乳腺癌患者体像认知现状及影响因素分析  

Analysis of body image cognition status and influencing factors in breast cancer patients

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作  者:郭子菡 马伟光[1] Guo Zihan;Ma Weiguang(School of Nursing,Peking Union medical college,Beijing 100144,China)

机构地区:[1]中国医学科学院北京协和医学院护理学院,北京100144

出  处:《中国肿瘤临床与康复》2025年第3期203-210,共8页Chinese Journal of Clinical Oncology and Rehabilitation

基  金:北京协和医学院校级本科教育教学改革立项项目(2022zlgc0111)。

摘  要:目的 探索乳腺癌患者体像认知的现状,并分析其影响因素。方法 2023年2—5月,通过方便抽样选择在北京协和医院乳腺外科门诊就诊的173例乳腺癌术后患者,进行横断面调查。调查工具包括一般资料调查表、中文版乳腺癌患者自我形象量表、心理韧性量表、社会支持量表。结果 乳腺癌患者体像认知量表总分为(115.02±27.33)分,单因素分析结果显示,不同职业的乳腺癌患者体像认知得分差异具有统计学意义(P<0.05)。相关分析显示,乳腺癌患者体像认知得分与心理韧性总分及社会支持总分呈显著负相关(r=-0.517,P<0.01;r=-0.173,P<0.05)。多元线性回归分析结果显示,心理韧性、职业为退休是乳腺癌患者体像认知水平的保护性因素(均P<0.05)。结论 乳腺癌患者体像认知水平较高,患者的职业与心理韧性水平与患者体像认知水平相关。临床工作者可采取相关措施提高乳腺癌患者的心理韧性,进而提高其体像认知水平。Objective To explore the current status of body image cognition in breast cancer patients and analyze the influencing factors of body image cognition.Methods A cross-sectional study was conducted from February 2023 to May 2023 at the Breast Surgery Clinic of Peking Union Medical College Hospital in Beijing.Convenience sampling was used to select postoperative breast cancer patients as the research subjects.A self-designed general information questionnaire,the Body Image after Breast Cancer Questionnaire-Chinese Version,Conner-Davidson resilience scale,and Social Support Rating Scale were used to conduct a questionnaire survey among 173 postoperative breast cancer patients.IResults The total mean score of the body image cognition scale for breast cancer patients was(115.02±27.33)points.There were statistically significant differences in the body image cognition scores among breast cancer patients of different occupations(P<0.05).Correlation analysis showed a significant negative correlation between the body image cognition scores of breast cancer patients and the total scores of psychological resilience and social support(r=-0.517,P<0.01;r=-0.173,P<0.05).The results of multiple linear regression analysis showed that psychological resilience and occupation(retired)were the influencing factors of body image cognition level in breast cancer patients(both P<0.05),Conclusions Breast cancer patients have a relatively high level of body image cognition.The occupational and resilience level of patients is related to the body image cognition level of patients.Clinical practitioners can take relevant measuresto improve their psychological resilience,and thus improve their body image cognition.

关 键 词:乳腺肿瘤 体像认知 心理韧性 社会支持 

分 类 号:R737.9[医药卫生—肿瘤]

 

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