乳腺癌术后病人运动恐惧的潜在剖面分析及其影响因素  

Latent profile analysis and influencing factors of kinesiophobia in postoperative patients with breast cancer

作　　者：常旭婷 朱雪娇[1] 吴婉英[2] 沈亮 蒋春儿[2] CHANG Xuting;ZHU Xuejiao;WU Wanying;SHEN Liang;JIANG Chuner(School of Nursing,Hangzhou Normal University,Zhejiang 311121 China;Zhejiang Cancer Hospital)

机构地区：[1]杭州师范大学护理学院,浙江311121 [2]浙江省肿瘤医院

出　　处：《护理研究》2024年第24期4341-4348,共8页Chinese Nursing Research

摘　　要：目的:了解乳腺癌术后病人运动恐惧并分析其影响因素。方法:选取杭州市某三级甲等肿瘤医院行乳腺癌手术的209例住院病人,应用一般资料调查表、疾病相关资料调查表、恐惧回避综合量表、一般自我效能感量表和乳腺癌病人生存质量问卷进行调查,采用潜在剖面分析识别乳腺癌术后病人运动恐惧特征的类别,采用多元Logistic回归进一步分析影响因素。结果:乳腺癌术后病人运动恐惧特征分为亚临床运动恐惧-稳定组(34.93%)、轻度运动恐惧-不稳定组(34.93%)、中等运动恐惧-担忧组(30.14%)3个类别。多元Logistic回归分析显示,文化程度、接受健康相关教育次数、自我效能感、躯体形象、未来展望、上肢症状是病人运动恐惧潜在类别的影响因素。结论:乳腺癌术后病人运动恐惧有明显的分类特征,医护人员应根据影响因素对不同类别病人实施针对性干预,以降低病人的运动恐惧。Objective:To understand the kinesiophobia of postoperative breast cancer patients,and to analyze its influencing factors.Methods:A total of 209 inpatients who undergoing breast cancer surgery in a tertiary grade A cancer hospital in Hangzhou were selected as the study objects.A study was conducted by using the general information questionnaire,disease related data questionnaire,the Fear⁃avoidance Components Scale(FACS),General Self⁃efficacy Scale(GSES)and Quality of Life Questionnaire⁃Breast Cancer Module(QLQ⁃BR23).Latent profile analysis was used to identify the types of kinesiophobia characteristics of patients after breast cancer surgery.Multiple Logistic regression was used to further analyze the influencing factors.Results:The kinesiophobia characteristics of postoperative breast cancer patients were divided into 3 categories:subclinical kinesiophobia⁃stable group(34.93%),mild kinesiophobia⁃unstable group(34.93%),and moderate kinesiophobia⁃worry group(30.14%).The results of multivariate Logistic regression showed that education level,number of receiving health⁃related education,self⁃efficacy,body image,future prospective and limb symptoms were the influencing factors.Conclusions:There are obvious classification characteristics of kinesiophobia of patients after breast cancer surgery.Medical staff should implement targeted intervention to different types of patients according to the influencing factors to reduce the kinesiophobia of patients.

关 键 词：乳腺癌 运动恐惧 自我效能 生存质量 潜在剖面分析 影响因素 

分 类 号：R473.73[医药卫生—护理学]