目的: 旨在探讨社会支持对乳腺癌患者自我倡权能力的影响,为制定个性化支持计划和提升患者自主决策能力提供有力依据。方法: 采用一般资料调查表、女性癌症自我倡权量表、领悟社会支持量表对湖南省某所三级甲等医院乳腺肿瘤科364例乳腺癌患者进行调查。结果: 364例乳腺癌患者自我倡权、领悟社会支持得分分别为（77.25±8.99）、（62.92±8.32）分,Pearson相关性分析显示,自我倡权与领悟社会支持呈正相关（r=0.602,P<0.01）。知情决策维度、有效沟通维度、有效的社会支持维度与领悟社会支持呈正相关（r值分别为0.605,0.442,0.300,均P<0.01）,分析结果显示,年龄、居住状态、乳腺癌相关知识了解度、是否功能锻炼、领悟社会支持为患者自我倡权能力的影响因素,社会支持是患者自我倡权的独立影响因素,可解释总变异的45%。结论: 乳腺癌患者自我倡权能力处于中等偏上水平,自我倡权能力与社会支持密切相关,未来的研究和临床实践应重点关注增强乳腺癌患者的社会支持系统,以促进其自我倡权能力的发展。通过强化社会支持,医疗机构可以有效优化治疗效果,并改善患者的整体心理健康,具有重要的临床意义和潜在应用价值。
Abstract
Objective It aims to explore the impact of social support on the self-advocacy ability of breast cancer patients, and to provide a strong basis for the development of personalized support plans and the enhancement of patients' autonomous decision-making ability. Methods A general information questionnaire, the Female Cancer Self-Advocacy Scale, the Comprehending Social Support Scale, and the Self-Identity Scale were used to investigate 364 breast cancer patients in the Breast Oncology Department of a tertiary hospital in Hunan Province. Results Self-advocacy and comprehension social support scores of 364 breast cancer patients were (77.25±8.99) and (62.92±8.32), respectively, and Pearson's correlation analysis showed that self-advocacy was positively correlated with comprehension social support (r=0.602, P<0.01). Informed decision-making dimension, effective communication dimension, and effective social support dimension were positively correlated with comprehending social support (r values of 0.605, 0.442, and 0.300, respectively, all P<0.01), and the analysis results showed that age, residence status, knowledge of breast cancer-related knowledge, whether or not to functionally exercise, and comprehending social support were the influencing factors of patients' ability to self-advocacy. Social support was an independent influence on patient self-advocacy, explaining 45% of the total variance. Conclusion The self-advocacy ability of breast cancer patients is at an intermediate to high level, and self-advocacy ability is closely related to social support; future research and clinical practice should focus on enhancing the social support system of breast cancer patients to promote the development of their self-advocacy ability. By strengthening social support, healthcare providers can effectively optimize treatment outcomes and improve the overall psychological health of patients, which has important clinical significance and potential application value.
关键词
乳腺癌 /
自我倡权 /
社会支持 /
影响因素 /
相关性
Key words
breast cancer /
self-advocacy /
social support /
influencing factors /
correlation
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基金
湖南省自然科学基金资助项目“基于眼动追踪技术的青年乳腺癌患者抑郁数智个体化干预模式的构建与实证研究”（2024JJ5300）,“基于眼动轨迹特征的育龄期乳腺癌术后患者创伤后应激障碍预测模型的构建及干预研究”（2024JJ9270）;长沙市自然科学基金“基于眼动轨迹特征的育龄期乳腺癌术后患者创伤后应激障碍的识别及干预研究”（kq2403116）;湖南省中医药科研课题“乳腺癌相关淋巴水肿中医循证方案的构建与实践研究”（B2023125）;湖南省卫生健康委科研课题“头颈肿瘤患者术后吞咽障碍预警评估体系的构建及实证研究”（202114051914）
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