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护理学报 ›› 2022, Vol. 29 ›› Issue (13): 6-11.doi: 10.16460/j.issn1008-9969.2022.13.006

• 研究生园地 • 上一篇    下一篇

女性乳腺癌患者社会疏离特征及预测指标的研究

何春燕1, 郭丝锦2, 林亚玮1, 杜艳玲1, 高丽1, 曹宝花1   

  1. 1.空军军医大学 护理系,陕西 西安 710000;
    2.空军军医大学西京医院 甲乳外科,陕西 西安 710000
  • 收稿日期:2022-04-07 出版日期:2022-07-10 发布日期:2022-08-02
  • 通讯作者: 曹宝花（1971-）,女,陕西西安人,博士,副教授,硕士研究生导师。E-mail: cbh528@fmmu.edu.cn.
  • 作者简介:何春燕（1998-）,女,湖南常德人,本科学历,硕士研究生在读。
  • 基金资助:
    陕西省重点研发项目（2022SF-371）

Characteristics and Predictors of Social Isolation in Female Breast Cancer Patients

HE Chun-yan1, GUO Si-jin2, LIN Ya-wei1, DU Yan-ling1, GAO li1, CAO Bao-hua1   

  1. 1. Department of Nursing, Air Force Medical University, Xi’an 710000,China;
    2. Dept. of Thyroid and Breast Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710000,China
  • Received:2022-04-07 Online:2022-07-10 Published:2022-08-02

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摘要： 目的 探究女性乳腺癌患者社会疏离的潜在类别,并分析女性乳腺癌患者社会疏离的预测指标。方法 采用便利抽样法选取2021年5—11月西安市3所三级甲等医院女性乳腺癌患者300例作为研究对象,采用社交焦虑量表、社交回避量表、孤独感量表调查患者的社会疏离状况,同时应用一般资料调查表、匹兹堡睡眠质量指数量表进行调查。基于潜在剖面分析对社会疏离进行类别分析,并采用有序多分类Logistic回归分析探索不同类别间的区分指标。结果 女性乳腺癌患者社会疏离特征可分为3种类别,分别命名为“高症状组”、“中等症状组”和“低症状组”,占比依次为11.6%、46.4%、42.0%。睡眠质量（OR=1.121,P=0.016）、手术（OR=8.063,P=0.010）、放疗（OR=8.385,P=0.017）是高症状组的预测指标。家庭人均月收入较低（OR=2.101,P=0.034）、手术（OR=4.072,P<0.001）、化疗（OR=3.059,P=0.005）是中等症状组的预测指标。结论 女性乳腺癌患者社会疏离水平可分为3个类别。“高症状组”的睡眠质量较差,手术、放疗是其重要预测因素;“中等症状组”的家庭人均月收入较低,手术、化疗是其独立预测因素。医护人员应根据女性乳腺癌患者社会疏离的不同分类特征,给予针对性的靶向干预。

关键词: 乳腺癌, 社会疏离, 睡眠质量, 潜在剖面分析, 护理

Abstract: Objective To explore the potential categories of social isolation in female breast cancer patients and to analyze the predictors of social isolation in female breast cancer patients. Methods Using convenience sampling method, 300 female breast cancer patients from 3 tertiary grade A hospitals in Xi’an from May to November of 2021 were selected. Social Anxiety Scale, Social Avoidance Scale, Loneliness Scale, general data scale and Pittsburgh Sleep Quality Index scale were used to investigate social isolation in the patients. After latent profile analysis, the social isolation was classified, and the ordinal multi-category logistic regression analysis was used to explore the distinguishing indexes among different categories. Results The characteristics of social isolation of female breast cancer patients can be divided into 3 categories: "high symptom group" (11.6%), "middle symptom group" (46.4%) and "low symptom group" (42.0%). Sleep quality (OR=1.121, P=0.016), surgery (OR=8.063, P=0.010) and radiotherapy (OR=8.385, P=0.017) were the predictors of high symptom group. Lower average monthly family income (OR=2.101, P=0.034), operation (OR=4.072, P<0.001), and chemotherapy (OR=3.059, P=0.005) were the predictors of the middle symptom group. Conclusion Social isolation in female breast cancer patients can be divided into 3 categories. Surgery and radiotherapy are important predictors of poor sleep quality in the "high symptom group", while surgery and chemotherapy are independent predictors of low monthly income in the "middle symptom group". Targeted intervention according to different characteristics of social isolation of female breast cancer patients should be considered.

Key words: breast cancer, social isolation, sleep quality, latent profile analysis, nursing

中图分类号: 

  • R473.73
[1] 杨昕宇,吕利明,王硕,等. 癌症幸存者社会疏离的研究进展[J]. 中华护理杂志, 2020,55(8):1270-1275.DOI:10.3761/j.issn.0254-1769.2020.08.030.
[2] Freedman A, Nicolle J.Social Isolation and Loneliness: the New Geriatric Giants: Approach for Primary Care[J]. Can Fam Physician, 2020, 66(3):176-182.
[3] Coughlin SS.Social Determinants of Breast Cancer Risk, Stage, and Survival[J]. Breast Cancer Res Treat, 2019, 177(3): 537-548.DOI:10.1007/s10549-019-05340-7.
[4] Li Y, Lord-Bessen J, Shiyko M, et al.Bayesian Latent Class Analysis Tutorial[J]. Multivariate Behav Res, 2018, 53(3): 430-451.DOI:10.1080/00273171.2018.1428892.
[5] 王硕,刘培培,吕利明. 乳腺癌患者社会疏离现状及其影响因素的研究[J]. 解放军护理杂志, 2020, 37(12):5-9.DOI:10.3969/j.issn.1008-9993.2020.12.002.
[6] 左漫云,孟利敏,杨慧娟,等. 住院癌症病人病耻感、社会支持与社交回避及苦恼的关系模型研究[J]. 全科护理, 2021,19(26):3607-3611. DOI:10.12104/j.issn.1674-4748.2021.26.002.
[7] Yamada K, Wakaizumi K, Kubota Y. Loneliness, Social Isolation,Pain Following the COVID-19 Outbreak: Data from a Nationwide Internet Survey in Japan[J]. Sci Rep, 2021,11(1):18643. DOI:10.1038/s41598-021-97136-3.
[8] Chen D, Yin Z, Fang B.Measurements and Status of Sleep Quality in Patients with Cancers[J]. Support Care Cancer. 2018,26(2):405-414. DOI:10.1007/s00520-017-3927-x.
[9] Salahuddin M, Maru TT, Kumalo A, et al.Validation of the Pittsburgh Sleep Quality Index in Community Dwelling Ethiopian Adults[J]. Health Qual Life Outcomes, 2017, 15(1):58.DOI:10.1186/s12955-017-0637-5.
[10] 王孟成,毕向阳. 潜变量建模与Mplus应用-进阶篇[M].重庆:重庆大学出版社, 2018.
[11] Yuan Y, Jiang S, Yan S, et al.The Relationship between Depression and Social Avoidance of College Students: A Moderated Mediation Model[J]. J Affect Disord, 2022,300:249-254. DOI:10.1016/j.jad.2021.12.119.
[12] 王硕,吕利明,张立瑶,等.社会关系质量在乳腺癌幸存者病耻感与社交回避及苦恼间的中介效应[J]. 护理学报,2021, 28(15):48-53.DOI:10.16460/j.issn1008-9969.2021.15.048.
[13] Brown EG, Gallagher S, Creaven AM.Loneliness and Acute Stress Reactivity: A Systematic Review of Psychophysiological Studies[J]. Psychophysiology, 2018,55(5): e13031.DOI:10.1111/psyp.13031.
[14] O’Súilleabháin PS, Gallagher S, Steptoe A. Loneliness, Living Alone, and All-cause Mortality: The Role of Emotional and Social Loneliness in the Elderly During 19 Years of Follow-up[J]. Psychosom Med, 2019, 81(6):521-526.DOI:10.1097/PSY.0000000000000710.
[15] Kraav SL, Awoyemi O, Junttila N, et al.The Effects of Loneliness and Social Isolation on All-cause, Injury, Cancer, and CVD Mortality in A Cohort of Middle-aged Finnish Men. A Prospective Study[J]. Aging Ment Health, 2021, 25(12):2219-2228. DOI:10.1080/13607863.2020.1830945.
[16] Coughlin SS.Social Determinants of Colorectal Cancer Risk, Stage, and Survival: A Systematic Review[J]. Int J Colorectal Dis,2020,35(6):985-995.DOI:10.1007/s00384-020-03585-z.
[17] Kraav SL, Lehto SM, Kauhanen J, et al.Loneliness and Social Isolation Increase Cancer Incidence in A Cohort of Finnish Middle-aged Men. A Longitudinal Study[J]. Psychiatry Res,2021,299:113868.DOI:10.1016/j.psychres.2021.113868.
[18] Verza FA, Valente VB, Oliveira LK, et al.Social Isolation Stress Facilitates Chemically Induced Oral Carcinogenesis[J]. PLoS One, 2021, 16(1): e245190.DOI:10.1371/journal.pone.0245190.
[19] Lourenço A, Dantas AAG, de Souza JC, et al. Sleep Quality is Associated with Disability and Quality of Life in Breast Cancer Survivors: A Cross-sectional Pilot Study[J]. Eur J Cancer Care (Engl),2020,e13339.DOI:10.1371/journal.pone.0245190.
[20] Tag Eldin ES, Younis SG, Aziz LMAE, et al.Evaluation of Sleep Pattern Disorders in Breast Cancer Patients Receiving Adjuvant Treatment (Chemotherapy and/or Radiotherapy) Using Polysomnography[J]. J BUON, 2019, 24(2): 529-534.DOI:10.1016/S0167-8140(18)31649-9.
[21] Ben Simon E, Walker MP.Sleep Loss Causes Social Withdrawal and Loneliness[J]. Nat Commun, 2018, 9(1): 3146.DOI: 10.1038/s41467-018-05377-0.
[22] Benedict C, Fisher S, Schapira L, et al.Greater Financial Toxicity Relates to Greater Distress and Worse Quality of Life Among Breast and Gynecologic Cancer Survivors[J]. Psychooncology, 2022, 31(1): 9-20.DOI: 10.1002/pon.5763.
[23] 王硕,吕利明,刘培培,等. 乳腺癌幸存者社会疏离的研究进展[J]. 护理学杂志, 2020, 35(9):108-112.DOI:10.3870/j.issn.1001-4152.2020.09.108.
[24] 朱一凡,陈芷谦,郭巧红,等. 196例乳腺癌化疗患者尊严现状及影响因素分析[J]. 护理学报, 2020, 27(12): 33-38.DOI:10.16460/j.issn1008-9969.2020.12.033.
[25] Seol KH, Bong SH, Kang DH, et al.Factors Associated with the Quality of Life of Patients with Cancer Undergoing Radiotherapy[J]. Psychiatry Investig, 2021, 18(1): 80-87.DOI: 10.30773/pi.2020.0286.
[26] Puigpinós-Riera R,Graells-Sans A, Serral G, et al.Anxiety and Depression in Women with Breast Cancer: Social and Clinical Determinants and Influence of the Social Network and Social Support (DAMA Cohort)[J].Cancer Epidemiology, 2018, 55:123-129. DOI: 10.1016/j.canep.2018.06.002.
[27] Choi E, Henneghan AM. Comparing Fatigue, Loneliness, Daytime Sleepiness,Stress in Younger and Older Breast Cancer Survivors: A Cross-sectional Analysis[J]. Clin J Oncol Nurs, 2022, 26(2): 155-164.DOI: 10.1188/22.
[28] Berhili S, Ouabdelmoumen A, Sbai A, et al.Radical Mastectomy Increases Psychological Distress in Young Breast Cancer Patients: Results of A Cross-sectional Study[J]. Clin Breast Cancer, 2019, 19(1): e160-e165.DOI: 10.1016/j.clbc.2018.08.013.
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