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| Study on the fertility anxiety level and its influencing factors of young female patients with breast cancer |
| Hangzhou First People's Hospital affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310006 |
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Abstract To understand the level of the fertility anxiety of young female patients with breast cancer, and to analyze its influence factors. Methods：The young female patients with breast cancer who admitted to hospital from January 2022 to June 2023 were selected as the study subjects. The general data questionnaire, the post-cancer fertility worry scale and the social support rating scale were used to investigate. Univariate and multiple linear regression models were used to analyze the associated factors affecting the level of the fertility anxiety of the young female patients with breast cancer. Results: The scores of the fertility anxiety and the social support of the young female patients with breast cancer were 63.9±11.5 points and 40.7±5.3 points. The social support of the young female patients with breast cancer was negatively associated with their fertility anxiety (r=-0.479, P<0.01). Multiple linear regression analysis showed that the age (β=-0.105), the family economic income (β=-0.196), the number of children (β=-0.230), the breast cancer duration (β=0.118), the surgical mode (β=0.184) and the social support (β=-0.219) of the young female patients with breast cancer were the factors influencing their fertility anxiety. Conclusion: The young female patients with breast cancer of the low age, the low income, the childless, the longer duration of breast cancer, or the postoperative breast loss have higher levels of fertility anxiety. Increasing the social support has a protective effect on the fertility anxiety of these patients. It is suggested to actively provide the fertility counseling for the young female patients with breast cancer, develop the individualized treatment plans and fertility retention programs, and encourage the patients to actively seek and use social support to relieve their disease pressure, in order to reduce their fertility worries.
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