乳腺癌改良根治术后患者功能锻炼依从性的影响因素分析  

Analysis of Influencing Factors of Functional Exercise Compliance of Patients after Modified Radical Surgery for Breast Cancer

作　　者：陈春燕 吴加花[1] 杨春敏[1] 詹彭英 Chen Chunyan;Wu Jiahua;Yang Chunmin;Zhan Pengying(Guangdong Hospital of Traditional Chinese Medicine,Guangzhou 510102,Guangdong Province,China)

机构地区：[1]广东省中医院,广东广州510102

出　　处：《中外医药研究》2025年第2期6-8,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析影响乳腺癌改良根治术后患者功能锻炼依从性的因素。方法:回顾性分析2021年2—8月广东省中医院乳腺科收治的乳腺癌改良根治术后患者115例的临床资料。根据术后功能锻炼依从性情况,将患者分为依从性良好组(42例)、依从性差组(73例)。比较两组临床资料,分析影响乳腺癌改良根治术后患者功能锻炼依从性的因素。结果:依从性差组家庭人均月收入≥3000元、术后时间<3个月、参加讲座/学习、社会支持评定量表评分≥45分、一般自我效能感量表评分≥2.5分、Champion健康信念模式量表评分≥107分占比低于依从性良好组,术后并发症发生率高于依从性良好组(P<0.05)。Logistic回归分析结果显示,术后时间≥3个月、未参加讲座/学习、社会支持评定量表评分<45分、一般自我效能感量表评分<2.5分、Champion健康信念模式量表<107分是乳腺癌改良根治术后患者功能锻炼依从性的独立影响因素(P<0.05)。结论:术后时间、健康教育、健康信念、自我效能和社会支持是影响乳腺癌改良根治术后功能锻炼依从性的重要因素。Objective:To analyze the influencing factors of the compliance of patients with functional exercise after modified radical surgery for breast cancer.Methods:The clinical data of one hundred and fifteen patients treated in the Breast Department of Guangdong Hospital of Traditional Chinese Medicine from February to August 2021 after modified radical surgery for breast cancer were retrospectively analyzed.According to the compliance of postoperative functional exercise,the patients were divided into good compliance group(42 cases)and poor compliance group(73 cases).The clinical data of the two groups were compared to analyze the factors affecting the compliance of patients with functional exercise after modified radical surgery for breast cancer.Results:The proportion of poor compliance group with per capita family income≥3000 yuan,postoperative time<3 months,participation in lectures/learning,Social Support Rating Scale score≥45 points,General Self-efficacy Scale score≥2.5 points,Champion Health Belief Model Scale score≥107 points was lower than that of good compliance group,the incidence of postoperative complications was higher than that of good compliance group(P<0.05).Logistic regression analysis showed that postoperative time≥3 months,no participation in lectures/learning,Social Support Rating Scale score<45 points,General Self-efficacy Scale score<2.5 points,Champion Health Belief Model Scale<107 points were independent influencing factors of functional exercise compliance after modified radical breast cancer surgery(P<0.05).Conclusion:Postoperative time,health education,health belief,self-efficacy and social support are the important factors affecting the compliance of functional exercise after modified radical breast cancer surgery.

关 键 词：乳腺癌改良根治术 功能锻炼 依从性 影响因素 

分 类 号：R473.73[医药卫生—护理学]