目的 探讨行化学治疗(简称化疗)的早期乳腺癌患者健康饮食行为与其营养素养和饮食态度的关系。 方法 采取 回顾性研究选择 2022 年 1 月至 2023 年 6 月期间在阜阳市肿瘤医院接受化疗的 128 例早期乳腺癌患者作为研究对象,收集患 者人口统计学资料、临床资料并采用中国肿瘤患者营养知识-态度-行为调查问卷和中国成人营养素养测量量表(NLMS-CA) 对患者进行饮食行为、态度和营养素养调查。 结果 128 例乳腺癌化疗患者健康饮食行为平均分为(55. 94±13. 13)分,单因素 分析结果表明,不同年龄、体质指数、工作状况、居住情况、教育水平、家庭人均月收入、更年期状况、照护人、是否复发等人口 学特征的乳腺癌患者健康饮食行为评分差异有统计学意义(P<0. 05)。 Pearson 相关分析结果表明,患者健康饮食行为评分与 NLMS-CA 量表总分和各维度得分及饮食态度总分均呈显著正相关性(P<0. 05)。 多元线性回归分析显示饮食行为评分和 NLMS-CA 量表总分、饮食态度总分均显著相关(P<0. 05)。 结论 早期乳腺癌化疗患者健康饮食行为受多种因素影响,并与其 营养素养和饮食态度关系密切,在干预时应予以重视。

Objective To investigate the relationship between healthy eating behavior and nutritional literacy and eating attitude in breast cancer patients undergoing chemotherapy. Method Conduct retrospective study selecting 128 breast cancer patients who received chemotherapy at the Fuyang Cancer Hospital from January 2022 to June 2023 as the study subjects. Collect demographic data clinical data and use the Chinese Cancer Patients Nutrition Knowledge-Attitude-Behavior Survey Questionnaire and the Chinese Adult Nutrition Literacy Measurement Scale NLMS-CA to investigate patients' dietary behaviors attitudes and nutrition literacy. Result The average score of healthy eating behavior of 128 patients with breast cancer chemotherapy was 55. 94± 13. 13 . The results of univariate analysis showed that Demographic and disease characteristics such as age BMI working status residence status education level per capita monthly family income menopausal status caretakers whether to relapse were significantly correlated with the score of healthy eating behavior of patients P<0. 05 . The results of Pearson correlation analysis showed that the healthy eating behavior score of patients was significantly positively correlated with the total score of NLMS-CA scale scores of all dimensions and total score of eating attitude P< 0. 05 . Multiple linear regression analysis showed that eating behavior score was significantly correlated with the total score of NLMS-CA scale and the total score of eating attitude P< 0. 05 . Conclusion The healthy eating behavior of breast cancer patients with chemotherapy is affected by many factors and it is closely related to its nutrient and eating attitude which should be paid attention to during intervention.