育龄期男性甲状腺癌患者生育忧虑现状及影响因素分析  

Current status and influencing factors of reproductive concerns among male thyroid cancer patients of childbearingage

作　　者：姜玉 秦春元[2] 吴亮秋贺 张青[1] Jiang Yu;Qin Chunyuan;Wu Liangqiuhe;Zhang Qing(School of Nursing,Wuhan University,Wuhan 430064,China;Nuclear Medicine Department,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430000,China)

机构地区：[1]武汉大学护理学院,武汉430064 [2]华中科技大学同济医学院附属同济医院核医学科,武汉430000

出　　处：《中华现代护理杂志》2024年第26期3596-3601,共6页Chinese Journal of Modern Nursing

摘　　要：目的了解育龄期男性甲状腺癌患者生育忧虑状况, 并探讨其影响因素。方法采用便利抽样法选取2022年5月-2023年8月在武汉2所三级甲等医院就诊的298例育龄期男性甲状腺癌患者为研究对象, 采用一般人口学资料调查表、男性生育忧虑量表、痛苦表露指数量表、心理弹性量表进行问卷调查。采用单因素分析和多重线性分层回归分析对患者生育忧虑的影响因素进行分析。结果最终纳入275例育龄期男性甲状腺癌患者, 患者生育忧虑总分为(47.66±11.44)分, 自我表露总分为(37.22±5.80)分, 心理弹性总分为(62.45±8.73)分, 生育忧虑得分与自我表露和心理弹性得分均呈负相关(r值分别为-0.636、-0.656, P均<0.01)。分层回归分析结果显示:文化程度、家庭月收入、子女个数、生育意愿、是否需要131I治疗、自我表露、心理弹性是育龄期男性甲状腺癌患者生育忧虑的影响因素(P<0.05)。在控制人口社会学资料后, 自我表露和心理弹性可以解释育龄期男性甲状腺癌患者生育忧虑的8.6%。结论育龄期男性甲状腺癌患者生育忧虑处于中等偏上水平, 医护人员应根据其影响因素制定系统、有效的干预策略, 以降低育龄期男性甲状腺癌患者生育忧虑水平。Objective To explore the reproductive concerns of male thyroid cancer patients of childbearing age and analyze their influencing factors.Methods From May 2022 to August 2023,convenience sampling was used to select 298 male thyroid cancer patients of childbearing age who visited two Class II Grade A hospitals in Wuhan as research subjects.General Information Questionnaire,Reproductive Concerns after Cancer Scale-Male,Distress Disclosure Index,and 14-Item Resilience Scale were used for the survey.Single factor analysis and multiple linear hierarchical regression were used to analyze the influencing factors of reproductive concerns.Results A total of 275 male thyroid cancer patients of childbearing age were included.The total scores of reproductive concerns,self-disclosure,and psychological resilience were(47.66±11.44),(37.22±5.80),and(62.45±8.73),respectively.The score of reproductive concerns was negatively correlated with the scores of self-disclosure and psychological resilience,and the difference was statistically significant(r=-0.636,-0.656;P<0.01).Hierarchical regression analysis showed that educational level,monthly family income,numberof children,fertility intention,'1 reatment,self-disclosure,and psychological resilience were the influencing factors of reproductive concerns in male thyroid cancer patients of childbearing age(P<0.05).After controlling for demographic and sociological data,self-disclosure and psychological resilience explained 8.6%of reproductive concerns among male thyroid cancer patients of childbearing age.Conclusions Male thyroid cancer patients of childbearing age have a moderate to high level of reproductive concerns.Medical and nursing staff should develop systematic and effective intervention strategies based on influencing factors to reduce reproductive concerns among male thyroid cancer patients of childbearing age.

关 键 词：甲状腺癌 育龄期 131I治疗 生育忧虑 自我表露 心理弹性 

分 类 号：R473.73[医药卫生—护理学]