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

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。

Correlation between Health Literacy and Fear of Cancer Recurrence in Female Breast Cancer Patients: A 110-case Study

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.