摘要
目的 探讨中青年乳腺癌患者根治术后病耻感的影响因素。方法 选择2017年8月~2019年8月100例中青年乳腺癌患者为研究对象,采用《LINK病耻感系列量表》调查病耻感,收集手术方式、应对方式、婚姻状况等病历资料,通过单因素分析以及多元逐步回归分析调查中青年乳腺癌根治术后病耻感的相关因素。结果 100例患者共回收有效问卷92份,问卷有效率92.00%,病耻感总得分为118.92±10.76分;不同婚姻状况、是否乳房重建、居住地、受教育程度、应对方式患者病耻感评分具有统计学差异(P<0.05),有无子女、主要照顾者无统计学差异(P>0.05),家庭月收入、社会支持评分与病耻感评分呈负相关,年龄与病耻感评分呈正相关(P<0.05);多元逐步回归分析显示,是否乳房重建、婚姻状况、居住地、受教育程度、应对方式、家庭月收入、社会支持评分(SSRS)是中青年乳腺癌根治术后病耻感的影响因素。结论 中青年乳腺癌根治术后具有中度病耻感,受到是否乳房重建、婚姻状况、居住地等因素的影响。
Objective To discuss the related factors of disgust feeling after radical correction breast cancer in the young and the mid aged.Methods A total of 100 cases of young and middle-aged breast cancer patients from August 2017 to August 2019 were selected as the research object.The"LINK Sickness Scale Series"was used to investigate the stigma.Medical records such as surgical methods,coping styles,marital status,etc were collected.Through single factor analysis and multiple stepwise regression analysis,we investigated the related factors of stigma of young and middle-aged women after radical mastectomy.Results A total of 92 valid questionnaires were retrieved from 100 patients.The effective rate of the questionnaire was 92.00%.The total score of stigmata was 118.92±10.76.Different marital status,whether breast reconstruction,place of residence,education level,and coping styles had statistically significant differences(P<0.05).There was no statistically significant difference between the presence or absence of children and primary caregivers(P>0.05).Family monthly income and social support score were negatively correlated with the stigma score,and age was positively correlated with the stigma score(P<0.05).Multiple stepwise regression analysis showed whether breast reconstruction,marital status,place of residence,education level,coping style,monthly family income,and social support score(SSRS)were the relevant factors of stigma after radical mastectomy for young and middle-aged women.Conclusion After radical mastectomy for young and middle-aged women,it has moderate stigma.It is affected by factors such as breast reconstruction,marital status,place of residence and other factors.
作者
江飞
周芳
肖华
JIANG Fei;ZHOU Fang;XIAO Hua(Department of Breast Surgery,Kaifeng Obstetrics and Gynecology Hospital,Kaifeng 475000,China)
出处
《国际精神病学杂志》
2022年第6期1074-1077,共4页
Journal Of International Psychiatry
