基于自我决定理论育龄期男性癌症患者生育忧虑干预方案的构建与应用  

Development and Application of a Fertility-related Anxiety Intervention Program for Reproductive-age Male Cancer Patients Based on Self-determination Theory

作　　者：冯圣雅 高蓉 翟林君 刘蓉 郑洁[1] 张淑青[2] 李铮[3] FENG Shengya;GAO Rong;ZHAI Linjun;LIU Rong;ZHENG Jie;ZHANG Shuqing;LI Zheng(Department of Nursing,Shanxi Medical University,Taiyuan 030001,Shanxi Province,China;Department of Hematology,The First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi Province,China;Department of Oncology,The Second Hospital of Shanxi Medical University,Taiyuan 030013,Shanxi Province,China)

机构地区：[1]山西医科大学护理学院,山西太原030001 [2]山西医科大学第一医院血液科,山西太原030001 [3]山西医科大学第二医院肿瘤科,山西太原030013

出　　处：《军事护理》2025年第4期34-38,共5页MILITARY NURSING

摘　　要：目的构建育龄期男性癌症患者生育忧虑的干预方案,探讨其应用效果,以减轻患者生育忧虑。方法根据文献检索、质性访谈及研究小组前期调查结果制订方案初稿,通过2轮德尔菲专家函询形成最终干预方案。便利抽样法选取太原市某三级甲等医院肿瘤科住院的40例育龄期男性癌症患者为研究对象。对照组接受常规护理,观察组采用育龄期男性癌症患者生育忧虑干预方案,采用癌症后生育忧虑量表-男性版、生育生活质量问卷等对其进行调查。结果干预后,两组生育忧虑比较差异均有统计学意义(P<0.05),干预后1个月两组生育忧虑、生育生活质量比较差异均有统计学意义(P<0.05)。结论育龄期男性癌症患者生育忧虑干预方案具有可靠性和可行性,可有效缓解患者生育忧虑,提高生育生活质量。Objective To develop an intervention program targeting fertility-related anxiety in reproductive-age male cancer patients and evaluate its effectiveness in reducing their anxiety.Methods The initial draft of the intervention program was developed from a literature review,qualitative interviews,and prior survey results.2 rounds of expert consultations using the Delphi method finalized the program.40 reproductive-age male cancer patients were selected via convenience sampling from the oncology department at a tertiary A hospital in Shanxi province.The control group received routine care,while the experimental group received the intervention program.Both were surveyed with the post-cancer birth anxiety scale and the fertility quality of life questionnaire.Results Significant differences in fertility-related anxiety were observed in the 2 groups after the intervention(P<0.05).1 month post-intervention,significant differences in both fertility-related anxiety and fertility-related quality of life were noted(P<0.05).Conclusions The fertility-related anxiety intervention program for reproductive-age male cancer patients is not only reliable and feasible,but can significantly reduce anxiety and improve the quality of fertility.

关 键 词：自我决定理论 育龄期 男性 癌症 生育忧虑 方案构建 

分 类 号：R473.71[医药卫生—护理学]