目的：了解乳腺癌患者居家中医护理知信行及需求现状,并探讨其影响因素。方法：采用一般资料问卷和居家中医护理现状及需求调查问卷,对352名乳腺癌术后居家患者进行调查,运用多元线性回归分析乳腺癌患者居家中医护理知信行及需求的影响因素。结果：居家中医护理知信行现状及需求得分分别为（67.83±7.779）、（30.84±6.942）、（31.02±5.327）分,处于中等水平;不同文化程度、婚姻状况、家庭月收入、手术时间距今时长、术后医院随访情况对患者居家中医护理认知态度得分差异具有统计学意义,不同年龄、文化程度、家庭月收入、术后医院随访情况对患者居家中医护理行为得分差异具有统计学意义,不同年龄、婚姻状况、中医护理实施情况、家庭月收入对患者居家中医护理需求得分差异具有统计学意义。结论：乳腺癌患者对居家中医护理存在较高的认知水平,同时乳腺癌患者对于居家中医护理知识及技术具有较高的需求,但居家中医护理执行力有待进一步提升;医院及社区应积极开展居家中医护理健康教育、推广居家中医护理传统保健技术,力求提高患者认知水平,提升实践能力,满足患者居家需求。
Abstract
Objective The aim of this study paper is to understand the statues of knowledge,practice and demand of family traditional Chinese medicine nursing for breast cancer patients,and to explore the influencing factors. Methods A total of 352 home patients after breast cancer surgery were investigated by using general data questionnaire and family traditional Chinese medicine nursing knowledge,practice and demand questionnaire. Multiple linear regression was used to analyze the influencing factors of knowledge,practice and demand for family traditional Chinese medicine nursing of breast cancer patients. Results The scores of knowledge,practice and demand of family traditional Chinese medicine nursing were（67.83±7.779）,（30.84±6.942）and（31.02±5.327）,which were in the medium level. Different education level,marital status,family monthly income,time since surgery and postoperative hospital follow-up had statistical differences on the family traditional Chinese medicine nursing attitude awareness of patients. Different age,education level,family monthly income,and postoperative hospital follow-up had statistical differences on the family traditional Chinese medicine nursing behavior of patients. Different age,marital status,implementation of traditional Chinese medicine nursing and monthly family income had statistical differences on the needs of traditional Chinese medicine family nursing. Conclusion Breast cancer patients have higher cognition level and need for family traditional Chinese medicine nursing,but their traditional Chinese medicine nursing behavior needs to be further improved. Hospitals and communities should actively carry out family traditional Chinese medicine nursing health education,promote traditional family traditional Chinese medicine nursing health care technology,and strive to improve patients’ cognitive level,enhance practical ability,and meet patients’ needs at home.
关键词
乳腺癌 /
中医护理 /
知信行 /
需求 /
影响因素分析
Key words
breast cancer /
TCM nursing /
knowledge /
attitude and practice /
needs and demand /
root cause analysis
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参考文献
[1] SUNG H,FERLAY J,SIEGEL RL,et al.Global Cancer Statistics 2020:GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J]. CA Cancer J Clin,2021,71(3):209-249.
[2] 李乐璇,张苗,邹军. MiRNA介导circ RNA调控肿瘤的发展[J]. 中国细胞生物学学报,2021,43(1):125-133.
[3] 祝龙玲,蒋晓莲,彭维雪,等. 乳腺癌术后化疗患者症状群的纵向研究[J]. 护理学杂志,2022,37(20):23-27.
[4] 高普,雷叶,张晶. 基于Heider平衡理论的护理干预在改善乳腺癌患者心理应激和生活质量中的应用[J]. 中国肿瘤临床与康复,2021,28(11):1397-1401.
[5] 王颖,赵银凤,王引侠. 基于“互联网+”康复护理对乳腺癌改良根治术后患者淋巴水肿的缓解效果[J]. 临床医学研究与实践,2023,8(05):138-140.
[6] 张蕾,武昭君,祁海燕,等. 中医综合护理对乳腺癌化疗患者的影响[J]. 甘肃医药,2023,42(04):368-370+375.
[7] 吕亚奇,冯国双. 医学研究中常见的样本量估算方法[J]. 慢性病学杂志,2016,17(04):359-361.
[8] 杨廷忠. 健康行为理论与研究[M]. 北京:人民卫生出版社,2007:27.
[9] 谌一凡,谢江华,罗尧岳,等. 湖南农村居民家庭中医护理服务需求现状及影响因素分析[J]. 湖南中医药大学学报,2022,42(06):1013-1017.
[10] 吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆: 重庆大学出版社,2010.
[11] 罗伯特·F·德威利斯著. 量表编制:理论与应用[M]. 席仲恩,杜珏译,重庆:重庆大学出版社,2016.
[12] 王迪,方秀萍,左宜,等. 公立三甲中医院患者中医护理服务需求及影响因素[J]. 中国医院,2019,23(01):30-33.
[13] 张少严,宋淑洁,王晓静,等. 河南省居民中医养生保健知信行现状及影响因素分析[J]. 现代预防医学,2021,48(04):701-705.
[14] 吉彬彬,林信冰,唐陶然,等. 社区中老年人中医养生知信行及服务需求的调查与分析[J]. 湖南中医药大学学报,2020,40(06):768-771.
[15] 韩琼,杨柳,黄双燕,等. 八式太极拳对乳腺癌患者癌因性疲乏影响的研究[J]. 广西中医药大学学报,2019,22(04):30-34.
[16] 周萍,宋洁. 老年人中医养生保健知-信-行的研究现状[J]. 中国医药导报,2017,14(25):34-37.
[17] 李静,潘怡,王卓,等. 健康行为阶段改变理论模型综述[J]. 现代预防医学,2011,38(23):4914-4916.
[18] 韩欣璞,肖海娟,方瑜,等. 中医食疗在恶性肿瘤中的研究进展[J]. 辽宁中医杂志,2022,49(11):203-206.
[19] 吴秀梅,徐宁君,李晓红,等. “组团式”紧密型帮扶提升基层中医院护士中医护理服务能力的实践[J]. 护理学报,2022,29(15):36-38.
[20] 安广隶,金霞,董美燕,等. 对某医院126名护士中医护理认知调查与分析[J]. 解放军预防医学杂志,2019,37(12):183-184.
[21] 田卫卫. 社区居民对传统中医营养学认知态度及行为调查研究[D]. 北京:北京中医药大学,2014.
[22] 徐思群,靳琦,王慧,等. 我国居民中医药科普知识认知情况调查研究[J]. 北京中医药大学学报,2015,38(6):413-419.
[23] 陈燕,邹帅,刘淑聪,等. 浙江省玉环市老年人对社区中医药服务利用的现况与影响因素分析[J]. 中医药管理杂志,2022,30(04):226-228.
[24] 王梦娜,刘倩汝,邓新茹,等. 医养结合模式下老年人中医护理服务需求研究进展[J]. 护理学杂志,2022,37(21):102-105.
基金
2023年度湖南省中医药科研课题“乳腺癌相关淋巴水肿中医护理技术循证护理方案的构建与实践研究”（B2023125）; 湖南中医药大学研究生创新课题“基于‘乙癸同源 ’理论的乳腺癌患者术后中医居家康复护理方案构建”（2023CX66）; 湖南省中医肿瘤护理研究生培养创新实践基地开放基金“基于‘乙癸同源’理论乳腺术后疲乏证候群中医居家康复护理方案研究与应用”
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