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护理学报 ›› 2018, Vol. 25 ›› Issue (19): 5-9.doi: 10.16460/j.issn1008-9969.2018.19.005

• 研究生园地 • 上一篇    下一篇

肺癌患者病耻感影响因素的调查分析

任志玲a, 茅乃权b, 甘海洁a, 韦瑜群a, 韦巧玲a, 孙月b, 庞永慧c   

  1. 广西医科大学附属肿瘤医院 a.呼吸肿瘤内科; b.胸外科; c.护理专家督导组,广西 南宁 530021
  • 收稿日期:2018-06-03 出版日期:2018-10-10 发布日期:2020-07-06
  • 通讯作者: 庞永慧（1964-）,女,广西合浦人,本科学历,主任护师,硕士研究生导师,E-mail：pangyonghui001@163.com
  • 作者简介:任志玲（1989-）,女,广西柳州人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    广西自然科学基金面上项目资助（2011GXNSFA018248）; 广西壮族自治区卫生和计划生育委员会立项科研课题（Z20180620）

Influence Factors of Stigma of Patients with Lung Cancer

REN Zhi-linga, MAO Nai-quanb, GAN Hai-jiea, WEI Yu-quna, WEI Qiao-linga, SUN Yueb, PANG Yong-huic   

  1. a. Dept. of Respiratory Oncology; b. Dept. of Thoracic Surgery; c. Nursing Expert Steering Group, Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China
  • Received:2018-06-03 Online:2018-10-10 Published:2020-07-06

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摘要： 目的 分析肺癌患者病耻感现状及其影响因素。方法 选取2017年2—8月在广西某三级甲等肿瘤医院就诊的275例肺癌患者作为研究对象,采用一般资料问卷、中文版肺癌患者病耻感量表、一般自我效能问卷及社会支持评定量表进行问卷调查,纳入单因素分析可能对肺癌患者病耻感产生影响的因素,进行多元线性回归分析。结果 肺癌患者病耻感得分为（70.58±14.64）分,处于中等偏高水平,单因素分析结果显示年龄、文化程度、居住地、工作状况、个人月收入、疾病分析、病程、合并慢性病、吸烟情况、自觉治疗引起形象改变等病耻感得分比较,差异均具有统计学意义（P<0.05）。相关性分析显示,一般自我效能及社会支持与病耻感呈负相关（P<0.05）。经多元线性回归分析显示,患者个人月收入、疾病分期、合并慢性疾病情况、自我效能及社会支持程度是肺癌患者病耻感的重要影响因素（P<0.05）,能够解释肺癌患者病耻感变异的52.7%。结论 肺癌患者病耻感水平较高,与患者个人收入水平、疾病分期、合并慢性疾病、自我效能及社会支持联系密切,在今后临床工作中应重视肺癌患者的病耻感,给予充分的医护支持,提高患者的自我效能,缓解患者的病耻感。

关键词: 肺癌, 病耻感, 自我效能, 社会支持

Abstract: Objective To investigate the status of stigma in lung cancer patients and analyze its correlation with self-efficacy and social support. Methods A total of 275 patients with lung cancer from a provincial-level tertiary grade A hospital from February to August 2017 were selected as the study subjects and investigated by using the general information questionnaire,Chinese Version of Lung Cancer Patient Stigma Scale, General Self-efficacy Questionnaire and Social Support Rating Scale. Factors affecting stigma in patients with lung cancer were analyzed by multiple stepwise linear regression analysis. Results The stigma score of lung cancer patients was 70.58±14.64, which suggested a moderately high level of stigma. The stigma score between different age, education background, residence, being employed or not, personal monthly income, disease analysis, disease course, whether with chronic diseases or not, whether smoking or not and image change caused by conscious treatment were statistically significant (P<0.05). Correlation analysis showed that general self-efficacy and social support were negatively correlated with stigma (P<0.05). Multiple stepwise linear regression analysis showed that monthly personal income, disease stage, whether with chronic diseases or not, self-efficacy and social support were important influence factors of stigma in patients with lung cancer (P<0.05), which could explain 52.7% of the variance. Conclusion The level of stigma in patients with lung cancer is high, and it is closely related to the patient’s personal income, disease stage, whether with chronic diseases or not, self-efficacy and social support. More emphasis should go to the stigma and adequate medical support will benefit improving patients’ self-efficacy and relieving the stigma of the patients.

Key words: lung cancer, stigma, self-efficacy, social support

中图分类号: 

  • R473.73
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