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中国温州乳腺癌患者术前不确定性的相关因素:一项横断面研究。

Factors related to preoperative uncertainty among patients with breast cancer in Wenzhou, China: A cross-sectional study.

作者信息

Shen Huaiyu, Masingboon Khemaradee, Samartkit Niphawan

机构信息

Faculty of Nursing, Burapha University, Chon Buri, Thailand.

出版信息

Belitung Nurs J. 2023 Jun 26;9(3):236-243. doi: 10.33546/bnj.2648. eCollection 2023.

Abstract

BACKGROUND

One of the most prevalent psychological signs of breast cancer is uncertainty, which is more prevalent in Chinese patients during the preoperative period. Despite the numerous factors contributing to preoperative uncertainty, there is limited relevant research conducted in China.

OBJECTIVE

This study aimed to describe the current state of preoperative uncertainty and to investigate the relationship between anxiety, illness perception, social support, and preoperative uncertainty in patients with breast cancer in Wenzhou, China.

METHODS

This cross-sectional research used a simple random sampling technique to select 122 participants from a university hospital in Wenzhou, China, from July 2022 to December 2022, employing validated instruments. Descriptive statistics and Pearson's correlation coefficient were utilized to analyze the data.

RESULTS

The average preoperative uncertainty scores of the patients fell within a moderate range (M = 61.92, SD = 7.51). Significant correlations were found between anxiety ( = 0.638, <0.01), illness perception ( = 0.704, <0.01), social support ( = -0.481, <0.01), and preoperative uncertainty.

CONCLUSIONS

The results can assist healthcare professionals, especially nurses, in recognizing the factors contributing to uncertainty before surgery in patients with breast cancer. This knowledge enables them to promptly address and minimize this issue, leading to improved outcomes.

摘要

背景

乳腺癌最常见的心理迹象之一是不确定性,这在术前阶段的中国患者中更为普遍。尽管导致术前不确定性的因素众多,但中国国内相关研究有限。

目的

本研究旨在描述术前不确定性的现状,并调查中国温州乳腺癌患者的焦虑、疾病认知、社会支持与术前不确定性之间的关系。

方法

本横断面研究采用简单随机抽样技术,于2022年7月至2022年12月从中国温州某大学医院选取122名参与者,使用经过验证的工具。采用描述性统计和Pearson相关系数对数据进行分析。

结果

患者术前不确定性平均得分处于中等范围(M = 61.92,SD = 7.51)。焦虑(r = 0.638,P <0.01)、疾病认知(r = 0.704,P <0.01)、社会支持(r = -0.481,P <0.01)与术前不确定性之间存在显著相关性。

结论

研究结果可帮助医护人员,尤其是护士,识别导致乳腺癌患者术前不确定性的因素。这些知识使他们能够及时解决并尽量减少这一问题,从而改善治疗效果。

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