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乳腺癌患者孤独感的影响因素分析OA

Analysis of influencing factors of loneliness in breast cancer patients

中文摘要英文摘要

目的 探讨乳腺癌患者孤独感的影响因素.方法 采用便利抽样法选取2021年10月至2022年1月南方医科大学南方医院收治的208例乳腺癌患者作为研究对象,采用癌症孤独量表、社会支持量表、医学应对方式问卷、简易疾病认知问卷及医院焦虑抑郁量表评价乳腺癌患者的孤独感、社会支持、应对方式、疾病认知和焦虑抑郁情况.结果 单因素分析结果显示,乳腺癌患者孤独感与是否接受过化疗、经济负担、癌症转移有关,差异有统计学意义(P<0.05).多元线性回归结果显示,疾病认知情况(B=0.062,β=0.168,95%CI:0.010~0.114)、焦虑情绪(B=0.449,β=0.358,95%CI:0.286~0.612)、有癌症转移(B=1.556,β=0.163,95%CI:0.501~2.612)、应对方式(面对)(B=-0.181,β=-0.178,95%CI:-0.295~-0.067)、有经济负担(B=1.863,β=0.160,95%CI:0.544~3.181)是孤独感的独立影响因素(P<0.05).结论 临床医务人员应重点关注癌症转移及经济困难的乳腺癌患者,通过鼓励积极应对,增进疾病认知,缓解焦虑,减轻孤独感.

Objective To explore the influencing factors of loneliness in breast cancer patients.Methods A total of 208 breast cancer patients admitted to Nanfang Hospital of Southern Medical University from October 2021 to January 2022 were selected using the convenience sampling method.The cancer loneliness scale,social support scale,medical coping style questionnaire,simple disease cognition questionnaire,and hospital anxiety and depression scale were used to evaluate the loneliness,social support,coping styles,disease cognition,and anxiety and depression of the breast cancer patients.Results The results of univariate analysis showed that the loneliness of breast cancer patients was related to whether they had re-ceived chemotherapy,economic burden,and cancer metastasis,and the differences were statistically significant(P<0.05).The results of multiple linear regression showed that disease cognition(B=0.062,β=0.168,95%CI:0.010-0.114),anxiety(B=0.449,β=0.358,95%CI:0.286-0.612),cancer metastasis(B=1.556,β=0.163,95%CI:0.501-2.612),coping style(face)(B=-0.181,β=-0.178,95%CI:-0.295--0.067),and economic burden(B=1.863,β=0.160,95%CI:0.544-3.181)were independent influencing factors of loneliness(P<0.05).Conclusion Clinical medical staff should pay special attention to breast cancer patients with cancer metastasis and economic difficulties,and encourage positive coping,improve disease cognition,relieve anxiety,and reduce loneliness.

林静静;夏雅雄;章建文;余欣;陆春辉

宁波卫生职业技术学院护理学院,浙江宁波 315100宁波卫生职业技术学院护理学院,浙江宁波 315100宁波大学附属妇女儿童医院分娩室,浙江宁波 315012宁波卫生职业技术学院护理学院,浙江宁波 315100宁波卫生职业技术学院护理学院,浙江宁波 315100

医药卫生

乳腺癌孤独感影响因素焦虑

Breast cancerLonelinessInfluencing factorAnxiety

《中国当代医药》 2026 (23)

108-110,115,4

宁波卫生职业技术学院校级科研项目(2025Y06).

10.3969/j.issn.1674-4721.2026.23.21

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