康慧,许玲玲,吴春苗.乳腺癌改良根治术后病耻感与社会支持、家庭关怀度相关性分析[J].中国医药导报,2024,21(6):62-65 本文二维码信息
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乳腺癌改良根治术后病耻感与社会支持、家庭关怀度相关性分析
Correlation analysis of stigma and social support and family caring degree after modified radical breast cancer surgery
收稿日期:  修订日期:2023-05-06
DOI:10.20047/j.issn1673-7210.2024.06.14
关键词:  乳腺癌  改良根治术  病耻感  社会支持  家庭关怀度
Key Words:
基金项目:安徽省自然科学基金资助项目(1908085MH239)
作者单位
康慧 安徽省阜阳市肿瘤医院乳腺肿瘤外科安徽阜阳 236000 
许玲玲 安徽省阜阳市肿瘤医院乳腺肿瘤外科安徽阜阳 236000 
吴春苗 安徽省阜阳市肿瘤医院乳腺肿瘤外科安徽阜阳 236000 
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摘要:目的 分析乳腺癌改良根治术后病耻感与社会支持、家庭关怀度的相关性。 方法 选取安徽省阜阳市肿瘤医院乳腺肿瘤外科2020年1月至2023年1月收治的80例乳腺癌改良根治术患者作为研究对象,采用社会影响量表(SIS)、社会支持评定量表(SSRS)及家庭关怀度指数问卷(APGAR)评估患者病耻感、社会支持利用度及家庭关怀度情况,分析乳腺癌根治术后病耻感与社会支持及家庭关怀度的相关性。 结果 单因素线性回归发现,乳腺癌根治术患者病耻感中文化程度、家庭月收入水平、费用支付方式、临床分期、家属文化水平比较,差异有统计学意义(P<0.05)。乳腺癌根治术患者SIS量表总分及各个维度与SSRS量表与PAGA问卷总分及各个维度呈负相关(r<0,P<0.05)。 结论 乳腺癌改良根治术后病耻感与社会支持及家庭关怀度存在必然关系。因此,临床护理应通过量效关系针对患者家庭角度健康教育和认知引导,增强家属对患者的关注,提高患者在家庭支持的利用度。
Abstract:Objective To analyze the correlation between stigma and social support and family care after modified radical surgery for breast cancer. Methods A total of 80 patients with modified radical mastectomy admitted to the Department of Breast Cancer Surgery, Fuyang Cancer Hospital, Anhui Province from January 2020 to January 2023 were selected as the study objects. social impact scale (SIS), social support rating scale (SSRS), and family APGAR index (APGAR) were used to evaluate the stigma, social support utilization, and family care of patients, and the correlation between stigma, and social support and family care after radical breast cancer surgery was analyzed. Results Univariate linear regression showed that there were statistically significant differences in the level of education, monthly family income, payment method, clinical stage, and family education level in the stigma of patients with radical mastectomy (P<0.05). The total score and dimensions of SIS scale in patients with radical mastectomy were negatively correlated with SSRS and APGAR questionnaire total score and dimensions (r<0, P<0.05). Conclusion There is an inevitable relationship between stigma and social support and family care after modified radical breast cancer surgery. Therefore, clinical nursing should provide health education and cognitive guidance from the perspective of family through dose-effect relationship, enhance family members’ attention to patients, and improve patients’ utilization of family support.
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