乳腺癌患者自我同情状况及影响因素分析  

Self-compassion of breast cancer patients and its influencing factors

作　　者：李若宁 吕利明[2] Li Ruoning;LüLiming(Qingdao Blood Center,Qingdao 266000,China)

机构地区：[1]青岛市中心血站,山东青岛266000 [2]山东中医药大学护理学院

出　　处：《护理学杂志》2023年第19期82-85,90,共5页Journal of Nursing Science

基　　金：山东省社会科学规划研究项目(19CSHJ14)。

摘　　要：目的了解乳腺癌患者自我同情现状,分析其影响因素,为医护人员采取针对性措施提高乳腺癌患者自我同情水平提供参考。方法运用方便抽样方法选取在山东省4所三级甲等医院乳腺科病房及门诊的265例乳腺癌患者为研究对象,使用一般资料调查表、自我同情量表、亲密关系经历量表简版、领悟社会支持量表进行调查。结果乳腺癌患者自我同情总得分为(79.33±12.40)分;自我同情总分与依恋焦虑、依恋回避得分呈负相关,而与社会支持总分及各维度得分呈正相关(均P<0.05)。多重线性逐步回归分析结果显示,年龄、文化程度、病理分期、依恋焦虑、社会支持是自我同情的预测因素(均P<0.05),共同解释变异量的50.8%。结论乳腺癌患者自我同情处于一般水平。医护人员应对乳腺癌患者实施针对性干预,以提高其自我同情水平,增强患者的积极心理力量。Objective To investigate the status quo of breast cancer patients′self-compassion,analyze the influencing factors of breast cancer patients′self-compassion,and to provide basis for medical staff to take targeted measures aiming at improving breast cancer patients′self-compassion.Methods A total of 265 breast cancer patients in breast wards and outpatient clinic of four 3A hospitals in Shandong province were selected by convenient sampling method.The general information questionnaire,the Self-Compassion Scale,the Intimate Relationship Experience Scale-Short Form and the Perceived Social Support Scale were used for questionnaire survey.Results The total score of self-compassion in breast cancer patients was(79.33±12.40)points.The total score of self-compassion and scores of all dimensions were negatively correlated with attachment anxiety and attachment avoidance scores,but positively correlated with the total score of social support and scores of all dimensions(all P<0.05).Multiple stepwise regression analysis showed that age,education level,pathological stage,attachment anxiety and social support were predictors of self-compassion(all P<0.05),accounting for 50.8%of the total variation.Conclusion Breast cancer patients′self-compassion is at an average level.Medical staff should carry out targeted intervention for breast cancer patients,so as to improve their self-sympathy level and enhance their positive psychological strength.

关 键 词：乳腺癌 自我同情 依恋焦虑 依恋回避 成人依恋 社会支持 积极心理 

分 类 号：R473.74[医药卫生—护理学] R395.6[医药卫生—临床医学]