乳腺癌术后患者病耻感与心理弹性及生活质量相关性分析

Analysis of the Correlation between Stigma and Psychological Resilience and Quality of Life in Patients with Breast Cancer after Surgery

目的:探讨乳腺癌术后患者病耻感与心理弹性及生活质量的相关性。方法:选择2021年5月1日~2022年5月1日收治的112例乳腺癌患者为研究对象,采用社会影响量表(SIS)调查患者病耻感、采用乳腺癌心理状态社会适应问卷和欧洲癌症研究与治疗组织生活质量量表(EORTC QLQ-C30)评估患者心理弹性和生活质量;采用Pearson相关性分析病耻感与心理弹性及生活质量的关系。结果:本组患者SIS各项评分和总评分均高于国内常模(P<0.01);年龄20~45岁、受教育程度为高中以下、未生育及在职患者SIS评分高于年龄46~65岁、受教育程度为高中及以上、已生育及退休患者(P<0.01);年龄、受教育程度、工作状态、生育状况均为乳腺癌术后患者病耻感影响因素(P<0.05);本组患者乳腺癌心理社会适应问卷和EORTC QLQ-C30各维度及总评分均低于国内常模(P<0.01);患者SIS总评分与心理弹性、EORTC QLQ-C30各维度之间呈负相关(P<0.01)。结论:乳腺癌术后患者存在显著病耻感,年龄、受教育程度、工作状态、生育状况与乳腺癌术后患者的病耻感密切相关,乳腺癌术后患者病耻感越强,其心理弹性及生活质量越差。因此,临床管理者应对乳腺癌患者和社会人员进行临床医学健康教育知识和心理辅导活动,改善术后患者病耻感。

Objective:To analyze the correlation between stigma,psychological resilience and quality of life in patients with breast cancer after operation.Methods:112 breast cancer patients admitted from May 1,2021 to May 1,2022 were selected as the research objects.The Social Impact Scale(SIS)was used to investigate the stigma of patients,and the social adaptation questionnaire on breast cancer psychological state and European Organization for Reseach and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30)were used to assess the psychological resilience and quality of life of patients.Pearson correlation was used to analyze the relationship between stigma,psychological resilience and quality of life.Results:The scores of each item and total SIS of the patients were higher than those of the domestic norm(P<0.01).The SIS score of patients aged 20 to 45 years old,education level below senior high school,nulliparous and the employed was higher than that of those patients aged 46 to 65 years old,education level above senior high school,parous women and the retired(P<0.01).Age,education level,working status and fertility status were the influencing factors of stigma in patients with breast cancer after surgery(P<0.05).The scores of each dimension and total score of the Breast Cancer Psychosocial Adaptation Questionnaire and EORTC QLQ-C30 were lower than those of the domestic norm(P<0.01).There was a negative correlation between the total SIS score and psychosocial resilience and EORTC QLQ-C30(P<0.01).Conclusion:There is a significant stigma in patients with breast cancer after surgery.Age,education level,working status and fertility status are closely related to the stigma of patients.The stronger the stigma of patients is,the worse their psychological resilience and quality of life becomes.It is necessary to perform the planned health education and psychological guidance to reduce the postoperative stigma of patients.