乳腺癌术后患者身体意象和性调节现状及影响因素分析

目的了解乳腺癌术后患者身体意象及性调节现状,分析其影响因素。方法采用便利抽样法,选取潍坊市某三级甲等医院乳腺外科2019年11月—2020年8月住院的200例乳腺癌术后患者作为研究对象,采用一般资料调查表、中文版乳腺癌患者性调节和身体意象量表、医学应对方式问卷及疾病感知问卷进行调查。采用多元线性回归分析乳腺癌术后患者身体意象及性调节影响因素。结果乳腺癌术后患者身体意象及性调节得分为(38.56±6.04)分;多元线性回归分析显示,家庭人均月收入(元)、手术方式、认知、屈服型应对方式进入回归方程(P<0.05),共解释总变异的36.5%。结论乳腺癌术后患者身体意象及性调节处于中等水平,应对方式、疾病感知与身体意象及性调节密切相关。护理人员应鼓励患者采取积极的应对方式,帮助患者正确认识疾病的预后,以提高乳腺癌术后患者身体意象及性调节水平,改善其生活质量。

Current Status of Body Image and Sexual Adjustment in Breast Cancer Patients and Its Influence Factors

Objective To investigate the current status of body image and sexual adjustment in breast cancer patients after surgery,and to analyze the influence factors.Methods A convenient sampling method was adopted to select 200 postoperative breast cancer patients from a tertiary grade A hospital in Weifang from November 2019 to August 2020 and patients were surveyed by using general information questionnaire and Chinese Version of Sexual Adjustment and Body Image Scale,Medical Coping Modes Questionnaire and Illness Perception Questionnaire.Multiple linear regression was used to analyze the influencing factors of body image and sexual adjustment in postoperative patients with breast cancer.Results The score of body image and sexual adjustment after breast cancer surgery was 38.56±6.04.Multiple linear regression analysis showed that per capita monthly household income(RMB),surgical approach,yield coping style and cognition entered the regression equation(P<0.05),accounting for 36.5%of the total variation.Conclusion Body image and sexual adjustment of breast cancer patients are at a moderate level,and they are closely related to coping style and disease perception.Nursing staff should encourage patients to adopt positive coping style and understand the prognosis of the disease,so as to improve body image and sexual adjustment of patients after breast cancer surgery,and improve their quality of life.