以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (15): 48-53.doi: 10.16460/j.issn1008-9969.2021.15.048

• 调查研究 • 上一篇    下一篇

社会关系质量在乳腺癌幸存者病耻感与社交回避及苦恼间的中介效应

王硕1a, 吕利明2, 张立瑶1a, 马俊杰1b, 孔荣华3   

  1. 1.淄博市中心医院 a.护理部;b.急诊科,山东 淄博 255000;
    2.山东中医药大学 护理学院,山东 济南 250355;
    3.山东第一医科大学附属肿瘤医院 乳腺外科二病区,山东 济南 250000
  • 收稿日期:2021-04-22 出版日期:2021-08-10 发布日期:2021-09-10
  • 通讯作者: 吕利明（1968-）,女,山东济南人,硕士,教授。E-mail:liminglv1@163.com
  • 作者简介:王硕（1994-）,女,山东淄博人,硕士,护师。
  • 基金资助:
    山东省社科规划研究项目（19CSHJ14）

Mediating Effect of Social Relational Quality Between Stigma and Social Avoidance and Distress among Breast Cancer Survivors

WANG Shuo1a, LV Li-ming2, ZHANG Li-yao1a, MA Jun-jie1b, KONG Rong-hua3   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Emergency, Zibo Central Hospital, Zibo 255000, China;
    2. School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, China;
    3. Dept. of Breast Surgery, the Affiliated Tumor Hospital of Shandong First Medical University, Jinan 250000, China
  • Received:2021-04-22 Online:2021-08-10 Published:2021-09-10

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摘要： 目的 探讨乳腺癌幸存者社会关系质量在病耻感与社交回避及苦恼间的中介效应。方法 采用便利抽样法,选取于2019年5—9月在山东第一医科大学附属肿瘤医院、山东中医药大学附属医院乳腺外科门诊及病房复诊的228例乳腺癌幸存者作为研究对象,采用一般情况调查表、社会影响量表、社会关系质量量表和社交回避及苦恼量表对其进行调查,采用结构方程模型检验社会关系质量在病耻感与社交回避及苦恼间的中介效应。结果 乳腺癌幸存者病耻感、社会关系质量、社交回避及苦恼总分分别为（56.63±9.68）分、（50.53±6.08）分、（9.39±6.63）分;社会关系质量与病耻感、社交回避及苦恼总分均呈负相关（r=-0.463,-0.552;P<0.01）,病耻感与社交回避及苦恼总分呈正相关（r=0.532,P<0.01）;结构方程模型结果显示,病耻感对社交回避及苦恼有直接（正向）效应（β=0.421,P<0.01）,社会关系质量对社交回避及苦恼有直接（负向）效应（β=-0.404,P<0.01）,社会关系质量在病耻感与社交回避及苦恼之间起部分中介效应（β=0.211,P<0.01）。结论 乳腺癌幸存者社交回避及苦恼处于中等水平,社会关系质量在病耻感与社交回避及苦恼间起部分中介效应。建议在改善乳腺癌幸存者社交状况的干预工作中应重视社会关系质量的影响,以增强该人群的社会关系质量为依托,减轻病耻感,促进其社会交往。

关键词: 乳腺癌幸存者, 社会关系质量, 病耻感, 社交回避及苦恼, 中介效应

Abstract: Objective To explore the mediating effect of social relationship quality between stigma and social avoidance and distress among breast cancer survivors. Methods By convenience sampling method, a total of 228 breast cancer survivors who visited in the outpatient and ward of breast surgery department of the Affiliated Tumor Hospital of Shandong First Medical University and the Affiliated Hospital of Shandong University of Traditional Chinese Medicine from May to September in 2019, were surveyed by general information questionnaire, Social Impact Scale, Social Relational Quality Scale and Social Avoidance and Distress Scale. Structural equation modeling was used for evaluate the mediating effect of social relationship quality between stigma and social avoidance and distress. Results The total score of stigma, social relationship quality, social avoidance and distress of breast cancer survivors was 56.63±9.68, 50.53±6.08, and 9.39±6.63 respectively. Social relationship quality was negatively correlated with stigma and social avoidance and distress (r=-0.463, -0.552; P<0.01) but stigma was positively with social avoidance and distress (r=0.532, P<0.01). Structural equation modeling showed that stigma had direct (positive) effect on social avoidance and distress (β=0.421, P<0.01); social relationship quality had direct (negative) effect on social avoidance and distress (β=-0.404, P<0.01) and social relationship quality played a partial mediating effect between stigma and social avoidance and distress (β=0.211, P<0.01). Conclusion Social avoidance and distress of breast cancer survivors are at the mediate level, and social relationship quality plays a partial mediating effect between stigma and social avoidance and distress. It is suggested that attention should be paid to the influence of social relationship quality in the intervention work to improve the social status of breast cancer survivors, so as to enhance the social relationship quality of the population, reduce the stigma and promote their social interaction.

Key words: breast cancer survivor, social relational quality, stigma, social avoidance and distress, mediating effect

中图分类号: 

  • R473.73
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