中青年口腔癌患者术后自我管理积极度现状及影响因素分析  

Postoperative self-management activation and influencing factors in young and middle-aged oral cancer patients

作　　者：陈颖 刘小娜 章爱丽 王增香[2] 吴颖[2] CHEN Ying;LIU Xiaona;ZHANG Aili;WANG Zengxiang;WU Ying(Oral and Maxillofacial Head and Neck Oncology Surgery Ward II,Nanjing Stomatological Hospital,Affiliated Hospital of Medical School,Institute of Stomatology,Nanjing University,Nanjing,210000,China)

机构地区：[1]南京大学医学院附属口腔医院,南京市口腔医院,南京大学口腔医学研究所口腔颌面头颈肿瘤外科二病区,南京市210000 [2]南京大学医学院附属口腔医院,南京市口腔医院,南京大学口腔医学研究所口腔颌面头颈护理部,南京市210000

出　　处：《中国护理管理》2025年第2期225-229,共5页Chinese Nursing Management

基　　金：2022年江苏省科技计划(重点研发计划社会发展)项目(BE2022671)。

摘　　要：目的:调查中青年口腔癌患者术后自我管理积极度现状和影响因素,为采取护理措施提高患者自我管理积极度提供依据。方法:采用便利抽样的方法,选取2022年2月至2024年2月在南京市某三级甲等专科医院就诊的258例中青年口腔癌游离皮瓣移植患者作为研究对象。使用一般资料调查表、患者积极度量表、社会影响量表、疾病接受度量表和癌症自我管理效能感量表进行问卷调查,采用单因素分析及多元线性回归等方法分析影响因素。结果:中青年口腔癌患者术后自我管理积极度得分为(54.79±16.74)分。多元线性回归分析结果显示,文化程度、病耻感、疾病接受度、自我管理效能感是其影响因素。结论:中青年口腔癌皮瓣移植患者术后自我管理积极度处于中低水平。医护人员可根据影响因素制订护理干预对策,以提高患者的自我管理积极度。Objective:To investigate the postoperative self-management activation and its influencing factors in young and middle-aged oral cancer patients with free flap transplantation,so as to provide reference for taking nursing measures to improve patients'self-management activation.Methods:A total of 258 young and middle-aged oral cancer patients with free flap transplantation admitted in a tertiary grade A specialized hospital in Nanjing from February 2022 to February 2024 were selected.The general information questionnaire,the Patient Activation Measure,the Social Impact Scale,the Acceptance of Illness Scale,and the Strategies Used by People to Promote Health were used for investigation.Univariate analysis and Mutiple linear regression were used to analyze the influencing factors.Results:The postoperative self-management activation score was 54.79±16.74 in young and middle-aged oral cancer patients with free flap transplant.Multiple linear regression analysis result showed that the education level,stigma,disease acceptance,and self-management efficacy were the influencing factors of self-management activation.Conclusion:The postoperative self-management activation of young and middle-aged oral cancer patients with flap transplantation patients is at a low to medium level.Healthcare professionals can formulate effective nursing interventions according to the influencing factors to improve patients'self-management activation.

关 键 词：中青年 口腔癌 积极度 病耻感 疾病接受度 自我管理效能感 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]