239例肺癌青年已婚女性患者生育忧虑现状及影响因素分析

目的 调查肺癌青年已婚女性患者生育忧虑的现状,分析其影响因素。方法 采用便利抽样法,2019年2—7月选取天津市某三级甲等医院肺部肿瘤科住院的239例肺癌青年已婚女性患者为研究对象,采用一般资料调查表、癌症后生育忧虑量表及社会关系质量量表对其进行调查。采用多元线性回归分析肺癌青年已婚女性患者生育忧虑的影响因素。结果 本组肺癌青年已婚女性患者生育忧虑得分为（58.29±9.84）分;多元线性回归结果显示：子女个数及社会关系质量是其生育忧虑的主要影响因素（P<0.05）,共解释其生育忧虑总变异的30.5%。结论 肺癌青年已婚女性患者生育忧虑水平处于中等偏高水平,需关注没有子女及社会关系质量低的肺癌青年已婚女性患者的生育忧虑情况。护理人员可通过给予支持性心理疗法、夫妻疗法及生育信息支持等支持方案,帮助其全面正确认识生育问题,改善生育忧虑。

Reproductive Concerns of Young Married Female Patients with Lung Cancer and Its Influence Factors: A 239-case Study

Objective To investigate reproductive concerns of young married female patients with lung cancer, and analyze its influence factors. Methods With convenient sampling, 239 female patients with lung cancer in one tertiary grade-A hospital in Tianjin from February to July 2019 were chosen and investigated by using general information questionnaire, Reproductive Concerns After Cancer scale (RCAC) and Social Relational Quality Scale（SRQS）. The influence factors were analyzed by multiple linear regression analysis. Results The total score of RCAC was 58.29±9.84. Multiple linear regression analysis showed that the number of children and social relational quality entered the equation （P<0.05）and explained 30.5% of the total variance. Conclusion The young married female patients with lung cancer have a middle to high level of reproductive concerns. It is necessary to pay attention to reproductive concerns of patients who have no children, but with fertility desire and low quality of social relations. Supportive psychotherapy, couple therapy, fertility information support and other support programs are supposed to help them understand fertility problems and promote their reproductive concerns.