关键词: 育龄期；女性；癌症；生育忧虑；家庭功能

Abstract: Objective: To investigate the reproductive concerns and family functions of female cancer patients at childbearing age, and analyze the influencing factors of their reproductive concerns. Methods: By using convenience sampling method, 256 patients were enrolled from two tertiary grade A hospitals in Hangzhou, Zhejiang province between August 2017 and January 2018. Reproductive Concerns After Cancer (RCAC) and Family Adaptation and Cohesion Evaluation Scale II (FACES II) were used to collect data. Results: The score of reproductive concerns was (56.58±6.52). The scores of family real cohesion, ideal cohesion and dissatisfaction of coherence were all higher than norms (P<0.05). The scores of family real adaptation and ideal adaptation had no significant difference with norms (P>0.05), and the score of dissatisfaction of adaptation was higher than norms (P<0.05). The results of regression analysis showed that the number of children, balanced family, intermediate family, gynecologic malignant tumor and fertility intention would influence their reproductive concerns, which could explain 41.1% of the total variation. Conclusion: Health care professionals should pay attention to the reproductive concerns of female cancer patients at childbearing age, provide professional information to support them, and take appropriate measures to reduce their passive emotions and improve their quality of life.

Key words: childbearing age; female; cancer; reproductive concerns; family function