乳腺癌相关淋巴水肿患者自我管理积极度现状及影响因素分析  

Current situation and influencing factors of self-management activation among patients with Breast Cancer-Related Lymphedema

作　　者：王亚菲 王月利[1] 杨光文[1] 袁越[1] 李庆[1] 孔鹏 WANG Yafei;WANG Yueli;YANG Guangwen;YUAN Yue;LI Qing;KONG Peng(Breast Surgery,The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Jinan,250014,China)

机构地区：[1]山东第一医科大学第一附属医院(山东省千佛山医院)乳腺外科,济南市250014

出　　处：《中国护理管理》2024年第9期1329-1334,共6页Chinese Nursing Management

基　　金：山东省研究型医院协会科研项目(2023002)。

摘　　要：目的:了解乳腺癌相关淋巴水肿患者自我管理积极度现状并分析影响因素,为促进患者自我管理积极度干预提供参考。方法:于2023年2月—12月采用便利抽样法,选取济南市8家三级甲等医院收治的222例乳腺癌相关淋巴水肿患者作为研究对象,以三元交互决定论为理论基础,采用一般资料调查表、患者积极度量表、社会影响量表、社会支持量表及自我管理效能感量表进行调查,采用多元线性回归分析影响因素。结果:乳腺癌相关淋巴水肿患者积极度量表得分为(58.74±13.87)分,处于中等水平。多元线性回归结果显示,文化程度、病耻感、社会支持和自我管理效能感是BCRL患者自我管理积极度的影响因素(P<0.05)。结论:乳腺癌相关淋巴水肿患者自我管理积极度总体处于中等水平,未来可结合患者的文化程度、病耻感、社会支持及自我管理效能感情况,制订精准、系统的自我管理积极度干预策略,以促进患者自我管理行为。Objective:To assess the current situation and influencing factors of self-management activation among patients with Breast Cancer-Related Lymphedema(BCRL),so as to provide a reference for promoting the intervention of self-management activation of patients.Methods:Based on the theory of triadic reciprocal determinism,BCRL patients in 8 tertiary grade A hospitals in Jinan were selected as research objects.The general demographic questionnaire,Patient Activation Measure,Social Impact Scale,Social Support Scale,and Strategies Used by Peoole to Promote Health were used for investigation.Multiple linear regression analysis was used to analyze influencing factors.Results:The score of patient activation for BCRL patients was 58.74±13.87,which was in the middle level.The results of multiple linear regression analysis showed that the degree of education,stigma,social support and self-management efficacy were the influencing factors of the active degree of self-management in BCRL patients(P<0.05).Conclusion:The level of self-management activation among BCRL patients is not high.Tailored,systematic intervention strategies should be developed,considering patients'educational backgrounds,disease-related stigma,social support and self-management efficacy level.

关 键 词：乳腺癌相关淋巴水肿 积极度 病耻感 社会支持 自我管理效能感 三元交互决定论 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]