妇科癌症患者生育忧虑状况及影响因素分析

目的 了解妇科癌症患者生育忧虑现状,分析其影响因素。方法 采用癌症后生育忧虑量表、自我感受负担量表对134名妇科癌症住院患者进行问卷调查。结果 妇科癌症患者生育忧虑得分48.88±13.59,自我感受负担得分50.92±17.38。不同分组间(年龄、生育意愿、子女数目、沟通内容、自我感受负担水平)患者的生育忧虑水平差异有统计学意义(均P<0.01)。自我感受负担及各维度与生育忧虑呈正相关(P<0.01)。经多元线性回归分析:生育意愿、自我感受负担是生育忧虑的独立影响因素(均P<0.01)。结论 妇科癌症患者生育忧虑为中上水平。需重点关注有生育需求且自我感受负担重的患者。政府、医院和家庭三方共同努力,采取有效措施降低患者自我感受负担水平,可缓解其生育忧虑。

Reproductive concern status and its influencing factors in gynecological cancer patients

Objective To understand the level of reproductive concern in gynecological cancer patients, and explore its status and influencing factors. Methods Reproductive Concerns after Cancer Scale(RCACs)and Self-perceived Burden Scale for Cancer Patients(SPBS-CP)were collected from 134 gynecologic cancer patients. Results Average RCAC score in gynecological cancer patients was 48.88±13.59.SPBS-CP score was 50.92±17.38.There were differences in reproductive concern levels among patients in different groups(age, willingness to bear children, number of children, content of communication, and self-perceived burden level)(P<0.01).Self-perceived burden and all dimensions were positively correlated with reproductive concern(P< 0.01). After multiple linear regression analysis:Fertility willingness and self-perceived burden were important independent influencing factors of reproductive concern in gynecological cancer patients(P< 0.01).Conclusion Gynecological cancer patients reproductive concern is above medium level. Attention should be paid to those with reproductive needs and heavy self-perceived burden. Taking effective measures to reduce the self-perceived burden of patients through the joint efforts of the government, the hospital and the family can alleviate their reproductive concern.