乳腺癌病人植入式静脉输液港留置期间自我护理能力及影响因素研究

    Study on the self-care ability and influencing factors of breast cancer patients during implantable intravenous infusion port retention

    • 摘要:
      目的 探讨乳腺癌病人植入式静脉输液港留置期间自我护理能力及影响因素。
      方法 选取134例乳腺癌病人作为研究对象, 分别采用自制一般资料问卷调查表、自我护理能力量表(ESCA)、社会支持评定量表(SSRS)进行问卷调查。
      结果 单因素分析显示, 病人的文化程度越高、家庭收入越高, ESCA评分越高;居住地为市区ESCA评分高于农村和乡镇;医保类型为居民医保和职工医保, ESCA评分高于自费和新农合;居民医保高于职工医保, 有配偶病人ESCA评分高于无配偶病人, 差异均有统计学意义(P < 0.05~P < 0.01);多重线性回归分析发现, 文化程度高、有配偶、家庭收入高社会支持得分高, 是病人自我护理能力的保护性因素(P < 0.05~P < 0.01), 居住在乡镇或市区比居住在农村病人的自我护理能力水平高, 有医保比医保自费病人的自我护理能力水平高。
      结论 针对乳腺癌病人植入式静脉输液港留置期间自我护理能力的影响因素, 可通过建立全面的社会支持体系, 帮助病人提高自我护理能力。

       

      Abstract:
      Objective To explore the self-care ability and influencing factors of breast cancer patients during implantable intravenous infusion port indwelling.
      Methods A total of 134 breast cancer patients were selected as study subjects, and investiagated using self-made the general information questionnaires, self-care ability scale (ESCA) and social support rating scale (SSRS).
      Results Univariate analysis showed that the higher the patient's educational level and family income, the higher the ESCA score; living in urban areas had a higher ESCA score than in rural and township areas; the types of medical insurance were resident medical insurance and employee medical insurance, with ESCA scores higher than self-funded and new rural cooperative medical insurance; medical insurance was higher than employee medical insurance, and the ESCA score of patients with spouses was higher than that of patients without spouses, with statistical significance(P < 0.05 to P < 0.01). Multiple linear regression analysis found that high education level, spouse, and high family income with high social support scores were protective factors for patients' self-care ability(P < 0.05 to P < 0.01). Patients living in towns or urban areas had higher self-care ability levels than those living in rural areas, and patients with medical insurance had higher self-care ability levels than those who paid for medical insurance.
      Conclusions In view of the factors influencing self-care ability during implantable intravenous infusion port indwelling of patients with breast cancer, a comprehensive social support system can be established to help patients improve their self-care ability.

       

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