化疗期乳腺癌患者益处发现水平及其影响因素的研究

发布时间：2018-06-25 17:33

本文选题：乳腺癌 + 化疗期　；参考：《锦州医科大学》2017年硕士论文

【摘要】：目的本研究通过调查于锦州医科大学附属第一医院就诊的化疗期乳腺癌患者益处发现水平的现状,探讨影响化疗期乳腺癌患者益处发现水平的主要因素,为提高患者益处发现水平提供理论参考。方法采用便利抽样的方法,选取2015年11月-2016年11月于锦州医科大学附属第一医院就诊的化疗期乳腺癌患者为调查对象,研究工具包括:自行设计的基本情况问卷、益处发现评定量表(BFS)、心理弹性量表(CD-RISC)、医学应对方式量表(MCMQ)以及社会支持评定量表(SSRS)等。SPSS 21.0统计软件包对数据进行处理,以及均数、标准差、频数、率等进行描述性分析,运用t检验、单因素方差分析、相关分析以及多元线性回归等方法分析患者益处发现的影响因素。结果1、化疗期乳腺癌患者益处发现量表BFS得分为(48.93±11.46)分。2、不同年龄、是否存在宗教信仰、不同婚姻情况、不同文化程度、不同职业、不同家庭月收入、不同支付方式、不同肿瘤分期对患者的益处发现有影响,差异具有统计学意义(P0.05)。3、化疗期乳腺癌患者益处发现与心理弹性、面对应对、回避应对、社会支持正相关(r=0.656,0.493,0.422,0.586,P0.05),与屈服应对负相关(r=-0.595P0.05)。4、结果显示,乐观、屈服应对、社会支持利用度、自强、主观支持等5个因素进入回归方程。结论1、化疗期乳腺癌患者益处发现量表BFS得分为(48.93±11.46)分,处于中等水平,仍有上升空间。2、年轻、有宗教信仰、有配偶、家庭经济条件良好的患者其益处发现水平高,初中及以下教育水平、家庭主妇、采取自费或合作医疗、IV期患者其益处发现水平低。3、心理弹性较好、社会支持较多的患者益处发现水平较高;采用面对应对、回避应对的患者益处发现水平较高,采用屈服应对的患者益处发现水平较低。4、乐观、屈服应对、社会利用度、自强和主观支持是影响化疗期乳腺癌患者益处发现的主要因素。
[Abstract]:Objective to investigate the status quo of breast cancer benefit discovery in the first affiliated hospital of Jinzhou Medical University, and to explore the main factors affecting the benefit discovery level of breast cancer patients during chemotherapy. To provide a theoretical reference for improving the level of patient benefit discovery. Methods A convenient sampling method was used to investigate breast cancer patients in chemotherapy period who were admitted to the first affiliated Hospital of Jinzhou Medical University from November 2015 to November 2016. The research tools included: a self-designed basic information questionnaire. The benefit Discovery rating scale (BFS), Psychoelasticity scale (CISISC), Medical coping style scale (MCMQ) and Social support rating scale (SSRS) were used to process the data, and the mean, standard deviation, frequency and rate were analyzed. T test, single factor analysis of variance, correlation analysis and multiple linear regression were used to analyze the influencing factors of patients' benefit discovery. Results 1. The BFS scores of breast cancer patients in chemotherapy period were (48.93 卤11.46) scores. Different ages, religious beliefs, different marital status, different education level, different occupation, different family monthly income, different payment methods. The difference was statistically significant (P0.05). The difference was significant (P0.05). The finding of breast cancer benefits and psychological flexibility, face coping, avoidance coping, The positive correlation between social support (r 0.656U 0.493U 0.4220.586p0.05) and the negative correlation with yield coping (r-0.595P0.05) .4The results showed that five factors, such as optimism, yield coping, social support utilization, self-improvement and subjective support, entered the regression equation. Conclusion 1. The BFS score of BFS of breast cancer patients in chemotherapy stage was (48.93 卤11.46), which was in the middle level, and there was still room for improvement. The patients with young age, religious belief, spouse and good family financial condition had high level of benefit discovery. Junior middle school and below education level, housewife, take self-funded or cooperative medical treatment stage IV patients' benefit discovery level is low. 3, psychological elasticity is better, social support more patients benefit discovery level is higher; face coping, The level of benefit discovery in patients with avoidance coping was higher than that in patients who adopted yielding coping. The main factors affecting the discovery of benefits of breast cancer patients in chemotherapy period were optimistic, yielding coping, social utilization, self-improvement and subjective support.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

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