以质量求发展,以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (14): 26-29.doi: 10.16460/j.issn1008-9969.2020.14.026

• 调查研究 • 上一篇    下一篇

110例乳腺癌女性患者健康素养与癌症复发恐惧的相关性研究

江丽玲1, 王建宁2, 李立群1, 张淑1, 龚晶晶2, 朱欢欢1, 董婷婷1   

  1. 1.南昌大学医学部,江西 南昌 330000;
    2.南昌大学第一附属医院 护理部,江西 南昌 330000
  • 收稿日期:2020-01-17 出版日期:2020-07-25 发布日期:2020-08-11
  • 通讯作者: 王建宁(1964-),女,江西南昌人,硕士,主任护师。E-mail:wjnhx9@126.com
  • 作者简介:江丽玲(1994-),女,江西上饶人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    江西省卫生健康委科技计划(20203139)

Correlation between Health Literacy and Fear of Cancer Recurrence in Female Breast Cancer Patients: A 110-case Study

JIANG Li-ling1, WANG Jian-ning2, LI Li-qun1, ZHANG Shu1, GONG Jing-jing2, ZHU Huan-huan1, DONG Ting-ting1   

  1. 1. Dept. of Medicine, Nanchang University,Nanchang 330000, China;
    2. Dept. of Nursing Administration, the First Affiliated Hospital of Nanchang University, Nanchang 330000,China
  • Received:2020-01-17 Online:2020-07-25 Published:2020-08-11

摘要: 目的 调查乳腺癌女性患者健康素养及癌症复发恐惧现状,并探究两者的相关性。方法 采用一般资料调查表、中文版疾病进展恐惧简化量表、慢性病患者健康素养量表对江西省某三级甲等医院110例乳腺癌女性患者进行调查,采用Pearson相关性分析检验其健康素养及癌症复发恐惧的相关性。结果 乳腺癌患者健康素养总分为(88.32±10.41)分,复发恐惧得分为(28.98±6.11)分,患者健康素养水平与癌症复发恐惧呈负相关(r=-0.773,P<0.01)。结论 乳腺癌患者健康素养处于中等水平,癌症复发恐惧处于中等偏低水平,健康素养与癌症复发恐惧呈负相关,即健康素养水平越低,其癌症恐惧程度越高。建议医护人员提供针对性的信息支持、鼓励患者与外界沟通互动、开展心理社会干预等以提升乳腺癌女性患者健康素养水平,继而减轻其对癌症复发的恐惧。

关键词: 乳腺癌, 健康素养, 恐惧, 复发恐惧

Abstract: Objective To investigate the status of breast cancer patients' health literacy and fear of cancer recurrence, and to explore the correlation. Methods A total of 110 female breast cancer patients in a tertiary grade-A hospital in Jiangxi Province were investigated by using general information questionnaire, Chinese version of Simplified Fear of Disease Progression Scale and Health Literacy Scale for Chronic Disease Patients. Pearson correlation analysis was used to test the correlation between health literacy and fear of cancer recurrence. Results Score of health literacy of breast cancer patients was 88.32±10.41 and that of fear of cancer recurrence 28.98±6.11. The patient's health literacy level was negatively correlated with cancer recurrence fear (r=-0.773, P<0.01). Conclusion Health literacy of breast cancer patients is at a medium level, while the cancer recurrence fear is at a low level. Health literacy is negatively correlated with cancer recurrence fear, indicating that the lower the health literacy level, the higher the cancer fear level. It is suggested that health literacy level of breast cancer patients could be promoted by targeted information support, communication and interact with outside world, and psychosocial intervention.

Key words: breast cancer, health literacy, fear, fear of recurrence

中图分类号: 

  • R473.73
[1] Bray F, Ferlay J, Soerjomataram I, et al.Global Cancer Statistics 2018: Globocan Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J].CA Cancer J Clin, 2018, 68(6):394-424. DOI:10.3322/caac.21492.
[2] Dinkel A, Herschbach P.Fear of Progression in Cancer Patients and Survivors[J]. Recent Results Cancer Res, 2018(210):13-33. DOI:10.1007/978-3-319-64310-6_2.
[3] Savard J, Ivers H.The Evolution of Fear of Cancer Recurrence During the Cancer Care Trajectory and Its Relationship with Cancer Characteristics[J]. J Psychosom Res, 2013, 74(4):354-360.DOI:10.1016/j.jpsychores.2012.12.013.
[4] Simmons RA, Cosgrove SC, Romney MC, et al.Health Literacy: Cancer Prevention Strategies for Early Adults[J]. Am J Prev Med, 2017, 53(3S1):S73-S77. DOI:10.1016/j.amepre.2017.03.016.
[5] Cohen MZ, Jenkins D, Holston EC, et al.Understanding Health Literacy in Patients Receiving Hematopoietic Stem Cell Transplantation[J]. Oncol Nurs Forum, 2013, 40(5): 508-515. DOI:10.1188/13.ONF.508-515.
[6] Halbach SM, Enders A, Kowalski C, et al.Health Literacy and Fear of Cancer Progression in Elderly Women Newly Diagnosed with Breast Cancer-A Longitudinal Analysis[J]. Patient Educ Couns, 2016, 99(5):855-862. DOI:10.1016/j.pec.2015.12.012.
[7] 中国抗癌协会乳腺癌专业委员会. 中国抗癌协会乳腺癌诊治指南与规范(2015版)[J]. 中国癌症杂志, 2019, 29(8):609-679. DOI:10.19401/j.cnki.1007-3639.2019.08.009.
[8] Mehnert A, Koch U, Sundermann C, et al.Predictors of Fear of Recurrence in Patients One Year after Cancer Rehabilitation: A Prospective Study[J]. Acta Oncol, 2013, 52(6): 1102-1109. DOI:10.3109/0284186X.2013.765063.
[9] 吴奇云,叶志霞,李丽,等. 癌症患者恐惧疾病进展简化量表的汉化及信效度分析[J]. 中华护理杂志, 2015, 50(12):115-119. DOI:10.3761/j.issn.0254-1769.2015.12.021.
[10] 蔡建平,江子方. 中文版癌症患者恐惧疾病进展简化量表应用于女性乳腺癌患者的信度效度检验[J]. 护理学报, 2018, 25(7):5-8. DOI:10.16460/j.issn1008-9969.2018.07.005.
[11] Jordan JE, Buchbinder R, Osborne RH.Conceptualising Health Literacy from the Patient Perspective[J]. Patient Educ Couns, 2010, 79(1):36-42. DOI:10.1016/j.pec.2009.10.001.
[12] 孙浩林,彭慧,傅华. 慢性病患者健康素养量表信效度的研究[J]. 复旦学报(医学版), 2012, 39(3):52-56. DOI:10.3969/j.issn.1672-8467.2012.03.009.
[13] 黄丽,彭山玲. 癌症患者健康素养现状及其影响因素[J]. 解放军护理杂志, 2016, 33(2):17-20. DOI:10.3969/j.issn.1008-9993.2016.02.005.
[14] Hou WH, Huang YJ, Lee Y, et al.Validation of the Integrated Model of Health Literacy in Patients with Breast Cancer[J]. Cancer Nurs, 2018, 41(6):498-505. DOI:10.1097/NCC.0000000000000540.
[15] 黄霜,黄佳雨,王国蓉,等. 癌症患者复发恐惧与疾病应对方式的相关性研究[J]. 中国实用护理杂志, 2018, 34(27):2146-2150.DOI:10.3760/cma.j.issn.1672-7088.2018.27.014.
[16] Niu L, Liang Y, Niu M.Factors Influencing Fear of Cancer Recurrence in Patients with Breast Cancer: Evidence from a Survey in Yancheng, China[J]. J Obstet Gynaecol Res, 2019, 45(7):1319-1327. DOI:10.1111/jog.13978.
[17] Brandão T, Schulz MS, Matos PM.Psychological Adjustment after Breast Cancer: A Systematic Review of Longitudinal Studies[J]. Psychooncology, 2017, 26(7):917-926. DOI:10.1002/pon.4230.
[18] Yang Y, Cameron J, Bedi C, et al.Fear of Cancer Recurrence Trajectory during Radiation Treatment and Follow-Up Into Survivorship of Patients with Breast Cancer[J]. BMC Cancer, 2018,18(1):1002-1011. DOI:10.1186/s12885-018-4908-2.
[19] Lebel S, Maheu C, Tomei C, et al.Towards The Validation of a New, Blended Theoretical Model of Fear of Cancer Recurrence[J]. Psychooncology, 2018, 27(11):2594-2601. DOI:10.1002/pon.4880.
[20] Fardell JE, Thewes B, Turner J, et al.Fear of Cancer Recurrence: A Theoretical Review and Novel Cognitive Processing Formulation[J]. J Cancer Surviv, 2016, 10(4):663-673. DOI:10.1007/s11764-015-0512-5.
[21] Ahmadidarrehsima S, Bidmeshki EA, Rahnama M, et al.The Effect of Self-management Education by the Teach-Back Method on Uncertainty of Patients with Breast Cancer: A Quasi-experimental Study[J]. J Cancer Educ, 2020, 35(2):366-372. DOI:10.1007/s13187-019-1474-5.
[1] 张丹妮, 朱慧, 谢传艺, 陈肖敏. 乳腺癌患者配偶照顾体验质性研究的Meta整合[J]. 护理学报, 2020, 27(4): 32-36.
[2] 王佳, 郝飞, 周慧敏. 叠加敷料粘贴法对乳腺癌患者PICC置管部位接触性皮炎的效果观察[J]. 护理学报, 2020, 27(4): 63-66.
[3] 邓妍, 胡露红. 乳腺癌双职双轨个案管理模式的应用效果观察[J]. 护理学报, 2020, 27(2): 21-23.
[4] 张惠婷, 刘琳妃, 罗庆华, 张丽娟. 80例乳腺癌女性患者术后1年患肢并发症的纵向研究及对策[J]. 护理学报, 2020, 27(2): 63-66.
[5] 胡小春, 王叶, 姜月, 刘可. 家庭坚韧力在多发性骨髓瘤患者社会支持与恐惧疾病进展间的中介效应[J]. 护理学报, 2020, 27(14): 30-34.
[6] 王静远, 魏丽丽, 王刚, 孙文娟, 李倩倩, 张艳, 潘月帅, 李环廷. 15例新型冠状病毒肺炎患者疾病经历体验的质性研究[J]. 护理学报, 2020, 27(14): 63-67.
[7] 朱一凡, 陈芷谦, 郭巧红, 苏娅丽. 196例乳腺癌化疗患者尊严现状及影响因素分析[J]. 护理学报, 2020, 27(12): 33-37.
[8] 李细珍, 曹美嫦, 邓菊英, 曾满萍, 欧利芳. 叙事疗法对鼻咽癌患者癌症复发恐惧与希望水平的影响[J]. 护理学报, 2020, 27(11): 71-74.
[9] 刘姗. 319例晚期乳腺癌患者灵性健康现状及影响因素分析[J]. 护理学报, 2020, 27(1): 52-55.
[10] 刘熠, 欧阳艳琼, 黄毅, 聂小菲. 正念减压疗法对乳腺癌患者干预效果的Meta分析[J]. 护理学报, 2019, 26(8): 31-36.
[11] 谢莹莹, 黄秀美, 尹安春, 王艾红, 何月月. 乳腺癌幸存者重返工作岗位现状及影响因素的研究进展[J]. 护理学报, 2019, 26(6): 27-31.
[12] 黄珍, 高扬, 黄娅妮, 邓熊毛, 李萌, 王冬华. 348例传染病患者恐惧疾病进展及影响因素分析[J]. 护理学报, 2019, 26(6): 51-54.
[13] 张晓璐, 王国蓉, 郑莹莹, 杨璐. 乳腺癌术后引流管留置时间危险因素分析及风险预测模型研究[J]. 护理学报, 2019, 26(23): 1-5.
[14] 国美娥, 辛海霞. 578名本科护生电子健康素养与健康自我管理能力的相关性分析[J]. 护理学报, 2019, 26(23): 65-68.
[15] 栗娟, 陈秀荣. 1型糖尿病儿童/青少年父母低血糖恐惧感影响因素研究进展[J]. 护理学报, 2019, 26(21): 31-35.
Viewed
Full text


Abstract

Cited

  Shared   
[1] 徐慧娜, 桂意华. ICU护士血液净化技术培训应用PBL教学法结合能力进阶模式的效果观察[J]. 护理学报, 2020, 27(12): 1 -5 .
[2] 汤琳, 孟爱凤, 智晓旭, 邾萍, 浦亚楼, 路莉静. 癌症青年患者社会心理干预的研究进展[J]. 护理学报, 2020, 27(12): 10 -13 .
[3] 严晓晶, 陈璐, 陈雁. 社区专科护士培训现状及研究进展[J]. 护理学报, 2020, 27(12): 14 -17 .
[4] 卢舒颖, 刘宁, 魏璐华, 梁冬梅, 李妍. 产后出血预防及管理的最佳证据总结[J]. 护理学报, 2020, 27(12): 18 -22 .
[5] 刘小成, 应文娟, 刘智利, 郑锐华, 许诺, 刘慧. 生命末期患者性与亲密关系评估的最佳证据总结[J]. 护理学报, 2020, 27(12): 23 -27 .
[6] 林慧菁, 倪平. 932名武汉市民对生命维持治疗的态度现状及影响因素分析[J]. 护理学报, 2020, 27(12): 28 -32 .
[7] 朱一凡, 陈芷谦, 郭巧红, 苏娅丽. 196例乳腺癌化疗患者尊严现状及影响因素分析[J]. 护理学报, 2020, 27(12): 33 -37 .
[8] 潘国翠, 李梅. 决策疲劳量表的汉化及其应用于ICU患者家属的信度效度评价[J]. 护理学报, 2020, 27(12): 38 -41 .
[9] 贺芳, 温秀兰, 林艳, 刘会, 郭晓萍, 张喆. 新生儿重症监护病房噪音水平调查与对策[J]. 护理学报, 2020, 27(12): 42 -45 .
[10] 田凡立, 李惠玲, 杜美兰, 蒋芳琴, 张新梅, 殷雪群. 新型冠状病毒肺炎下援鄂男护士情绪体验的质性研究[J]. 护理学报, 2020, 27(12): 46 -49 .