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育龄期男性癌症患者生育忧虑的潜在剖面分析及影响因素

Latent profile analysis and its influencing factors of reproductive concerns in male cancer patients of childbearing age
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摘要 目的探究育龄期男性癌症患者生育忧虑的异质性,为不同亚群体患者制定个性化干预方案提供参考。方法选取236例育龄期男性癌症患者为研究对象,采用一般资料调查表、癌症后生育忧虑量表-男性版及癌症患者同伴支持量表进行调查,对其生育忧虑进行潜在剖面分析。结果育龄期男性癌症患者生育忧虑得分为63.19±8.25,其生育忧虑分为低生育忧虑-挂念子女健康组(30.93%)、中等生育忧虑-担忧个人健康组(42.37%)与高生育忧虑-顾忌伴侣知晓组(26.70%)3个潜在剖面。年龄小、文化程度高、未育、具有生育意愿、缺乏同伴支持者更易发展为高生育忧虑-顾忌伴侣知晓组(均P<0.05)。结论育龄期男性癌症患者生育忧虑处于中等偏高水平,呈现3种类别。临床工作中医护人员应对患者不同忧虑状况进行识别,以实施针对性干预措施减轻男性患者的生育忧虑。 Objective To explore the heterogeneity of reproductive concerns in male cancer patients of childbearing age,so as to provide a reference for developing individualized intervention programs for different subgroups of patients.Methods A total of 236 male cancer patients of childbearing age were selected,then they were investigated by using a general information questionnaire,the Reproductive Concern After Cancer-male and the Cancer Peer Support Scale,and latent profile analysis was conducted to analyze their reproductive concerns.Results The participants′score of reproductive concerns was 63.19±8.25,which could be divided into three potential profiles:low reproductive concerns-worry about children′s health group(30.93%),medium reproductive concerns-worry about personal health group(42.37%)and high reproductive concerns-worry about partner awareness group(26.70%).The male cancer patients with younger age,higher educational background,childlessness,fertility intention and lack of peer support were prone to be in the high reproductive concerns-worry about partner awareness group(all P<0.05).Conclusion The reproductive concerns in male cancer patients of childbearing age is at a medium or above level,which can be divided into three categories.Meidcal staff should accurately identify patients′category of reproductive concerns,so as to implement targeted intervention to reduce the reproductive concerns of male cancer patients.
作者 冯圣雅 高蓉 刘蓉 翟林君 郑洁 Feng Shengya;Gao Rong;Liu Rong;Zhai Linjun;Zheng Jie(Nursing School,Shanxi Medical University,Taiyuan 030001,China)
出处 《护理学杂志》 CSCD 北大核心 2024年第2期87-91,共5页 Journal of Nursing Science
关键词 男性 育龄期 癌症 生育忧虑 生育负担 同伴支持 心理护理 生育力保存 male childbearing age cancer reproductive concerns fertility burden peer support mental health nursing fertility preservation
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