乳腺癌病人社交焦虑和病耻感在家庭关怀度与孤独感间的中介作用

Mediating effect of social anxiety and stigma on family caring and loneliness in breast cancer patients

目的:探讨乳腺癌病人社交焦虑和病耻感在家庭关怀度与孤独感间的作用机制,为乳腺癌病人孤独感干预提供参考。方法:选取2021年12月—2022年7月在安徽省8所医院就诊的乳腺癌病人328例为研究对象,采用社交焦虑量表、社会影响量表、家庭关怀度指数问卷、孤独感量表对其进行调查。结果:乳腺癌病人社交焦虑、病耻感、家庭关怀度、孤独感总分分别为(11.72±5.33)分、(59.51±12.98)分、(6.84±3.67)分、(49.20±9.14)分。乳腺癌病人家庭关怀度与孤独感呈负相关(P<0.05),社交焦虑、病耻感与孤独感呈正相关(均P<0.05)。社交焦虑和病耻感在家庭关怀度与孤独感间起中介作用。结论:乳腺癌病人家庭关怀度可通过社交焦虑和病耻感的链式中介作用间接影响孤独感。

Objective:To explore the mediating role of social anxiety and stigma on family caring and loneliness in breast cancer patients,and to provide reference for intervention of loneliness in breast cancer patients.Methods:A total of 328 breast cancer patients from 8 hospitals in Anhui province between December 2021 and July 2022 were selected as the subjects by convenience sampling method.The Social Anxiety Subscale of the Self⁃Consciousness Scale(SASSC),the Social Impact Scale(SIS),the Adaptation,Partnership,Growth,Affection and Resolve(APGAR),and the University of California at Los Angles Loneliness Scale(UCLA)were used to conduct the questionnaire survey.Results:The total scores of SASSC,SIS,APGAR and UCLA in breast cancer patients were 11.72±5.33,59.51±12.98,6.84±3.67,and 49.20±9.14,respectively.There were negatively correlated with the total scores of APGAR and the total scores of UCLA(P<0.05).There were positively correlated with the total scores of UCLA and the total scores of SASSC,SIS(all P<0.05).Social anxiety and stigma played mediating role between family caring degree and loneliness in breast cancer patients.Conclusions:Family care could indirectly affect loneliness through the chain mediating effects of social anxiety and stigma among breast cancer patients.