自我接纳对乳腺癌术后化疗患者性生活质量的影响:自我表露的中介效应分析  

Influence of self-acceptance on the quality of sexual life of breast cancer patients undergoing chemotherapy after surgery:the mediating effect of self-disclosure

作　　者：锁蓉飞 谢敏仪[2] 潘青竹[1] 杨丽容 王容丽 叶凤莲[1] Suo Rongfei;Xie Minyi;Pan Qingzhu;Yang Lirong;Wang Rongli;Ye Fenglian(Thyroid and Breast Surgery,the Fifth Affiliated Hospital,Sun Yat-sen University,Zhuhai 519000,China;Surgical Department,the Fifth Affiliated Hospital,Sun Yat-sen University,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院甲乳外科,珠海519000 [2]中山大学附属第五医院外科,珠海519000

出　　处：《中华现代护理杂志》2023年第33期4564-4568,共5页Chinese Journal of Modern Nursing

基　　金：中山大学护理青年人才培育基金(N2020Y08)。

摘　　要：目的调查乳腺癌术后化疗患者的性生活质量、自我接纳及自我表露的现状,并分析自我表露在自我接纳与性生活质量之间的中介效应。方法采用方便取样法,使用一般资料调查问卷、乳腺癌性生活质量问卷、自我接纳问卷及自我表露量表对2022年1—10月珠海市某三甲医院乳腺癌术后化疗的209例女性患者进行调查。采用Pearson相关分析法分析乳腺癌术后化疗患者性生活质量与自我接纳、自我表露之间的相关性,Bootstrap中介效应分析法分析乳腺癌术后化疗患者自我表露在自我接纳与性生活质量之间的中介效应。结果乳腺癌术后化疗患者的性生活质量量表条目均分为(2.69±0.59)分,自我接纳得分为(38.61±5.32)分,自我表露得分为(35.90±5.73)分;患者的性生活质量与自我接纳、自我表露呈正相关,且自我接纳通过自我表露对性生活质量存在中介效应(P<0.05)。结论乳腺癌术后化疗患者的性生活质量有待改善,帮助患者提高自我接纳及自我表露水平有助于其提高性生活质量。Objective To explore the status of quality of sexual life,self-acceptance and self-disclosure in patients with breast cancer undergoing chemotherapy after surgery,and analyze the mediating effect of self-disclosure between self-acceptance and quality of sexual life.Methods Using convenience sampling,209 female patients with breast cancer undergoing postoperative chemotherapy in a ClassⅢGrade A hospital in Zhuhai from January to October 2022 were selected for investigation by using the General Information Questionnaire,Sexual Quality of Life Questionnaire for Breast Cancer Survivors,Self-Acceptance Questionnaire(SAQ)and Distress Disclosure Index(DDI).Pearson correlation was used to analyze the correlation between quality of sexual life,self-acceptance and self-disclosure in breast cancer patients undergoing chemotherapy after surgery.Bootstrap mediating effect method was used to analyze the mediating effect of self-disclosure between self-acceptance and quality of sexual life in breast cancer patients undergoing chemotherapy after surgery.Results The scores of the quality of sexual life(average score of items),self-acceptance and self-disclosure of breast cancer patients undergoing chemotherapy after surgery were(2.69±0.59),(38.61±5.32)and(35.90±5.73)respectively.The quality of sexual life of patients was positively correlated with self-acceptance and self-disclosure,and self-acceptance had a mediating effect on the quality of sexual life through self-disclosure(P<0.05).Conclusions The quality of sexual life of breast cancer patients undergoing chemotherapy after surgery needs to be improved.Helping patients increase their self-acceptance and self-disclosure level will help them improve their quality of sexual life.

关 键 词：乳腺肿瘤 性生活质量 自我接纳 自我表露 中介效应 

分 类 号：R473.73[医药卫生—护理学]