the concept and significance of FP,or who had asked about the fertility needs of the young patients were more likely to recommend FP to the patients.Knowing that the patients with cancer could undergo FP of the reproductive physicians is an independent factor affecting their recommend FP to the patients.Conclusion:The patients lack the FP knowledge,the oncology and the reproductive related physicians have insufficient knowledge on FP and some hospitals have not carried out the FP practice,so it is necessary to establish a multidisciplinary collaboration platform of the oncology and reproduction.

关 键 词：生育力保存 放化疗 年轻肿瘤患者 医生 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]