摘要
目的了解乳腺癌幸存者社会疏离现状并分析其影响因素,为今后针对性开展该人群的护理干预提供参考。方法2019年5-9月,采用便利抽样法选取山东省2所三级甲等医院乳腺外科门诊及病房复诊的乳腺癌幸存者为研究对象,采用一般情况调查表、社交回避及苦恼量表、社交焦虑量表、孤独感量表以及医学应对方式问卷对其进行调查。结果乳腺癌幸存者社会疏离中的社交回避维度得分为(5.43±3.37)分、社交焦虑维度得分为(9.62±5.08)分、孤独感维度得分为(38.98±9.31)分;多元线性回归分析结果显示,年龄、文化程度、婚姻状况、在职情况、手术方式、术后时间、应对方式是乳腺癌幸存者社会疏离的影响因素(均P<0.05)。结论乳腺癌幸存者存在一定程度的社会疏离,应多关注年轻、低学历、未婚、离异或丧偶,无业或病休,行乳腺癌根治术且术后时间在1年以下的人群,增强其积极应对,减轻回避和屈服,促进该人群社会融入。
Objective To study the status quo and influencing factors of social isolation among breast cancer survivors,and to provide a reference for the future nursing intervention of this group.Methods By convenience sampling method,the breast cancer survivors from two tertiary hospitals in Shandong Province were selected and investigated by general situation questionnaire,Social Avoidance Scale,Social Anxiety Scale,UCLA Loneliness Scale,and Medical Coping Modes Questionnaire during May to September 2019.Results The scores of social avoidance,social anxiety and loneliness were(5.43±3.37),(9.62±5.08)and(38.98±9.31),respectively.The results of multiple linear regression analysis showed that age,education level,marital status,on-the-job situation,operation mode,postoperative time and coping style were the influencing factors of social isolation of breast cancer survivors(all P<0.05).Conclusions Breast cancer survivors have some degree of social isolation.More attention should be paid to those who are young,with low education,unmarried,divorced or widowed,unemployed or sick,who have undergone radical mastectomy and the postoperative time is less than 1 year.Measures should be taken to enhance their positive coping,reduce avoidance and yield,and promote their social integration.
作者
王硕
刘培培
吕利明
WANG Shuo;LIU Peipei;LV Liming(School of Nursing,Shandong University of Traditional Chinese Medicine,Ji'nan 250355,Shandong Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2020年第12期5-9,共5页
Nursing Journal of Chinese People's Liberation Army
基金
2019年山东省社科规划研究项目(19CSHJ14)。
关键词
乳腺癌幸存者
社会疏离
影响因素
breast cancer survivors
social isolation
influencing factors
