目的 调查并分析育龄男性淋巴瘤患者的生育忧虑现状及影响因素。方法 使用方便抽样法,选取2023年4—9月在江西省南昌市某医院就诊的204例患有淋巴瘤的育龄男性患者作为研究对象,采用一般资料调查表、男性生育忧虑量表与自我表露量表进行问卷调查。运用多重线性回归统计法分析男性淋巴瘤患者癌症后生育忧虑的影响因素。结果 204例男性淋巴瘤患者的生育忧虑总分是（49.92±12.66）分,痛苦表露指数得分为（35.18±12.66）分,生育忧虑与痛苦表露指数呈负相关（r=-0.529,P<0.001）。多元线性回归方程结果表明,患病时年龄、受教育程度、生育意愿、生育史和痛苦表露程度最后进入回归方程（均P<0.05）,共解释总变异的43.2%。结论 育龄男性淋巴瘤患者存在中高度的生育忧虑情绪。临床医护人员需重点关注患病时年纪轻、受教育程度高、未生育、有生育意愿和痛苦表露能力较低的男性淋巴瘤患者,及时采取肿瘤生育相关知识宣教和心理支持,以改善男性患者的自我表露状态,从而缓解其生育忧虑情绪。
Abstract
Objective To investigate the current status of fertility distress in male lymphoma patients of reproductive age and analyze its influencing factors. Methods Using convenient sampling, 204 male lymphoma patients of reproductive age who visited a hospital in Nanchang City, Jiangxi Province from April to September 2023 were selected as the objects. The General Information Questionnaire, the Reproductive Concern after Cancer Male (RCAC-M), and the Distress Disclosure Index (DDI) were used to conduct the investigation. The influencing factors of fertility distress were analyzed by multiple linear regression analysis. Results The average score of fertility distress among 204 male lymphoma patients of reproductive age was 49.92±12.66, and the score of distress disclosure index was 35.18±12.66. The fertility concerns negatively correlated distress disclosure index (r=-0.529, P<0.001). Age, education background, fertility intention, fertility history, and degree of distress disclosure were important influencing factors for reproductive concerns (P<0.05 for all), accounting for 43.2% of the total variance. Conclusion The level of reproductive concerns of male lymphoma patients of reproductive age is at a moderate to high level. Medical workers should focus on patients being young, highly educated, without bearing a child, with fertility intention and low ability of pain disclosure. Timely oncofertility-related education and psychological support should be considered to improve the self-disclosure ability of male lymphoma patients of reproductive age, so as to alleviate their reproductive concerns.
关键词
淋巴瘤 /
生育忧虑 /
育龄 /
痛苦表露
Key words
lymphoma /
reproductive concerns /
reproductive age /
distress disclosure
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基金
江西省重点研发计划项目（20203BBGL73167）; 国家癌症中心攀登基金（NCC201914B07）
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