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引用本文:袁亚芬 郑松.育龄期女性癌症患者的家庭亲密度与适应性及其对生育忧虑的影响[J].中国护理管理,2018,18(12):1719-1723 本文二维码信息
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育龄期女性癌症患者的家庭亲密度与适应性及其对生育忧虑的影响
Family cohesion and adaptation and their influences on reproductive concerns of female cancer patients at childbearing age
  
DOI:10.3969/j.issn.1672-1756.2018.12.029
中文关键词:  育龄期  女性  癌症  生育忧虑  家庭功能
English Keywords:childbearing age  female  cancer  reproductive concerns  family function
基金项目:浙江省医药卫生科技计划项目(2017KY18)
作者单位
袁亚芬 郑松 杭州市肿瘤医院内二科310004 浙江省(袁亚芬)杭州市第一人民医院化疗二科(郑松) 
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中文摘要:
      目的:调查育龄期女性癌症患者的生育忧虑、家庭亲密度与适应性现状,并分析其生育忧虑水平的影响因素。方法:采用方便抽样,选取2017年8月至2018年1月于浙江省杭州市2所三级甲等医院就诊的256例育龄期女性癌症患者为研究对象。使用癌症后生育忧虑量表和家庭亲密度与适应性量表进行调查。结果:育龄期女性癌症患者的生育忧虑总分为(56.58±6.52)分。家庭实际亲密度、理想亲密度和亲密度不满意程度得分均高于国内正常家庭常模(P<0.05)。实际适应性和理想适应性得分与常模相比,无统计学差异(P>0.05),适应性不满意程度得分明显高于常模得分(P<0.05)。回归分析结果显示,子女数、平衡型家庭、中间型家庭、妇科恶性肿瘤和生育意愿可影响育龄期女性癌症患者的生育忧虑水平,可以解释生育忧虑得分总变异的41.1%。结论:医务工作者应关注育龄期女性癌症患者的生育忧虑状况,为患者提供专业的信息支持,并采取合适的措施降低其不良情绪,提高患者生活质量。
English Summary:
      Objective: To investigate the reproductive concerns and family functions of female cancer patients at childbearing age, and analyze the influencing factors of their reproductive concerns. Methods: By using convenience sampling method, 256 patients were enrolled from two tertiary grade A hospitals in Hangzhou, Zhejiang province between August 2017 and January 2018. Reproductive Concerns After Cancer (RCAC) and Family Adaptation and Cohesion Evaluation Scale II (FACES II) were used to collect data. Results: The score of reproductive concerns was (56.58±6.52). The scores of family real cohesion, ideal cohesion and dissatisfaction of coherence were all higher than norms (P<0.05). The scores of family real adaptation and ideal adaptation had no significant difference with norms (P>0.05), and the score of dissatisfaction of adaptation was higher than norms (P<0.05). The results of regression analysis showed that the number of children, balanced family, intermediate family, gynecologic malignant tumor and fertility intention would influence their reproductive concerns, which could explain 41.1% of the total variation. Conclusion: Health care professionals should pay attention to the reproductive concerns of female cancer patients at childbearing age, provide professional information to support them, and take appropriate measures to reduce their passive emotions and improve their quality of life.
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