首頁(yè) 資訊乳腺癌患者社會(huì)支持與其自我倡權(quán)能力的關(guān)聯(lián)性研究

乳腺癌患者社會(huì)支持與其自我倡權(quán)能力的關(guān)聯(lián)性研究

來(lái)源：泰然健康網(wǎng) 時(shí)間：2026年03月07日 13:02

目的: 旨在探討社會(huì)支持對(duì)乳腺癌患者自我倡權(quán)能力的影響,為制定個(gè)性化支持計(jì)劃和提升患者自主決策能力提供有力依據(jù)。方法: 采用一般資料調(diào)查表、女性癌癥自我倡權(quán)量表、領(lǐng)悟社會(huì)支持量表對(duì)湖南省某所三級(jí)甲等醫(yī)院乳腺腫瘤科364例乳腺癌患者進(jìn)行調(diào)查。結(jié)果: 364例乳腺癌患者自我倡權(quán)、領(lǐng)悟社會(huì)支持得分分別為（77.25±8.99）、（62.92±8.32）分,Pearson相關(guān)性分析顯示,自我倡權(quán)與領(lǐng)悟社會(huì)支持呈正相關(guān)（r=0.602,P<0.01）。知情決策維度、有效溝通維度、有效的社會(huì)支持維度與領(lǐng)悟社會(huì)支持呈正相關(guān)（r值分別為0.605,0.442,0.300,均P<0.01）,分析結(jié)果顯示,年齡、居住狀態(tài)、乳腺癌相關(guān)知識(shí)了解度、是否功能鍛煉、領(lǐng)悟社會(huì)支持為患者自我倡權(quán)能力的影響因素,社會(huì)支持是患者自我倡權(quán)的獨(dú)立影響因素,可解釋總變異的45%。結(jié)論: 乳腺癌患者自我倡權(quán)能力處于中等偏上水平,自我倡權(quán)能力與社會(huì)支持密切相關(guān),未來(lái)的研究和臨床實(shí)踐應(yīng)重點(diǎn)關(guān)注增強(qiáng)乳腺癌患者的社會(huì)支持系統(tǒng),以促進(jìn)其自我倡權(quán)能力的發(fā)展。通過(guò)強(qiáng)化社會(huì)支持,醫(yī)療機(jī)構(gòu)可以有效優(yōu)化治療效果,并改善患者的整體心理健康,具有重要的臨床意義和潛在應(yīng)用價(jià)值。

Abstract

Objective It aims to explore the impact of social support on the self-advocacy ability of breast cancer patients, and to provide a strong basis for the development of personalized support plans and the enhancement of patients' autonomous decision-making ability. Methods A general information questionnaire, the Female Cancer Self-Advocacy Scale, the Comprehending Social Support Scale, and the Self-Identity Scale were used to investigate 364 breast cancer patients in the Breast Oncology Department of a tertiary hospital in Hunan Province. Results Self-advocacy and comprehension social support scores of 364 breast cancer patients were (77.25±8.99) and (62.92±8.32), respectively, and Pearson's correlation analysis showed that self-advocacy was positively correlated with comprehension social support (r=0.602, P<0.01). Informed decision-making dimension, effective communication dimension, and effective social support dimension were positively correlated with comprehending social support (r values of 0.605, 0.442, and 0.300, respectively, all P<0.01), and the analysis results showed that age, residence status, knowledge of breast cancer-related knowledge, whether or not to functionally exercise, and comprehending social support were the influencing factors of patients' ability to self-advocacy. Social support was an independent influence on patient self-advocacy, explaining 45% of the total variance. Conclusion The self-advocacy ability of breast cancer patients is at an intermediate to high level, and self-advocacy ability is closely related to social support; future research and clinical practice should focus on enhancing the social support system of breast cancer patients to promote the development of their self-advocacy ability. By strengthening social support, healthcare providers can effectively optimize treatment outcomes and improve the overall psychological health of patients, which has important clinical significance and potential application value.

關(guān)鍵詞

乳腺癌 /自我倡權(quán) /社會(huì)支持 /影響因素 /相關(guān)性

Key words

breast cancer /self-advocacy /social support /influencing factors /correlation

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基金

湖南省自然科學(xué)基金資助項(xiàng)目“基于眼動(dòng)追蹤技術(shù)的青年乳腺癌患者抑郁數(shù)智個(gè)體化干預(yù)模式的構(gòu)建與實(shí)證研究”（2024JJ5300）,“基于眼動(dòng)軌跡特征的育齡期乳腺癌術(shù)后患者創(chuàng)傷后應(yīng)激障礙預(yù)測(cè)模型的構(gòu)建及干預(yù)研究”（2024JJ9270）;長(zhǎng)沙市自然科學(xué)基金“基于眼動(dòng)軌跡特征的育齡期乳腺癌術(shù)后患者創(chuàng)傷后應(yīng)激障礙的識(shí)別及干預(yù)研究”（kq2403116）;湖南省中醫(yī)藥科研課題“乳腺癌相關(guān)淋巴水腫中醫(yī)循證方案的構(gòu)建與實(shí)踐研究”（B2023125）;湖南省衛(wèi)生健康委科研課題“頭頸腫瘤患者術(shù)后吞咽障礙預(yù)警評(píng)估體系的構(gòu)建及實(shí)證研究”（202114051914）