摘要
目的探讨乳腺癌患者术后社交回避与苦恼现状及其影响因素。方法选择2018年6月至2019年6月我院乳腺癌手术患者60例为研究对象,采用社交回避与苦恼量表(SADS)、病耻感社会影响量表(SIS)调查患者社交回避与苦恼情况,并调查病耻感情况,将纳入因素进行多元逐步回归分析,确定乳腺癌患者术后社交回避与苦恼的影响因素。结果60例乳腺癌手术患者术后SADS评分为(13.22±2.14)分,多元逐步回归分析显示,放化疗、手术方式、病耻感、年龄是乳腺癌患者术后社交回避及苦恼的独立危险因素(P<0.05)。结论乳腺癌患者术后具有中度社交回避及苦恼,受到身体外形、放化疗不良反应、病耻感、年龄等因素影响,提升自我形象认知,改善社交信心与适应能力,能降低社交回避及苦恼。
Objective To explore the social avoidance and distress status of postoperative breast cancer patients and its influencing factors.Methods To select 60 cases of patients who underwent breast cancer operation in our hospital from June 2018 to June 2019 as the study objects.The social avoidance and distress scale(SADS)and social impact scale(SIS)were used to investigate the social avoidance and distress status of patients,and investigate the stigma,and the included factors were subjected to a multiple stepwise regression analysis to determine the influencing factors of social avoidance and distress in breast cancer patients after surgery.Results The postoperative SADS score of 60 cases of patients with breast cancer was(13.22±2.14)points.Multiple stepwise regression analysis showed that the radiotherapy and chemotherapy,operating method,stigma and age were the independent risk factors for social avoidance and distress in breast cancer patients after surgery(P<0.05).Conclusion Patients with breast cancer had moderate social avoidance and distress after surgery,which were affected by physical appearance,adverse reactions of radiotherapy and chemotherapy,stigma,age and other factors.By enhancing self-image recognition,improving social confidence and adaptability,it can reduce social avoidance and distress.
作者
朱海云
许丽
ZHU Hai-yun;XU Li
出处
《护理实践与研究》
2020年第16期32-34,共3页
Nursing Practice and Research
关键词
乳腺癌
社交回避及苦恼
影响因素
Breast cancer
Social avoidance and distress
Influencing factors
