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乳腺癌患者心理社会适应性现况及影响因素分析

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目的 本研究旨在调查乳腺癌患者术后心理社会适应性现状及影响因素.方法 选取 2021 年 6 月—2022 年 4 月宁夏某三甲医院复诊的 273 例乳腺癌术后患者为调查对象,采用一般人口学问卷、乳腺癌患者心理社会适应性问卷、乳腺癌生存质量测定量表进行调查.采用多重线性回归模型分析乳腺癌患者术后心理社会适应的影响因素.结果 乳腺癌患者术后心理社会适应得分为 125.00±21.00 分.住院期间主要照顾者、手术方式为保乳手术、生理状况维度、社会/家庭情况维度、情感状况维度、附加关注维度是乳腺癌患者术后心理社会适应的影响因素(P<0.05).结论 乳腺癌患者术后心理社会适应水平较低,说明患者术后的癌症适应能力较差,这主要和突患乳腺癌所带来的自我认知能力、形象紊乱、情绪失调和社会问题有关.建议重点从患者的体相维度、社会支持系统、夫妻共同应对策略等方面进行干预,从而提升患者的心理社会适应水平.
Analysis of the current status and influencing factors of psychosocial adaptation in breast cancer patients
Objective This study aimed to investigate the current status and influencing factors of psychosocial adaptation in breast cancer patients after surgery.Methods A total of 273 breast cancer patients after surgery who underwent postoperative follow-up at a tertiary hospital in Ningxia from June 2021 to April 2022 were selected as survey subjects.The investigation was conducted using a General Demographic Questionnaire,a Psychosocial Adaptation Questionnaire for breast cancer patients,and a Breast Cancer Quality of Life Measurement Scale.A multiple linear regression model was used to analyze the influencing factors of psychosocial adaptation in breast cancer patients after surgery.Results The psychosocial adaptation score for breast cancer patients after surgery was 125.00±21.00 points.The primary caregiver during hospitalization,the type of surgery being breast-conserving surgery,physiological condition dimension,social/family situation dimension,emotional condition dimension,and additional concerns dimension were influencing factors of psychosocial adaptation in breast cancer patients after surgery(P<0.05).Conclusion The psychosocial adaptation level in breast cancer patients after surgery is relatively low,indicating poor post-surgical adaptation to cancer.This is mainly related to the self-cognitive ability,body image disruption,emotional dysregulation,and social issues caused by the sudden onset of breast cancer.It is recommended to focus on interventions on aspects such as the patient's physiological dimension,social support systems,and couples'joint coping strategies to enhance the psychosocial adaptation level of the patients.

Breast cancer patientsAfter surgeryPsychosocial adaptationInfluencing factorsInvestigation and analysis

江玥玥、王永琦、许洋、马玉倩、张曦

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宁夏回族自治区第五人民医院(宁夏回族自治区 石嘴山市,753000)

宁夏医科大学(宁夏回族自治区 银川市,750004)

宁夏医科大学总医院(宁夏回族自治区 银川市,750004)

乳腺癌患者 术后 心理社会适应 影响因素 调查分析

宁夏自然科学基金项目宁夏卫生健康系统科研课题宁夏医科大学总医院新入职硕士培养项目宁夏回族自治区重点研发计划项目

2019AAC032062019-NW-01420202942022CMG03082

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(10)