乳腺癌术后患者社交焦虑与伤残接受度相关性的研究

Relationship between social anxiety and acceptance of disability in breast cancer patients with mastectomy

目的探讨乳腺癌术后患者社交焦虑与伤残接受度的相关性。方法采用一般资料调查表、交往焦虑量表、伤残接受量表对325例乳腺癌术后患者进行问卷调查。结果乳腺癌术后患者社交焦虑量表得分为（40．01±9．38）分，伤残接受量表得分为（78．02±11．61）分，患者的年龄、文化程度、婚姻状况、家庭人均月收入、配偶是否在意现在形象、是否放化疗对社交焦虑影响显著，差异有统计学意义（t／F=-4．696—35．694，均P〈0．01）；相关分析显示，社交焦虑与伤残接受度总分及各维度均呈负相关（r=-0．469--0．371，均P〈0．叭）；回归分析显示，患者的伤残接受度、年龄、配偶是否在意现在形象、是否放化疗是乳腺癌术后患者发生社交焦虑的主要影响因素。结论乳腺癌术后患者社交焦虑与伤残接受度密切相关，医护人员应探索有效的心理干预方法，提高患者的伤残接受度，帮助患者重建自信心，尽早恢复正常的社会交往。

Objective To explore the relationship between social anxiety and acceptance of disability in breast cancer patients with mastectomy. Methods Totally 325 patients with breast cancer were investigated with general information questionnaire, Interaction Anxiety Scale and Acceptance of Disability Scale. Results The total score of Interaction Anxiety Scale was （40.01±9.38） points. The total score of Acceptance of Disability Scale was （78.02±11.61） points. One-way ANOVA showed that age, education level, marital status, economic level, whether the spouse care about the appearance or not, therapy types affected social anxiety significantly（t/F =-4.696-35.694, all P〈0.01）. Significantly negative correlation was found between social anxiety and acceptance of disability （r =-0.469--0.371, P〈0.01）. Multiple regression analysis showed that acceptance of disability, age, whether the spouse care about the appearance or not, therapy types were influencing factors of social anxiety. Conclusions Nurses and doctors should explore effective psychological intervention mode to rebuild the patient＇s self-confidence and return to normal social interaction in order to improve the acceptance of disability.