摘要
目的:探讨乳腺癌改良根治术后患者的健康素养对功能锻炼依从性、生存质量的影响及相关性。方法:以2016年3月至2017年4月在我院进行治疗的318例乳腺癌改良根治术后患者作为研究对象,以慢性病患者健康素养量表、乳腺癌患者功能锻炼依从性量表、癌症治疗功能评价系统—乳腺癌生存质量量表为评价工具,采用Pearson分析和Spearman分析探讨健康素养对功能锻炼依从性、生存质量有无影响及相关性。结果:乳腺癌改良根治术后,318例患者的健康素养评分、功能锻炼依从性评分及生存质量评分均值分别为(92. 86±13. 71)分、(49. 77±9. 18)分、(82. 31±17. 76)分;健康素养、功能锻炼依从性、生存质量及其各维度之间相互呈显著性正相关(P <0. 05);健康素养对功能锻炼依从性的影响为0. 773、对生存质量的总影响为0. 702,功能锻炼依从性对生存质量的影响为0. 662,功能锻炼依从性中介作用的影响为0. 512;改善互动能力对健康素养的影响最大(0. 853);主动寻求建议依从性对功能锻炼依从性的影响最大(0. 875);社会/家庭状况对生存质量的影响最大(0. 882)。结论:健康素养与功能锻炼依从性均可直接正向预测生存质量,健康素养还可通过功能锻炼依从性间接正向预测生存质量。
Objective： To discuss the correlation and impact of health literacy on compliance of functional exercise and quality of life in patients after modified radical mastectomy. Methods： 318 cases of patients were object of study after modified radical mastectomy in our hospital during 2016. 3 to 2017. 4. The chronic diseases health literacy scale,breast cancer compliance of functional exercise scale,functional assessment of cancer therapy-breast and breast cancer quality of life scale were the appraisal tools. The correlation and impact were analyzed by Pearson and Spearman. Results： After radical mastectomy,the score of health literacy,compliance of functional exercise and quality of life was（ 92. 86 ± 13. 71）,（ 49. 77 ± 9. 18） and（ 82. 31 ± 17. 76） on patients. There was significant positive correlation between health literacy,compliance of functional exercise,quality of life and each dimensionality（ P〈0. 05）.The impact of health literacy to compliance of functional exercise was 0. 773,the impact of health literacy to quality of life was 0. 702,the impact of compliance of functional exercise to quality of life was 0. 662,the impact of intermediation on compliance of functional exercise was 0. 512. Improvement of the capacity of exchange and communication caused the maximal impact on health literacy（ 0. 853）. Initiative to seek advice compliance caused the maximal impact on compliance of functional exercise（ 0. 875）. Society and families caused the maximal impact on quality of life（ 0. 882）. Conclusion： Health literacy and compliance of functional exercise could immediately positively forecast quality of life,health literacy could indirectly positively forecast quality of life through function exercise.
作者
张娜
黄梅
Zhang Na;Huang Mei(Department of Thyroid Surgery,Huanggang Central Hospital,Hubei Huanggang 438000,China)
出处
《现代肿瘤医学》
CAS
2018年第22期3586-3590,共5页
Journal of Modern Oncology
关键词
乳腺癌改良根治术
健康素养
功能锻炼依从性
生存质量
相关性
modified radical mastectomy
health literacy
compliance of functional exercise
quality of life
correlation
