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

PDF (PC)

419

赞

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] 王利敏, 方继红, 武凤芹, 朱晶, 陈婉宣. 运动恐惧在学龄期四肢骨折患儿自我效能与早期功能锻炼依从性间的中介效应[J]. 护理学报, 2025, 32(3): 1-5.
[2] 刘琪, 刘佳丽, 刘玉, 杨丽敏, 范育英, 吕星, 覃惠英. 鼻咽癌患者诱导化疗序贯同期放化疗期间躯体-心理症状负担轨迹及影响因素研究[J]. 护理学报, 2025, 32(1): 1-6.
[3] 李珂, 贺雨琼, 李雨蔚, 常颖. 脑卒中患者跌倒恐惧干预研究的范围综述[J]. 护理学报, 2025, 32(1): 50-55.
[4] 谭丘羽, 邓一芯, 冀婉倩, 王冬华. 农村老年人自我刻板化与主观记忆抱怨在自我感知老化与痴呆恐惧间的链式中介效应[J]. 护理学报, 2025, 32(1): 56-61.
[5] 李雯欣, 涂惠, 张娜, 陈祎慧, 谢丽丽, 于浪琴. 运动干预改善心血管病患者运动恐惧的研究进展[J]. 护理学报, 2024, 31(9): 24-27.
[6] 华晶, 张青月, 王燕, 程畅, 张秀丽, 张爱爱. 问题提示清单在乳腺癌手术患者中的应用研究[J]. 护理学报, 2024, 31(8): 18-22.
[7] 朱心悦, 嵇冰聪, 蓝雪芬, 季晓珍. 糖尿病患者电子健康素养研究进展[J]. 护理学报, 2024, 31(7): 36-39.
[8] 蔡立柏, 梁郝, 刘延锦, 魏苗, 郭玉茹, 李英, 崔妙然, 秦俊美. 跌倒恐惧在全膝关节置换术后患者疼痛灾难化与恐动症的中介效应[J]. 护理学报, 2024, 31(7): 63-67.
[9] 李佳萍, 朱云霞, 朱宇. 乳腺癌化疗患者症状群的范围综述[J]. 护理学报, 2024, 31(4): 60-64.
[10] 姚婉晴, 杨立状, 陈旦旦, 张晚秋, 卢薇, 管翠红, 李海. 不同非药物干预措施改善乳腺癌患者疲乏效果的网状Meta分析[J]. 护理学报, 2024, 31(24): 37-43.
[11] 栗跃歌, 孔涵, 曹鼎, 李佳欣, 尚娅萌, 常淑莹. 228例中青年宫颈癌术后患者癌症复发恐惧现状及影响因素分析[J]. 护理学报, 2024, 31(20): 8-12.
[12] 李苗, 李红梅, 张俊, 李盼盼, 张宇彤, 王茜, 李沁瑶. 乳腺癌化疗患者自我倡权潜在类别及影响因素分析[J]. 护理学报, 2024, 31(20): 19-23.
[13] 祁丽萍, 王文煊, 侯敏, 郑粤豪, 冯惠霞, 李济宾. 首诊鼻咽癌患者焦虑抑郁现状及其与恐惧疾病进展的关系[J]. 护理学报, 2024, 31(20): 67-72.
[14] 戴美芬, 梁钰贞, 杨静, 尤燕燕, 杨清, 昌广婷, 区幸莹, 黄传蔷, 陈智星, 区洁芬. 基于循证和中医理念的乳腺癌化疗患者癌因性疲乏护理干预方案的构建[J]. 护理学报, 2024, 31(15): 34-38.
[15] 张静, 黄佳颖, 史蕾, 梁丽婵, 孟江南, 叶红雨, 王为杰. 白血病患儿父母疾病进展恐惧发展轨迹及影响因素分析[J]. 护理学报, 2024, 31(11): 12-17.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!