乳腺癌化疗患者预期性悲伤现状及影响因素分析

目的 了解乳腺癌化疗患者预期性悲伤现状，并分析其影响因素，为临床医护人员采取有效干预措施提供参考。方法 以便利抽样方法选取乳腺癌化疗患者196例，采用一般资料调查表及预期性悲伤评估量表进行调查。结果 乳腺癌化疗患者预期性悲伤得分为(35.26±16.97)分；单因素分析显示，不同居住地、文化程度、职业、人均月收入、自觉心理状况、疲乏、失眠、食欲减退、活动障碍和患病时长的乳腺癌化疗患者预期性悲伤得分比较，差异有统计学意义（P<0.05，P<0.01）；多因素分析显示，人均月收入、自觉心理状况、疲乏、活动障碍为乳腺癌化疗患者预期性悲伤的主要影响因素（P<0.05，P<0.01），共解释总变异量的24.60%。结论 化疗期乳腺癌患者预期性悲伤处于中等水平，临床医务人员需关注其心理状态，评估并分析导致其预期性悲伤的影响因素，制定个体化的干预措施，以降低其预期性悲伤水平。

Preparatory grief and its influencing factors among breast cancer patients undergoing chemotherapy

Objective To investigate the status of preparatory grief among breast cancer patients undergoing chemotherapy, and to analyze its influencing factors, so as to provide reference for clinical medical staff taking effective interventions. Methods A total of 196 breast cancer patients undergoing chemotherapy were selected using convenience sampling method, then they were investigated utilizing the general information questionnaire and the Preparatory Grief in Advanced Cancer Patients scale (PGAC). Results The total PGAC score of the breast cancer patients was (35.26±16.97). The univariate analysis showed that, the patients with different places of residence, educational backgrounds, occupations, personal monthly income, self-perceived psychological status, fatigue, insomnia, loss of appetite, movement disturbance and duration of illness scored significantly different in PGAC (P<0.05, P<0.01). And multivariate analysis indicated that, personal monthly income, self-perceived psychological status, fatigue and movement disturbance were the major influencing factors of preparatory grief among breast cancer patients undergoing chemotherapy (P<0.05, P<0.01), which explained 24.60% of the total variance. Conclusion Preparatory grief among breast cancer patients undergoing chemotherapy is at a medium level. Medical staff should pay attention to their mental health status, assess and analyze the influencing factors of preparatory grief, then develop individua-lized intervention plan to reduce their preparatory grief.