摘要
目的了解社区中老年男性前列腺癌筛查异常患者的疾病感知现状,并分析其影响因素,为开展健康宣传和促进前列腺癌的早期诊治提供参考。方法采用便利抽样法,于2021年9月—2023年4月根据南京大学医学院附属鼓楼医院泌尿外科前列腺癌筛查系统选取南京市15个社区卫生服务中心行前列腺癌筛查异常的750例患者为研究对象。使用一般资料调查表、简易疾病感知问卷(BIPQ)、自我感受负担量表、电子健康素养问卷、社会支持评定量表进行调查。采用Pearson相关分析探讨社区中老年男性前列腺癌筛查异常患者疾病感知与电子健康素养、自我感受负担、社会支持的相关性。采用多重线性回归分析探讨社区中老年男性前列腺癌筛查异常患者疾病感知的影响因素。结果本研究共发放750份问卷,回收有效问卷703份,问卷有效回收率为93.73%(703/750)。703例社区中老年男性前列腺癌筛查异常患者BIPQ得分为(45.68±8.73)分。单因素分析结果显示,不同年龄、婚姻状况、文化程度、收入水平、医疗费用支出和有无其他慢性病的社区中老年男性前列腺癌筛查异常患者BIPQ得分比较差异均有统计学意义(P<0.05);疾病感知与电子健康素养、社会支持呈负相关(P<0.01),与自我感受负担呈正相关(P<0.01)。多重线性回归分析显示,收入水平、医疗费用支出、自我感受负担、电子健康素养和社会支持是社区中老年男性前列腺癌筛查异常患者疾病感知的影响因素(P<0.05)。结论社区中老年男性前列腺癌筛查异常患者的疾病感知水平亟待提高,社会及医务人员应对前列腺癌筛查异常患者予以关注,采取有效的干预措施提高患者对疾病的正确认知,改善患者的就医行为,实现"早发现、早诊断、早治疗"。
Objective To investigate the status quo of illness perception of middle-aged and elderly male patients with abnormal prostate cancer screening in the community and analyze its influencing factors,so as to provide a reference for carrying out health promotion and promoting early treatment of prostate cancer.Methods From September 2021 to April 2023,the convenient sampling was used to select 750 patients with abnormal prostate cancer screening in 15 community health service centers in Nanjing as research objects according to the prostate cancer screening system of Department of Urology of Nanjing Drum Tower Hospital.The general information questionnaire,the Brief Illness Perception Questionnaire(BIPQ),Self-Perceived Burden Scale(SPBS),The eHealth Literacy Scale(eHEALS)and Social Support Rating Scale(SSRS)were used to conduct the questionnaire survey.Pearson correlation analysis was used to investigate the correlation between illness perception and eHealth literacy,self-perceived burden and social support in middle-aged and elderly men with abnormal prostate cancer screening in community.Multiple linear regression was used to analyze the influencing factors of illness perception of middle-aged and elderly men with abnormal prostate cancer screening in the community.Results A total of 750 questionnaires were sent out in this study,and 703 valid questionnaires were collected,with an effective recovery rate of 93.73%(703/750).BIPQ score of 703 middle-aged and elderly men with abnormal prostate cancer screening in the community was(45.68±8.73).The results of univariate analysis showed that there were statistically significant differences in BIPQ scores among middle-aged and elderly men with abnormal prostate cancer screening in different ages,marital status,educational level,income level,medical expenses and whether there were other chronic diseases(P<0.05).Illness perception was negatively correlated with eHealth literacy and social support(P<0.01),and positively correlated with self-perceived burden(P<0.01).Multiple linear regression analysis showed that income level,medical expenses,self-perceived burden,eHealth literacy and social support were the influential factors for illness perception of middle-aged and elderly men with abnormal prostate cancer screening in the community(P<0.05).Conclusions The illness perception of middle-aged and elderly men with abnormal prostate cancer screening in the community needs to be improved urgently.The society and medical staff should pay more attention to the patients with abnormal prostate cancer screening,take effective intervention measures to improve the correct cognition of the disease and improve patients'medical treatment behavior,so as to achieve"early detection,early diagnosis,early treatment".
作者
张银
陈慧
张小青
李萍
钱丽萍
Zhang Yin;Chen Hui;Zhang Xiaoqing;Li Ping;Qian Liping(Department of Urology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)
出处
《中华现代护理杂志》
2024年第18期2417-2422,共6页
Chinese Journal of Modern Nursing
基金
国家自然科学基金(81974394)
南京大学中国医院改革发展研究院课题(NDYG2022008)
南京鼓楼医院护理科研课题(2022-B2138)。
关键词
横断面研究
前列腺肿瘤
中老年人
疾病感知
影响因素
Cross-sectional study
Prostate tumor
Middle-aged and elderly
Illness perception
Influencing factors
