摘要
目的探讨乳腺癌术后初期患者心理痛苦状况及其影响因素,为临床决策的制订提供依据。方法采用自设的一般资料调查问卷和心理痛苦温度计对2018年4月至8月在湖南省3所三甲医院乳腺和甲状腺外科193例术后初期的乳腺癌患者进行调查。结果乳腺癌治疗初期患者心理痛苦得分为(4.47±1.41)分,心理痛苦≥4分的患者占74.1%,问题列表中最常报告令患者感到心理痛苦的问题是担忧(63.7%)。Logistic回归分析显示,患者年龄和手术类型是保护因素(均P<0.05),临床分期是危险因素(P<0.05)。结论乳腺癌治疗初期的患者心理痛苦普遍存在且程度较重,重点关注较年轻、行改良根治术和临床分期较严重的患者,根据影响患者心理痛苦的因素制订有效的针对措施,引导患者积极应对。
Objective To investigate the psychological distress of patients with breast cancer in the early stage of treatment and its influencing factors so as to provide evidence for clinical decision-making. Method A total of 193 breast cancer patients in the early stage of treatment participated in the investigation by a self-designed general information questionnaire and distress Thermometer from April 2018 to August 2018. Results In the early stage of breast cancer treatment, the score of psychological distress was (4.47±1.41). 74.1% of them had psychological distress greater than or equal to 4. The most common problem causing psychological distress was worry (63.7%). Logistic regression analysis showed that age and type of operation were protective factors (P<0.05), and clinical stage was a risk factor (P<0.05). Conclusions Psychological distress of patients with breast cancer in the early stage of treatment are common and serious. Effective measures should be formulated according to the factors affecting the psychological distress of patients to guide patients to respond positively and prevent or alleviate the psychological distress of patients.
作者
杨漫丽
万艳平
王松
胡小萍
Yang Manli;WanYanping;WangSong;HuXiaoping(School of Nursing, University of South China, Hengyang, 421001;Department of Breast and Thyroid Surgery;Nursing Department, Nanhua Hospital, University of South China, Hengyang, 421000, China)
出处
《现代临床护理》
2019年第2期12-17,共6页
Modern Clinical Nursing
基金
湖南省教育厅重点项目
项目编号为No.15A164
湖南省临床医疗技术创新引导计划
项目编号为2017SK50217
南华大学研究生科学基金项目
项目编号为2018KYY301
关键词
乳腺癌初期
心理痛苦
影响因素
breast cancer
psychological distress
influencing factors
