年轻乳腺癌患者心理社会适应水平在化疗后出现类更年期综合征与社区融入之间的中介作用  

Mediating effect of psychosocial adaptation level between menopausal symptoms and community integration in young breast cancer patients after chemotherapy

作　　者：谢漪丹 王喜益 胡韵[1] XIE Yidan;WANG Xiyi;HU Yun(School of Nursing,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Operating Room,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院护理学院,上海200025 [2]上海交通大学医学院附属瑞金医院手术室,上海200025

出　　处：《肿瘤》2024年第7期708-716,共9页Tumor

摘　　要：目的:探讨心理社会适应水平在年轻乳腺癌患者化疗后出现类更年期综合征与社区融入之间的中介作用。方法:采用便利抽样法,以2022年9月—2023年5月上海交通大学医学院附属瑞金医院乳腺外科门诊日间化疗的538例年轻乳腺癌患者作为研究对象,采用一般资料调查表、围绝经期评定量表(menopause rating scale,MRS)、乳腺癌患者心理社会适应量表和社区融入问卷(community integration questionnaire,CIQ)对其进行调查。结果:年轻乳腺癌患者化疗后类更年期综合征、心理社会适应水平和社区融入评分分别为6.88±3.14分、134.12±21.53分和16.27±6.24分。年轻患者类更年期综合征与心理社会适应水平总分及各维度评分均呈负相关;心理社会适应水平与社区融入总分及各维度评分均呈正相关。社区融入与类更年期综合征总分及各维度评分呈负相关(P<0.001)。中介效应检验表明,心理社会适应水平在年轻乳腺癌患者类更年期综合征与社区融入之间起中介作用,中介效应为-0.799,中介效应占比为63.21%。结论:提示应提高年轻乳腺癌患者心理社会适应水平,可缓解类更年期综合征,进而提高年轻患者的社区融入度。Objective:To explore the mediating role of psychosocial adaptation level in the relationship between menopausal symptoms and community integration in young breast cancer patients after chemotherapy.Methods:A total of 538 young breast cancer patients who underwent day chemotherapy in the outpatient Department of Breast Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine from September 2022 to May 2023 were selected by convenience sampling method.The general data survey scale,menopause rating scale(MRS),psychosocial adaptation questionnaire for breast cancer patients,and community integration questionnaire(CIQ)were used to investigate the patients.Results:The scores of menopausal symptoms,psychosocial adaptation level,and community integration in young breast cancer patients after chemotherapy were 6.88±3.14,134.12±21.53 and 16.27±6.24,respectively.Menopausal symptoms in young patients were negatively correlated with the total score and each dimension score of psychosocial adaptation level,and the psychosocial adaptation level was positively correlated with the total score and each dimension score of community integration.Community integration was negatively correlated with the total score and each dimension score of menopausal symptoms(all P<0.001).The mediation effect test showed that the level of psychosocial adaptation played a mediating role between menopausal symptoms and community integration in young breast cancer patients,with a mediating effect of-0.799 and a mediating effect accounting for 63.21%.Conclusion:Improving the level of psychosocial adaptation of young breast cancer patients can alleviate menopausal symptoms and thus improve the community integration of young patients.

关 键 词：乳腺癌 年轻患者 更年期综合征 心理社会适应水平 社区融入 中介效应 

分 类 号：R473.73[医药卫生—护理学]