社会支持在青年乳腺癌化疗患者社交回避及苦恼与生育忧虑间的中介效应

Mediating effect of social support on social avoidance and distress and reproductive concerns in young breast cancer patients undergoing chemotherapy

目的:探讨社会支持在青年乳腺癌化疗患者社交回避及苦恼与生育忧虑间的中介效应。方法:本研究为横断面研究。采用便利抽样法,选取2020年2月—2021年12月山东省肿瘤医院的180例青年乳腺癌化疗患者为研究对象。采用一般资料调查表、社会支持评定量表、癌症后生育忧虑量表(RCAC)、社交回避及苦恼量表(SADS)对患者进行调查。采用Pearson相关分析探讨青年乳腺癌化疗患者社会支持、社交回避及苦恼与生育忧虑的相关性。采用结构方程模型检验社会支持在社交回避及苦恼与生育忧虑间的中介效应。本研究共发放问卷180份,回收有效问卷172份,有效回收率为95.56%(172/180)。结果:172例青年乳腺癌化疗患者的SADS总分为(18.98±3.15)分,RCAC总分为(59.85±5.03)分,社会支持评定量表总分为(33.53±4.25)分。Pearson相关分析结果显示,社交回避及苦恼与生育忧虑呈正相关( r=0.810, P<0.01),社会支持与生育忧虑、社交回避及苦恼呈负相关( r值分别为-0.570、-0.612;P均<0.01)。结构方程模型结果显示,社会支持在社交回避及苦恼与生育忧虑间起部分中介作用。 结论:青年乳腺癌化疗患者社会支持水平在社交回避及苦恼与生育忧虑间起部分中介作用。医护人员应给予青年乳腺癌化疗患者更多社会支持,减轻患者的生育忧虑,提升患者生活质量。

Objective To explore the mediating effect of social support on social avoidance and distress and reproductive concerns in young breast cancer patients undergoing chemotherapy.Methods This is a cross-sectional study.From February 2020 to December 2021,a total of 180 young breast cancer patients undergoing chemotherapy in Shandong Cancer Hospital were selected as the research objects using the convenient sampling method.General Data questionnaire,Social Support Rating Scale,Reproductive Concerns After Cancer Scale(RCAC)and Social Avoidance and Distress Scale(SADS)were used to investigate patients.Pearson correlation analysis was used to investigate the correlation among social support,social avoidance,distress and reproductive concerns in young breast cancer patients undergoing chemotherapy.Structural equation models was used to explore the mediating effect of social support between social avoidance and distress and reproductive concerns.A total of 180 questionnaires were distributed in this study,and 172 were effectively received,with an effective recovery of 95.56%(172/180).Results The total score of SADS of young breast cancer patients undergoing chemotherapy was(18.98±3.15),the total score of RCAC was(59.85±5.03),and total score of Social Support Rating Scale was(33.53±4.25).Pearson correlation analysis results showed that social avoidance,distress was positively correlated with reproductive concerns(r=0.810,P<0.01),and social support was negatively correlated with reproductive concerns and social avoidance and distress(r=-0.570,-0.612;P<0.01).Structural equation model results showed that social support played a partial mediating role between social avoidance and distress and reproductive concerns.Conclusions Social support plays a mediating effect between social avoidance and distress and reproductive concerns in young breast cancer patients undergoing chemotherapy.Medical and nursing staff should provide more social support for young breast cancer patients undergoing chemotherapy,reduce reproductive concerns and improve quality of life.