乳腺癌病人重返工作准备度现状及影响因素分析

    The status quo of return-to-work readiness of breast cancer patients and its influencing factors analysis

    • 摘要:
      目的 调查乳腺癌病人重返工作准备度现状,分析相关影响因素并验证。
      方法 采用便利抽样方法抽取170例乳腺癌病人为研究对象,采用一般资料调查问卷、重返工作准备度量表、疾病接受度量表和领悟社会支持量表对病人进行调查。
      结果 170例乳腺癌病人中,已有47例重返工作,重返率为27.65%。未重返工作病人中重返工作准备度处于意向维度占比最高,为43.54%,其得分(4.10±0.32)分,其次为前意向,占比均为15.64%,得分(4.29±0.31)分;重返工作病人中重返工作准备度处于主动维持维度占比最高,为61.70%,其得分(3.69±0.31)分。回归结果显示,年龄、职业性质、家庭内支持、家庭外支持、疾病接受度和规律锻炼是重返工作的重要影响因素。绘制ROC曲线,AUC=0.852,灵敏度为74.5%,特异度为84.6%,说明预测模型对重返工作有较高预测价值。
      结论 在临床护理工作中,应针对不同阶段和特点的病人自身特点,联合家庭、单位给予重返工作的相关指导和干预,开发有针对性的干预方案帮助病人重返工作。

       

      Abstract:
      Objective To investigate the status quo of return-to-work readiness of breast cancer patients, and analyze its related influencing factors.
      Methods One hundred and seventy patients with breast cancer were selected as research objects by convenience sampling method, and the patients were investigated using the general information questionnaire, return-to-work readiness scale, disease acceptance scale and perceptive social support scale.
      Results Among 170 patients with breast cancer, 47 cases had returned to work, with a return rate of 27.65%.Among the patients who did not return to work, the intention dimension accounted for the highest proportion of 43.54%, and its score was (4.10±0.32) points, followed by the pre-intention dimension, accounting for 15.64%, and its score was (4.29±0.31) points.The active maintenance dimension accounted for 61.70% of the patients who returned to work, and its score was (3.69±0.31) points.The results of regression showed that the age, occupational nature, family support, outside family support, disease acceptance and regular exercise were the important influencing factors of return-to-work.The ROC curve was drawn, The AUC, sensitivity and specificity were 0.852, 74.5% and 84.6%, respectively, which indicated that the prediction model had high predictive value for return-to-work.
      Conclusions In clinical nursing work, according to the characteristics of patients at different stages and characteristics, families and units should give relevant guidance and intervention to return-to-work, and develop targeted intervention programs to help patients return-to-work.

       

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