Current status and influencing factors of fertility concerns in early endometrial cancer and atypical endometrial hyperplasia patients with fertility preservation
10.3760/cma.j.cn115682-20250307-01127
- VernacularTitle:早期子宫内膜癌及子宫内膜非典型增生保留生育功能患者生育忧虑现状及影响因素分析
- Author:
Jingjing GONG
1
;
Hongbin ZHANG
1
;
Xueying WANG
1
;
Ying ZHANG
1
;
Yanmei ZHANG
1
;
Dandan YANG
1
;
Lianhua BAI
1
;
Yuanyuan LIU
1
;
Xiaodan LI
1
Author Information
1. 北京大学人民医院妇产科，北京 100044
- Publication Type:Journal Article
- Keywords:
Endometrial neoplasms;
Endometrial hyperplasia;
Fertility preservation;
Fertility concerns;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2025;31(34):4719-4724
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of fertility concerns among early-stage endometrial cancer (EC) and atypical endometrial hyperplasia (AEH) patients with fertility preservation, and analyze its influencing factors.Methods:Convenience sampling was used to select early-stage EC and AEH patients with fertility preservation at Peking University People's Hospital from January to December 2021 as study subjects. The study subjects were surveyed using the General Information Questionnaire, Chinese version of the Reproductive Concerns after Cancer Scale (RCAC), and Social Support Rating Scale (SSRS). Pearson correlation was employed to examine the relationship between fertility concerns and social support in early-stage EC and AEH patients with fertility preservation. Single-factor analysis and multiple linear regression analysis were used to examine the factors influencing fertility concerns in early-stage EC and AEH patients with fertility preservation.Results:A total of 170 questionnaires were distributed, and 167 valid questionnaires were collected, with a valid response rate of 98.24% (167/170). The RCAC and SSRS scores of 167 early-stage EC and AEH patients with fertility preservation were (56.58±10.58) and (34.22±8.21), respectively. Educational level, disease type and staging, marital status, and social support were statistically significant factors influencing fertility concerns among early-stage EC and AEH patients undergoing fertility preservation ( P<0.05), explaining 32.80% of the total variance. Conclusions:Early-stage EC and AEH patients with fertility preservation exhibit high levels of fertility concerns. Clinical practice should develop individualized psychological intervention programs for patients with high education level, unmarried status, high pathological grading, and lack of social support to improve their physical and mental health.
