自我表露在青年乳腺癌患者感知伴侣回应性与生育忧虑间的中介效应分析

Mediating effect of self-disclosure on perceived partner responsiveness and reproductive concerns in young breast cancer patients

目的探讨自我表露在青年乳腺癌患者感知伴侣回应性与生育忧虑间的中介效应。方法采用便利抽样法,选取2022年7月—2023年6月在空军军医大学第一附属医院就诊的220例乳腺癌患者为研究对象。采用一般资料调查表、癌症后生育忧虑量表、感知伴侣回应性量表、痛苦表露指数对患者进行调查。结果本研究共发放220份问卷,收回202份有效问卷,有效回收率为91.82%。202例青年乳腺癌患者癌症后生育忧虑量表总分为(58.37±13.63)分、感知伴侣回应性量表得分为(43.68±11.48)分、痛苦表露指数得分为(37.01±11.04)分。Bootstrap法中介效应检验结果显示,自我表露在青年乳腺癌患者感知伴侣回应性与生育忧虑间起部分中介效应,中介效应值为-0.182,95%置信区间为(-0.298,-0.098),中介效应占总效应的31.06%。结论青年乳腺癌患者的生育忧虑处于较高水平,自我表露在青年乳腺癌患者感知伴侣回应性与生育忧虑间起部分中介效应。临床医务工作者应关注青年乳腺癌患者的生育意愿和需求,充分调动患者配偶的积极性,提高患者的感知伴侣回应性;并采取一定的干预措施提高患者的自我表露水平,从而降低患者的生育忧虑。

Objective To explore the mediating effect of self-disclosure on perceived partner responsiveness and reproductive concerns in young breast cancer patients.Methods Using the convenient sampling method,a total of 220 patients with breast cancer who visited the First Affiliated Hospital of Air Force Medical University from July 2022 to June 2023 were selected as the research objects.General Information Questionnaire,Reproductive Concerns After Cancer Scale(RCAC),Perceived Partner Responsiveness Scale(PPRS)and The Distress Disclosure Index(DDI)were used to investigate the patients.Results A total of 220 questionnaires were sent out and 202 valid questionnaires were collected,with an effective recovery rate of 91.82%.The total scores of RCAC,PPRS,DDI were respectively(58.37±13.63),(43.68±11.48)and(37.01±11.04).The results of the mediation effect test of Bootstrap method showed that self-disclosure had a partial mediating effect on the perceived partner responsiveness and reproductive concerns in young breast cancer patients.The mediating effect value was-0.182,and the 95%confidence interval was(-0.298,-0.098),with the mediating effect accounting for 31.06%of the total effect.Conclusions The reproductive concern of young breast cancer patients is at a high level,and self-disclosure has a partial mediating effect between perceived partner responsiveness and reproductive concerns of young breast cancer patients.Clinical medical workers should pay attention to the fertility intention and needs of young breast cancer patients,fully mobilize the enthusiasm of patients'spouses,improve patients'perceived partner responsiveness and take some intervention measures to improve patients'self-disclosure level,so as to reduce reproductive concerns of patients.