年轻子宫内膜癌患者生育焦虑情况调查及影响因素

Investigation on Fertility Anxiety and Its Influencing Factors in Young Patients with Endometrial Cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2026, 53(1)
作者
作者单位

唐山市妇幼保健院,妇科

摘要
【摘要】 目的 探讨年轻子宫内膜癌患者生育焦虑情况调查及影响因素。方法 观察我院2023年1月到2024年1月子宫内膜癌患者100例,根据癌症后生育忧虑量表(Reproductive Concerns After Cancer Scale,RCAC)评分分为生育焦虑组62例(RCAC≥50分)及无生育焦虑组38例(RCAC<50分)。收集两组基线资料,通过多因素Logistic回归分析影响年轻子宫内膜癌患者生育焦虑的危险因素。结果 100例子宫内膜癌患者中存在生育焦虑患者62例(62%),无生育焦虑患者38例(38%);生育焦虑组家庭月收入<5000元、未生育、离异或未婚、国际妇产科联盟(International Federation of Gynecology and Obstetrics,FIGO)分期Ⅲ~Ⅳ期、有流产史占比高于无生育焦虑组(P<0.05);多因素Logistic回归分析表明,家庭月收入<5000元、未生育、离异或未婚、FIGO分期Ⅲ~Ⅳ期、有流产史均是影响年轻子宫内膜癌患者生育焦虑的独立危险因素(P<0.05)。结论 家庭月收入、生育现状、婚姻情况、FIGO分期、流产史均是影响年轻子宫内膜癌患者生育焦虑的独立危险因素,可为临床及早干预提供参考依据。
Abstract
【Abstract】 Objective To investigate fertility anxiety and its influencing factors in young patients with endometrial cancer. Methods A total of 100 endometrial cancer patients treated in our hospital from January 2023 to January 2024 were enrolled. Based on the Reproductive Concerns After Cancer Scale (RCAC) scores, they were divided into a fertility anxiety group (62 cases, RCAC ≥50) and a non-fertility anxiety group (38 cases, RCAC <50). Baseline data of both groups were collected, and multivariate logistic regression analysis was performed to identify risk factors influencing fertility anxiety in young endometrial cancer patients.Results Among the 100 patients, 62 (62%) had fertility anxiety, while 38 (38%) did not. The fertility anxiety group had significantly higher proportions of patients with a monthly household income <5,000 yuan, nulliparity, divorced or unmarried status, FIGO stage III–IV, and history of abortion compared to the non-fertility anxiety group (P <0.05). Multivariate logistic regression analysis indicated that monthly household income <5,000 yuan, nulliparity, divorced or unmarried status, FIGO stage III–IV, and history of abortion were independent risk factors for fertility anxiety in young endometrial cancer patients (P <0.05). Conclusion Monthly household income, fertility status, marital status, FIGO stage, and history of abortion are independent risk factors influencing fertility anxiety in young endometrial cancer patients, providing a reference for early clinical intervention.
关键词
【关键词】子宫内膜癌;生育焦虑;家庭月收入;流产史
KeyWord
【Key words】Endometrial cancer; Fertility anxiety; Monthly household income; History of abortion
基金项目
页码 180-183
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徐丽娜. 年轻子宫内膜癌患者生育焦虑情况调查及影响因素 [J]. 国际精神病学杂志. 2026; 53; (1). 180 - 183.

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