摘要
目的探讨乳腺癌根治术患者生命意义感现状,并分析其影响因素。方法采用便利抽样方法,选取2019年6月—2020年2月于镇江2所三级甲等医院就诊的302例乳腺癌患者为研究对象。采用一般资料调查表、中文版生命意义感量表(C-MLQ)、健康坚韧性量表(HRHS)、认知重评策略量表对其进行调查。采用多重线性回归分析进行影响因素分析。结果共发放问卷315份,回收有效问卷302份。302例乳腺癌根治术患者C-MLQ总分为(31.65±6.71)分,HRHS总分为(92.59±5.68)分,认知重评策略量表总分为(16.23±5.04)分。多重线性回归分析结果显示,认知重评、术后时间、健康坚韧性及其控制维度、家庭月收入、性别、是否放/化疗是乳腺癌根治术患者生命意义感的影响因素(P<0.05),共解释生命意义感总变异的85.8%。结论乳腺癌根治术患者的生命意义感处于中等偏低水平。临床医护人员应采取有效的干预措施,提高患者认知重评能力,使其对疾病产生正确的认知;鼓励其积极勇敢面对疾病,加强自身健康坚韧性,以提高生命意义感。
Objective To explore the status quo of meaning of life in patients undergoing radical mastectomy and analyze the influencing factors.Methods The convenient sampling method was used to select 302 patients with breast cancer who were treated in 2 Class Ⅲ Grade A hospitals in Zhenjiang from June 2019 to February 2020 as research objects. The general data questionnaire, Chinese version of Meaning in Life Questionnaire (C-MLQ) , Health-related Hardiness Scale (HRHS) and Cognitive Reassessment Strategy Scale were used to investigate them.Results A total of 315 questionnaires were issued and 302 valid questionnaires were collected.The total score of C-MLQ of 302 patients undergoing radical mastectomy was (31.65±6.71) , the total score of HRHS was (92.59±5.68) and the total score of Cognitive Reassessment Strategy Scale was (16.23±5.04) .The results of multiple linear regression analysis showed that cognitive reassessment, postoperative time, health-related hardiness and its control dimension, family monthly income, gender, radiotherapy and chemotherapy were the influencing factors of meaning of life in patients undergoing radical mastectomy (P<0.05) , which explained 85.8% of the variation in meaning of life.Conclusions The meaning of life of patients undergoing radical mastectomy is at a medium low level. Clinical medical staff should take effective intervention measures to improve cognitive reassessment ability of patients, so that they can have correct cognition of the disease. They should also encourage them to face the disease actively and bravely and strengthen their own health-related hardinessin order to improve the meaning of life.
作者
孙洁洁
李晓波
李傲雪
陈澄澄
张婷婷
敖永平
Sun Jiejie;Li Xiaobo;Li Aoxue;Chen Chengcheng;Zhang Tingting;Ao Yongping(School of Medicine,Jiangsu University,Zhenjiang 212013,China;Department of Thyroid and Breast Surgery,Affiliated Hospital of Jiangsu University,Zhenjiang 212013,China;Mental Health Education Center,Jiangsu University,Zhenjiang 212013,China)
出处
《中华现代护理杂志》
2020年第34期4756-4762,共7页
Chinese Journal of Modern Nursing
关键词
乳腺肿瘤
生命意义感
健康坚韧性
认知重评
横断面研究
Breast neoplasms
Meaning of life
Health-related hardiness
Cognitive reassessment
Cross-sectional study
作者简介
通信作者:李晓波,Email:Lxb1207@mail.ujs.edu.cn。
