The impact of social support on the self-advocacy ability of breast cancer patients

HUANG Jiaqian; CHEN Hongtao; HE Susu; XIAO Shanshan; LI Wen; DENG Peng; SONG Xiaohua

PDF(1681 KB)

Journal of Hunan Normal University(Medical Science) ›› 2025, Vol. 22 ›› Issue (3) : 192-197.

Nursing Science

The impact of social support on the self-advocacy ability of breast cancer patients

HUANG Jiaqian^1,2, CHEN Hongtao¹, HE Susu¹, XIAO Shanshan¹, LI Wen¹, DENG Peng¹, SONG Xiaohua²

Author information +

History +

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.

Key words

breast cancer / self-advocacy / social support / influencing factors / correlation

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

HUANG Jiaqian, CHEN Hongtao, HE Susu, XIAO Shanshan, LI Wen, DENG Peng, SONG Xiaohua. The impact of social support on the self-advocacy ability of breast cancer patients[J]. Journal of Hunan Normal University(Medical Science). 2025, 22(3): 192-197

References

[1] ARNOLD M, MORGAN E, RUMGAY H, et al.Current and future burden of breast cancer: Global statistics for 2020 and 2040[J]. Breast, 2022, 66: 15-23.
[2] 范文凭, 林琳, 刘江美, 等. 基于GBD数据分析1990—2019年中国恶性肿瘤疾病负担趋势[J]. 中国肿瘤, 2024, 33(01): 20-26.
[3] 陈保菊, 王璐, 王文颖, 等. 强化健康教育在乳腺癌根治术患者自我形象重塑中的应用效果[J]. 中国健康心理学杂志, 2020, 28(08): 1182-1186.
[4] 何思怡, 李贺, 曹毛毛, 等. 全球及我国女性乳腺癌疾病负担年龄分布及变化趋势[J]. 中国肿瘤, 2023, 32(01): 1-7.
[5] 梁湘, 陈海林, 杨雪梅, 等. 宫颈癌幸存者自我倡权影响因素及其与生活质量的相关性[J]. 护理研究, 2023, 37(19): 3428-3434.
[6] 何丽, 胡露红, 崔金锐, 等. 乳腺癌化疗患者自我倡权能力现状及影响因素分析[J]. 中华护理杂志, 2023, 58(07): 788-793.
[7] 李思. 青年女性癌症病人夫妻疾病沟通及自我倡权现状[J]. 护理研究, 2022, 36(19): 3522-3527.
[8] THOMAS TH, DONOVAN HS, ROSENZWEIG MQ, et al.A Conceptual Framework of Self-advocacy in Women With Cancer[J]. ANS Adv Nurs Sci, 2021, 44(1): E1-E13.
[9] HAGAN TL, COHEN SM, ROSENZWEIG MQ, et al.The Female Self-Advocacy in Cancer Survivorship Scale: A validation study[J]. J Adv Nurs, 2018, 74(4): 976-987.
[10] THOMAS TH, BENDER C, DONOVAN HS, et al.The feasibility, acceptability, and preliminary efficacy of a self-advocacy serious game for women with advanced breast or gynecologic cancer[J]. Cancer, 2023, 129(19): 3034-3043.
[11] HAGAN TL, COHEN S, STONE C, et al.Theoretical to Tangible: Creating a Measure of Self-Advocacy for Female Cancer Survivors[J]. J Nurs Meas, 2016, 24(3): 428-441.
[12] 冯翎, 谭兰惠, 喻惠丹. 女性癌症幸存者自我倡权量表的汉化与信效度检验[J]. 护理研究, 2021, 35(03): 377-381.
[13] JEBB AT, NG V, TAY L.A Review of Key Likert Scale Development Advances: 1995-2019[J]. Front Psychol, 2021, 12: 637547.
[14] ZIMET GD, POWELL SS, FARLEY GK, et al.Psychometric characteristics of the Multidimensional Scale of Perceived Social Support[J]. J Pers Assess, 1990, 55(3-4): 610-617.
[15] 姜乾金. 领悟社会支持量表[J]. 中国行为医学科学, 2001, 10(10): 41-43.
[16] 张帆, 朱树贞, 邓平基. 领悟社会支持量表在国内住院病人社会支持研究中的应用评价[J]. 护理研究, 2018, 32(13): 2048-2052.
[17] 唐佳梅, 陈杨. 医患沟通的互动实践及影响因素——基于某三甲医院医生视角的分析[J]. 学术研究, 2022(09): 79-86, 187.
[18] 阎毅, 王璐奇, 司志宇, 等. 医患沟通不畅成因分析及其对医学教育的启示[J]. 医学与哲学, 2019, 40(24): 55-57, 81.
[19] 王惠惠, 李娜, 李燕, 等. 社会支持对乳腺癌幸存者癌症复发恐惧的影响: 心理复原力的中介效应[J]. 军事护理, 2022, 39(10): 17-20.
[20] BELL S, BERGERON R, MURRAY PJ, Gazaway S, Hagan Thomas T.Describing Self-Advocacy in Underrepresented Women With Advanced Cancer[J]. Oncol Nurs Forum, 2023, 50(6): 725-734.
[21] 江丽玲, 王建宁, 李立群, 等.110例乳腺癌女性患者健康素养与癌症复发恐惧的相关性研究[J]. 护理学报, 2020, 27(14): 26-29.
[22] 张传洋, 郭宇, 庞宇飞, 等. 数智化医疗信息利用与服务模式框架构建[J]. 图书情报工作, 2023, 67(13): 49-58.
[23] 郑秋芳, 楼于冰, 郑宴萍. 健康女性对乳腺癌知识认知和健康教育需求及影响因素分析[J]. 中国妇幼保健, 2022, 37(23): 4491-4495.
[24] QI W, NA D.Relationship between kinesiophobia and quality of life among patients with breast cancer-related lymphedema: Chain-mediating effect of self-care and functional exercise compliance[J]. Asia Pac J Oncol Nurs, 2024, 11(1): 100346.
[25] SONG X, WEI C, LI X.The Relationship Between Microbial Community and Breast Cancer[J]. Front Cell Infect Microbiol, 2022, 12: 849022.
[26] HAN Q, KIM SM.Research Progress and Trends in Exercise Interventions for Mild Cognitive Impairment: A Bibliometric Visualization Analysis Using CiteSpace[J]. J Multidiscip Healthc, 2025, 18: 505-529.
[27] HU Y, GU S, BU Z, et al.Effect of exercise for patients with advanced lung cancer and cancer-related fatigue: A systematic review and meta-analysis[J]. J Sport Health Sci, 2024, 14: 101017.
[28] LAW LLF, MOK VCT, YAU MKS, et al. Effects of functional task exercise on everyday problem-solving ability and functional status in older adults with mild cognitive impairment-a randomised controlled trial[J]. Age Ageing, 2022, 51(1): afab210.
[29] 韦嘉玲, 陆艳, 陆柳梅, 等. 团体干预对改善康复期乳腺癌患者社会支持水平的研究[J]. 上海交通大学学报 (医学版), 2014, 34(09): 1272-1275.
[30] TAVARES R, OLIVEIRA AR, BRANDÃO T, et al. Psychological group intervention to support parenting: Qualitative study about needs and preferences of mothers with breast cancer[J]. Eur J Oncol Nurs, 2022, 61: 102197.
[31] ASUZU CC, AKIN-ODANYE EO, ASUZU MC, et al.Effect of a novel pilot support group on distress and quality of life in breast cancer patients in Nigeria[J]. Psychooncology, 2023, 32(1): 133-138.
[32] 石东梅, 朱眉. 基于叙事医学理论护理模式对乳腺癌患者社会支持及疾病适应结局的影响[J]. 黑龙江医学, 2024, 48(07): 878-881.
[33] 牛丽丽, 王利平, 陈风. 优质多方协同护理模式干预对乳腺癌术后患者预后情况及癌因性疲乏的影响[J]. 慢性病学杂志, 2024, 25(09): 1357-1360.
[34] 杨惠莉, 赵建伟, 蒋静媛, 等. 基于健康行为改变整合理论的乳腺癌患者患肢功能康复干预方案的应用研究[J]. 护士进修杂志, 2024, 39(01): 42-46.
[35] 孙绪晗, 吴媛, 王雨晴, 等. 家庭复原力在乳腺癌患者护理领域的应用进展[J]. 中国护理管理, 2023, 23(10): 1574-1577.