宫颈癌幸存者社会疏离感现状及影响因素研究

Research on status and influencing factors of social alienation in cervical cancer survivors

目的探讨宫颈癌幸存者社会疏离现状及其影响因素,为实施针对性干预提供参考。方法选取395例宫颈癌幸存者作为研究对象,采用一般情况调查表、一般疏离感量表、社会影响量表、社会支持评定量表进行调查。结果宫颈癌幸存者一般疏离感量表得分(41.98±6.81)分;家庭人均月收入、治疗后时间、病耻感总分、社会支持总分是社会疏离的主要影响因素(均P<0.05),可以解释46.1%的变异量。结论宫颈癌幸存者社会疏离总体水平呈中等偏高。医护人员应关注宫颈癌幸存者的社会疏离水平,尤其是低收入、治疗后时间短的患者,可通过降低患者病耻感和提高患者社会支持水平,降低其社会疏离水平。

Objective To investigate the status and influencing factors of social alienation in cervical cancer survivors,and to provide reference for implement of targeted intervention measures.Methods A total of 395 cervical cancer survivors were selected as the research objects and surveyed using the general situation questionnaire,the General Alienation Scale,the Social Impact Scale and the Social Support Rating Scale.Results The cervical cancer survivors scored(41.98±6.81)points in social alienation;per-capita monthly family income,time since last treatment,stigma(as measured with Social Impact Scale),and social support were the main influencing factors of social alienation,with the above-mentioned variables collectively explaining 46.1%of the total variance.Conclusion Social alienation in cervical cancer survivors was at a moderate level.Medical staff should pay attention to social alienation assessment in cervical cancer survivors,especially for patients with lower income and shorter time since last treatment,and seek to reduce the level of stigma and improve the level of social support,in a bid to reduce their social alienation level.