本文選題：乳腺癌 + 健康行為�。� 參考：《廣州中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的：采用臨床流行病學(xué)調(diào)查方法,對乳腺癌患者健康行為狀況進(jìn)行調(diào)查,了解乳腺癌患者健康行為現(xiàn)狀,分析被調(diào)查者健康行為改變情況及意愿,探討可能影響乳腺癌患者健康行為改變的因素,為制定乳腺癌患者科學(xué)合理的健康行為改變方案提供初步參考；同時(shí)希望問卷能夠得到認(rèn)可,為下一步研究提供參考。方法：采用前瞻性方便樣本調(diào)查方法,定性研究和定量研究相結(jié)合的調(diào)查方法進(jìn)行現(xiàn)場問卷調(diào)查,將收集到的308例乳腺癌患者健康行為狀況調(diào)查問卷建立數(shù)據(jù)庫,應(yīng)用χ2檢驗(yàn)、t檢驗(yàn)、秩和檢驗(yàn)和非條件逐步Logistic回歸分析等統(tǒng)計(jì)方法,了解乳腺癌患者的健康行為現(xiàn)狀及其健康行為改變情況及意愿,探討影響乳腺癌患者健康行為改變的可能因素；采用可靠性分析及因子分析對乳腺癌患者健康行為狀況調(diào)查表進(jìn)行信度、效度的評價(jià)。結(jié)果：1.乳腺癌患者健康行為調(diào)查研究乳腺癌患者較重視自身健康,患病后對乳腺癌相關(guān)知識的了解程度較前明顯提高,超過96%的患者計(jì)劃今后去了解乳腺癌相關(guān)知識；多數(shù)患者的健康意識較高,能較好的遵從醫(yī)生的建議和指導(dǎo),遵醫(yī)服藥、定期復(fù)查；調(diào)查的308例乳腺癌患者中有健康行為改變者296例(占96.1%),當(dāng)前還沒有糾正的不良習(xí)慣大部分患者計(jì)劃今后進(jìn)行改變。對影響乳腺癌患者健康行為改變因素的研究分析,結(jié)果提示：乳腺癌患者在實(shí)際年齡,累積哺乳時(shí)間,患病后對乳腺癌相關(guān)知識的了解情況,是否知道未哺乳/少哺乳、喜食煙熏/腌制品、含雌激素的保健品或護(hù)膚品、胸罩的佩戴或使用不當(dāng)及惡性腫瘤家族史可能導(dǎo)致乳腺癌發(fā)生,對健康重視程度,是否規(guī)律用餐,是否主動調(diào)控飲食類型,有無多吃新鮮果蔬、少吃紅肉、減少高脂肪/高熱量飲食及少吃煙熏/腌制食物飲食調(diào)控的具體表現(xiàn)、是否增加體育鍛煉、是否需要控制體重、是否保持生活起居規(guī)律等方面差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。進(jìn)一步進(jìn)行非條件逐步Logistic回歸分析,結(jié)果顯示：知道惡性腫瘤家族史可能導(dǎo)致乳腺癌發(fā)生者比不知道者其行為改變率相對更高；患病后主動調(diào)控飲食者比不調(diào)控者其行為改變率相對較高；患病后有增加體育鍛煉者比不增加者其行為改變率相對較高。2.乳腺癌健康行為狀況調(diào)查表信度、效度評價(jià)①信度分析：本問卷總條目的克朗巴赫系數(shù)α=0.67(標(biāo)準(zhǔn)化α=0.70),經(jīng)檢驗(yàn)F=235.12,P=0.0001(P0.01),差異有統(tǒng)計(jì)學(xué)意義；故本問卷信度尚可。②效度分析：采用主成分因子分析法對乳腺癌患者健康行為問卷的條目進(jìn)行因子分析,結(jié)果顯示KMO值=0.67,Bartlett球形檢驗(yàn)其概率P=0.0001(P0.01),提示該數(shù)據(jù)抽樣隨機(jī)性滿足因子分析；進(jìn)一步分析提取9個(gè)公因子,累計(jì)貢獻(xiàn)率為71.8%,本問卷效度較好,基本符合問卷的理論框架,但仍有個(gè)別條目存在不易解釋的情況,有待今后繼續(xù)優(yōu)化完善。結(jié)論：1.乳腺癌患者健康行為改變狀況：乳腺癌患者基本都有健康行為改變(96.1%)提示乳腺癌患者重視自身的健康行為改變。影響乳腺癌患者健康行為改變的因素有：是否知道惡性腫瘤家族史可能導(dǎo)致乳腺癌發(fā)生、患病后是否經(jīng)常主動調(diào)控飲食類型；患病后有無增加體育鍛煉。2.乳腺癌患者健康行為狀況調(diào)查表的信度尚可、效度較好,具有一定的臨床應(yīng)用價(jià)值,但仍需進(jìn)一步優(yōu)化、完善該問卷,提高其信度和效度,提升其推廣應(yīng)用價(jià)值。
[Abstract]:Objective: To investigate the health behavior of breast cancer patients by clinical epidemiological investigation, to understand the status of healthy behavior of breast cancer patients, to analyze the changes in health behavior of the patients and to discuss the factors that may affect the health behavior changes of the breast cancer patients and to formulate scientific and rational behavior of breast cancer patients. At the same time, we hope that the questionnaire can be approved to provide reference for the next step. Methods: a prospective and convenient sample survey method, a survey method combining qualitative and quantitative research, and a questionnaire on the health behavior of 308 cases of breast cancer patients were established. The database, using the statistical methods such as chi 2 test, t test, rank sum test and unconditional Logistic regression analysis to understand the status of health behavior of breast cancer patients and their health behavior changes and wishes, and discuss the possible factors affecting the change of healthy behavior of breast cancer patients, and use reliability analysis and factor analysis to treat the patients with breast cancer. The reliability and validity of the health behavior questionnaire. Results: 1. the investigation of the health behavior of the breast cancer patients was more important to the breast cancer patients. The knowledge of breast cancer related knowledge was improved significantly after the illness. More than 96% of the patients planned to understand the breast cancer related knowledge in the future; the health of the majority of the patients was healthy. Higher awareness, better compliance with doctors' advice and guidance, compliance with medicine and periodic review; 296 of the 308 cases of breast cancer patients investigated were healthy behavioural changes (96.1%), and most of the patients who had not corrected the bad habits were planned to change in the future. Fruit hints: breast cancer patients in the actual age, the accumulation of lactation time, the understanding of the knowledge related to breast cancer after the illness, whether they know not lactation / less lactation, smoked / pickled products, estrogen containing health care products or skin care products, brassiere wear or use improper and the family history of malignant tumor may lead to breast cancer, to health. Whether or not to have regular meals, whether or not to regulate the diet actively, whether to eat more fresh fruits and vegetables, eat less red meat, reduce high fat / high calorie diet and eat less smoked / pickled food and diet regulation, whether to increase physical exercise, or not to control weight, or not to keep the living rules and other aspects of the difference are statistically significant P0.05. Further unconditional Logistic regression analysis was carried out. The results showed that the family history of malignant tumor may lead to a higher rate of behavior change than those who did not know the breast cancer. The rate of behavior change was relatively high in.2. breast cancer health behavior questionnaire reliability and reliability analysis: the Krone Bach coefficient alpha =0.67 (standardized alpha =0.70) of this questionnaire, F=235.12, P=0.0001 (P0.01), was statistically significant; therefore, the reliability of this questionnaire was still available. Factor analysis was used to analyze the items of the health behavior questionnaire for breast cancer patients. The results showed that the KMO value was =0.67 and the probability of Bartlett spherical test was P=0.0001 (P0.01), suggesting that the data were sampled randomly to satisfy the factor analysis, and the 9 public factors were extracted and the cumulative Tribute rate was 71.8%. The validity of the questionnaire was better, basically conformed to the questionnaire. The theoretical framework, but there are still some items that are not easy to explain, and need to be optimized in the future. Conclusion: 1. the health behavior changes of breast cancer patients: breast cancer patients basically have healthy behavior changes (96.1%) suggest that breast cancer patients pay attention to their own health changes. Factors are: whether or not the family history of malignant tumor may lead to the occurrence of breast cancer and whether the diet type is regularly regulated after the disease; the reliability of the health behavior questionnaire of.2. breast cancer patients after the illness is still available, the validity is good, and it has certain clinical application value, but it still needs to be further optimized to improve this question. It can improve its reliability and validity and enhance its application value.

【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R737.9

【參考文獻(xiàn)】

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本文編號：1823398