以质量求发展,以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (6): 1-5.doi: 10.16460/j.issn1008-9969.2021.06.001

    Next Articles

Current Status of Body Image and Sexual Adjustment in Breast Cancer Patients and Its Influence Factors

CUI Juan1, Sun Xiang-lian2, YANG Ke1, WANG Jie-min1, LI Hong-li3, YIN Chong-gao1   

  1. 1. School of Nursing, Weifang Medical University, Weifang 261053, China;
    2. Dept. of Breast and Thyroid Surgery, Weifang People's Hospital, Weifang 261031, China;
    3. Medical Research Center, Weifang Medical University, Weifang 261053, China
  • Received:2020-08-27 Online:2021-03-25 Published:2021-04-08

Abstract: Objective To investigate the current status of body image and sexual adjustment in breast cancer patients after surgery, and to analyze the influence factors. Methods A convenient sampling method was adopted to select 200 postoperative breast cancer patients from a tertiary grade A hospital in Weifang from November 2019 to August 2020 and patients were surveyed by using general information questionnaire and Chinese Version of Sexual Adjustment and Body Image Scale, Medical Coping Modes Questionnaire and Illness Perception Questionnaire. Multiple linear regression was used to analyze the influencing factors of body image and sexual adjustment in postoperative patients with breast cancer. Results The score of body image and sexual adjustment after breast cancer surgery was 38.56±6.04. Multiple linear regression analysis showed that per capita monthly household income(RMB), surgical approach, yield coping style and cognition entered the regression equation (P<0.05), accounting for 36.5% of the total variation. Conclusion Body image and sexual adjustment of breast cancer patients are at a moderate level, and they are closely related to coping style and disease perception. Nursing staff should encourage patients to adopt positive coping style and understand the prognosis of the disease, so as to improve body image and sexual adjustment of patients after breast cancer surgery, and improve their quality of life.

Key words: breast neoplasms, body image and sexual adjustment, coping style, disease perception

CLC Number: 

  • R473.6
[1] 朱一凡,陈芷谦,郭巧红,等.196例乳腺癌化疗患者尊严现状及影响因素分析[J].护理学报,2020,27(17):33-37. DOI:10.16460/j.issn1008-9969.2020.12.033.
[2] Schnur JB, Love B,Scheckner BL,et al.A Systematic Review of Patient-relatedmeasures of Radiodermatitis in Breast Cancer Radiotherapy[J].Am J Clin Oncol,2011,34(5):529-536. DOI:10.1097/COC.0b013e3181e84b36.
[3] Fobair P, Stewart SL,Chang S,et al.Body Image And Sexual Problems in Young Women with Breast Cancer[J].Psychooncology,2006,15(7):579-594. DOI:10.1002/pon.991.
[4] Chopra D, De La G,Lacourt E.Clinical Relevance of a Body Image Scale Cut Point of 10 as an Indicator of Psychological Distress in Cancer Patients:Results from a Psychiatric Oncology Clinic[J].Supportive Care in Cancer, 2021, 29(1):231-237. DOI:10.1007/S00520-020-05491-0.
[5] Cousson-Gelie F, Bruchon-Schweitzer M,Dilhuydy JM,et al.Do Anxiety,Body Image,Socialsupport and Coping Strategies Predict Survival in Breast Cancer?A Ten-year Follow-up Study[J].Psychosomatics,2007,48(3):211-216. DOI:10.1176/appi.psy.48.3.211.
[6] Pikler V,Winterowd C.Racial and Body Image Differences In Coping for Women Diagnosed with Breast Cancer[J].Health Psychol,2003, 22(6):632-637. DOI:10.1037/0278-6133.22.6.632.
[7] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010, 45(4):378-380. DOI:10.3761/j.issn.0254-1769.2010.04.037.
[8] Dalton EJ,Rasmuseen VN,Classen C,et al.Sexual Adjustment and Body Image Scale(SABIS):A New Measure for Breast Cancer Patients[J].Breast J,2009, 15(3):287-290. DOI:10.1111/j.1524-4741.
[9] 张萍,陈菲菲,连晓杰,等.中文版乳腺癌患者性调节和身体意象量表的评价[J].护理学杂志,2013,28(15):34-36. DOI:1001-4152(2013)15-0034-03.
[10] 梅雅琪,李惠萍,杨娅娟,等.中文版疾病感知问卷简化版在女性乳腺癌患者中的信效度检验[J].护理学报,2015,22(24):11-14. DOI:10.16460/j.issn1008-9969.2015.24.011.
[11] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,9(1):18. DOI:10.3760/cma.j.issn.1674-6554.2000.01.008.
[12] 张凤萍,周立芝,董丽娜,等.乳腺癌术后患者性调节和身体意象状况及因素分析[J].现代预防医学, 2019, 46(12):2175-2178.
[13] Clark AB, Brown M, Gilbert OE, et al.Look Good, Feel Good? The Effects of Body Image on Quality of Life in Gynecologic Cancer Patients[J].Gynecologic Oncology,2020, 159(S1):311-312. DOI:10.1016/j.ygyno.2020.05.562.
[14] Chang O, Choi EK, Kim IR, et al.Association Between Socioeconomic Status and Altered Appearance Distress,Body Image, and Quality of Life among Breast Cancer Patients[J].Asian Pac J Cancer Prev,2014, 15(20):8607-8612. DOI:10.7314/APJCP.2014.15.20.8607.
[15] 赵茹,乔群,岳颍,等.乳腺癌术后乳房缺损患者的心理调查[J].中华整形外科杂志,2013,19(4):294-296. DOI:10.3760/j.issn:1009-4598.2003.04.017.
[16] Zhang N,Fielding R,Soong I,et al.Illness Perceptions Among Cancer Survivors[J].Support Care Cancer, 2016, 24(3):1295-304. DOI:10.1007/s00520-015-2914-3.
[17] 李惠萍,杨娅娟.苏丹,等.应对方式在乳腺癌患者疾病感知和创伤后成长中的中介作用[J].中华行为医学与脑科学杂志, 2016, 25(8):698-702. DOI:10.3760/cma.j.issn.1674-6554.2016.08.006.
[18] 彭静.乳腺癌患者术前疾病不确定感心理韧性与医学应对方式的相关性研究[D].南昌:南昌大学,2019.
[1] XIE Wen-jun, ZHANG Shuai, LIU Yi, ZHANG Hui-juan, LIU Gui-ying, WANG Bei, LIU Jie, LIU Yu-qiu, GUAN Wei. Perceived Social Support and Coping Style as Mediators between Resilience and Post-traumatic Growth among Patients with Hematopoietic Stem Cell Transplant [J]. Journal of Nursing, 2019, 26(3): 73-78.
[2] YE Zi-wen, ZHWN Li, ZHU Mu-lan, HU Ting, WANG Hui-zhen. Stigma of Patients with Preventive Ostomy and Its Influence Factors: A 220-case Study [J]. Journal of Nursing, 2019, 26(3): 40-45.
[3] KANG Xiao-fei, HAN Xin-mei, LI Guo-peng, FANG Mei. Psychological Distress of 331 Patient's Spouses Firstly with in vitro Fertilization and Embryo Transfer and Its Influence Factors [J]. Journal of Nursing, 2019, 26(2): 45-50.
[4] LI Jia-qia, ZHU Bing-jie, LI Meng-yuan, YAN Ling. Status Quo of Fear of Progression in Spouses of Advanced Cancer Patients and Its Correlation Factors [J]. Journal of Nursing, 2019, 26(14): 5-9.
[5] XU Na, ZHANG Yong-ai, ZHAO Rui. Influence of Different Menstrual Period on Premenstrual Symptoms and Coping Styles in Female Nursing Students [J]. Journal of Nursing, 2019, 26(10): 49-52.
[6] ZHANG Su-mei, WANG Da-jun, HE Ying, LIU Dong-dong, WANG Hua-ling. Mediating Effect of Negative Coping Style between Stress and Mobile Phone Dependence in Nursing Undergraduates [J]. Journal of Nursing, 2019, 26(10): 44-48.
[7] LI Hui,YIN Yi-zhen,WANG An-ni,ZHANG Jing-ping. Mediating Effect of Burnout in Relationship between Coping Style and Empathy in Nurses [J]. Journal of Nursing, 2018, 25(8): 5-8.
[8] HAN Jiao,HUANG Bai-ming,WANG Li-na,ZHAO Jia,ZHANG Ping-hui,WANG Cheng-yun,BI Ling-li,MA Lin. Subjective Well-being and Its Influence Factors of Patients after Radical Resection of Esophageal Cancer [J]. Journal of Nursing, 2018, 25(11): 1-5.
[9] YU Li,WANG Wei-li,TANG Yu-xia,ZHOU Qi-lian,HU Peng. Correlation among Uncertainty in Illness, Anxiety and Coping Style of Parents of Children with Chronic Kidney Disease [J]. , 2016, 23(23): 44-47,48.
[10] CHEN Ya-lan,WU Yu-nan,WANG Shan-shan,QIAN Xiao-fang. Coping Style of Women with Induced Labor for Fetal Abnormality:A Qualitative Study [J]. , 2016, 23(20): 72-75.
[11] HUANG Liu,HUANG Yan-lin,ZOU Bao-lin,LI Hao-yu. Effect of Cognitive Behavior Intervention on Young and Middle-aged Peritoneal Dialysis Patients [J]. , 2016, 23(19): 54-58.
[12] WANG Chun-li,WU Xin-yi,HUO Ling-wei,LI Hui-jun,LIANG Rui. ReIationship among QuaIify of Life, Coping StyIe and ParentaI Rearing of AdoIescent Leukemia Patients [J]. Journal of Nursing, 2015, (7): 56-60.
[13] DU Yan-li ,HAN Zong-li ,WANG Li ,SHI Ben-tao . Effect of Service Station for Self-efficiency Improvement on Coping Style and Quality of Life of Cancer Patients Receiving Chemotherapy [J]. Journal of Nursing, 2015, 22(23): 1-6.
[14] ZHU Ping,WANG Mei-xiang,SUN Meng-qing,MENG Ai-feng,Dong Gao-yue. Marital Adjustment between Breast Cancer Patients and Their Spouses [J]. Journal of Nursing, 2015, (17): 34-37,38.
[15] YANG Zhi,JIANG Zhe,SHI Tie-ying,WANG Wen-hui,LIU Yan. Caregiver Reaction and Coping Styles of Family Caregivers of Patients with Advanced Cancer [J]. Journal of Nursing, 2015, (15): 40-43.
Viewed
Full text


Abstract

Cited

  Shared   
[1] . [J]. JOURNAL OF NURSING, 2012, 19(1): 29 -31 .
[2] . [J]. JOURNAL OF NURSING, 2012, 19(1): 39 -41 .
[3] . [J]. JOURNAL OF NURSING, 2012, 19(1): 51 -52 .
[4] . [J]. JOURNAL OF NURSING, 2012, 19(2): 60 -61 .
[5] . [J]. JOURNAL OF NURSING, 2012, 19(2): 62 -63 .
[6] . [J]. JOURNAL OF NURSING, 2012, 19(2): 73 -75 .
[7] WU Li-qin,HU Zhao-hui,CHEN Yu-qun. Intensive Health Education for Patients with Diabetic Foot Based on Ankle-brachial Index and Vibration Perception Threshold[J]. JOURNAL OF NURSING, 2012, 19(2): 76 -78 .
[8] HUANG Jing,OU Xiu-li,LI Wei-dong,LUO Xiao-yan,TAN Yan-fei,LIU Le-le,HAN Chun-chun,DU Chun-hua. Comparison of Health System Responsiveness of Patients from Different Class Ⅲ Grade Ⅰ Hospitals in Jiangmen[J]. JOURNAL OF NURSING, 2012, 19(2): 16 -20 .
[9] YANG Xiu-xiu,FU Ju-fang,LI Qin,WANG Bo,LIU Ying,DUAN Jiao-bo. Quality of Life of Patients with Rectal Cancer Undergoing Colostomy and Its Influencing Factors[J]. JOURNAL OF NURSING, 2012, 19(2): 5 -9 .
[10] CHEN Feng-ying. Application of Activities of Daily Living Assessment in Basic Nursing[J]. JOURNAL OF NURSING, 2012, 19(3): 63 -65 .