以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (13): 6-11.doi: 10.16460/j.issn1008-9969.2022.13.006

Previous Articles     Next Articles

Characteristics and Predictors of Social Isolation in Female Breast Cancer Patients

HE Chun-yan1, GUO Si-jin2, LIN Ya-wei1, DU Yan-ling1, GAO li1, CAO Bao-hua1   

  1. 1. Department of Nursing, Air Force Medical University, Xi’an 710000,China;
    2. Dept. of Thyroid and Breast Surgery, Xijing Hospital, Air Force Medical University, Xi’an 710000,China
  • Received:2022-04-07 Online:2022-07-10 Published:2022-08-02

PDF (PC)

91

Like

Abstract: Objective To explore the potential categories of social isolation in female breast cancer patients and to analyze the predictors of social isolation in female breast cancer patients. Methods Using convenience sampling method, 300 female breast cancer patients from 3 tertiary grade A hospitals in Xi’an from May to November of 2021 were selected. Social Anxiety Scale, Social Avoidance Scale, Loneliness Scale, general data scale and Pittsburgh Sleep Quality Index scale were used to investigate social isolation in the patients. After latent profile analysis, the social isolation was classified, and the ordinal multi-category logistic regression analysis was used to explore the distinguishing indexes among different categories. Results The characteristics of social isolation of female breast cancer patients can be divided into 3 categories: "high symptom group" (11.6%), "middle symptom group" (46.4%) and "low symptom group" (42.0%). Sleep quality (OR=1.121, P=0.016), surgery (OR=8.063, P=0.010) and radiotherapy (OR=8.385, P=0.017) were the predictors of high symptom group. Lower average monthly family income (OR=2.101, P=0.034), operation (OR=4.072, P<0.001), and chemotherapy (OR=3.059, P=0.005) were the predictors of the middle symptom group. Conclusion Social isolation in female breast cancer patients can be divided into 3 categories. Surgery and radiotherapy are important predictors of poor sleep quality in the "high symptom group", while surgery and chemotherapy are independent predictors of low monthly income in the "middle symptom group". Targeted intervention according to different characteristics of social isolation of female breast cancer patients should be considered.

Key words: breast cancer, social isolation, sleep quality, latent profile analysis, nursing

CLC Number: 

  • R473.73
[1] 杨昕宇,吕利明,王硕,等. 癌症幸存者社会疏离的研究进展[J]. 中华护理杂志, 2020,55(8):1270-1275.DOI:10.3761/j.issn.0254-1769.2020.08.030.
[2] Freedman A, Nicolle J.Social Isolation and Loneliness: the New Geriatric Giants: Approach for Primary Care[J]. Can Fam Physician, 2020, 66(3):176-182.
[3] Coughlin SS.Social Determinants of Breast Cancer Risk, Stage, and Survival[J]. Breast Cancer Res Treat, 2019, 177(3): 537-548.DOI:10.1007/s10549-019-05340-7.
[4] Li Y, Lord-Bessen J, Shiyko M, et al.Bayesian Latent Class Analysis Tutorial[J]. Multivariate Behav Res, 2018, 53(3): 430-451.DOI:10.1080/00273171.2018.1428892.
[5] 王硕,刘培培,吕利明. 乳腺癌患者社会疏离现状及其影响因素的研究[J]. 解放军护理杂志, 2020, 37(12):5-9.DOI:10.3969/j.issn.1008-9993.2020.12.002.
[6] 左漫云,孟利敏,杨慧娟,等. 住院癌症病人病耻感、社会支持与社交回避及苦恼的关系模型研究[J]. 全科护理, 2021,19(26):3607-3611. DOI:10.12104/j.issn.1674-4748.2021.26.002.
[7] Yamada K, Wakaizumi K, Kubota Y. Loneliness, Social Isolation,Pain Following the COVID-19 Outbreak: Data from a Nationwide Internet Survey in Japan[J]. Sci Rep, 2021,11(1):18643. DOI:10.1038/s41598-021-97136-3.
[8] Chen D, Yin Z, Fang B.Measurements and Status of Sleep Quality in Patients with Cancers[J]. Support Care Cancer. 2018,26(2):405-414. DOI:10.1007/s00520-017-3927-x.
[9] Salahuddin M, Maru TT, Kumalo A, et al.Validation of the Pittsburgh Sleep Quality Index in Community Dwelling Ethiopian Adults[J]. Health Qual Life Outcomes, 2017, 15(1):58.DOI:10.1186/s12955-017-0637-5.
[10] 王孟成,毕向阳. 潜变量建模与Mplus应用-进阶篇[M].重庆:重庆大学出版社, 2018.
[11] Yuan Y, Jiang S, Yan S, et al.The Relationship between Depression and Social Avoidance of College Students: A Moderated Mediation Model[J]. J Affect Disord, 2022,300:249-254. DOI:10.1016/j.jad.2021.12.119.
[12] 王硕,吕利明,张立瑶,等.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[J]. 护理学报,2021, 28(15):48-53.DOI:10.16460/j.issn1008-9969.2021.15.048.
[13] Brown EG, Gallagher S, Creaven AM.Loneliness and Acute Stress Reactivity: A Systematic Review of Psychophysiological Studies[J]. Psychophysiology, 2018,55(5): e13031.DOI:10.1111/psyp.13031.
[14] O’Súilleabháin PS, Gallagher S, Steptoe A. Loneliness, Living Alone, and All-cause Mortality: The Role of Emotional and Social Loneliness in the Elderly During 19 Years of Follow-up[J]. Psychosom Med, 2019, 81(6):521-526.DOI:10.1097/PSY.0000000000000710.
[15] Kraav SL, Awoyemi O, Junttila N, et al.The Effects of Loneliness and Social Isolation on All-cause, Injury, Cancer, and CVD Mortality in A Cohort of Middle-aged Finnish Men. A Prospective Study[J]. Aging Ment Health, 2021, 25(12):2219-2228. DOI:10.1080/13607863.2020.1830945.
[16] Coughlin SS.Social Determinants of Colorectal Cancer Risk, Stage, and Survival: A Systematic Review[J]. Int J Colorectal Dis,2020,35(6):985-995.DOI:10.1007/s00384-020-03585-z.
[17] Kraav SL, Lehto SM, Kauhanen J, et al.Loneliness and Social Isolation Increase Cancer Incidence in A Cohort of Finnish Middle-aged Men. A Longitudinal Study[J]. Psychiatry Res,2021,299:113868.DOI:10.1016/j.psychres.2021.113868.
[18] Verza FA, Valente VB, Oliveira LK, et al.Social Isolation Stress Facilitates Chemically Induced Oral Carcinogenesis[J]. PLoS One, 2021, 16(1): e245190.DOI:10.1371/journal.pone.0245190.
[19] Lourenço A, Dantas AAG, de Souza JC, et al. Sleep Quality is Associated with Disability and Quality of Life in Breast Cancer Survivors: A Cross-sectional Pilot Study[J]. Eur J Cancer Care (Engl),2020,e13339.DOI:10.1371/journal.pone.0245190.
[20] Tag Eldin ES, Younis SG, Aziz LMAE, et al.Evaluation of Sleep Pattern Disorders in Breast Cancer Patients Receiving Adjuvant Treatment (Chemotherapy and/or Radiotherapy) Using Polysomnography[J]. J BUON, 2019, 24(2): 529-534.DOI:10.1016/S0167-8140(18)31649-9.
[21] Ben Simon E, Walker MP.Sleep Loss Causes Social Withdrawal and Loneliness[J]. Nat Commun, 2018, 9(1): 3146.DOI: 10.1038/s41467-018-05377-0.
[22] Benedict C, Fisher S, Schapira L, et al.Greater Financial Toxicity Relates to Greater Distress and Worse Quality of Life Among Breast and Gynecologic Cancer Survivors[J]. Psychooncology, 2022, 31(1): 9-20.DOI: 10.1002/pon.5763.
[23] 王硕,吕利明,刘培培,等. 乳腺癌幸存者社会疏离的研究进展[J]. 护理学杂志, 2020, 35(9):108-112.DOI:10.3870/j.issn.1001-4152.2020.09.108.
[24] 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(12): 33-38.DOI:10.16460/j.issn1008-9969.2020.12.033.
[25] Seol KH, Bong SH, Kang DH, et al.Factors Associated with the Quality of Life of Patients with Cancer Undergoing Radiotherapy[J]. Psychiatry Investig, 2021, 18(1): 80-87.DOI: 10.30773/pi.2020.0286.
[26] Puigpinós-Riera R,Graells-Sans A, Serral G, et al.Anxiety and Depression in Women with Breast Cancer: Social and Clinical Determinants and Influence of the Social Network and Social Support (DAMA Cohort)[J].Cancer Epidemiology, 2018, 55:123-129. DOI: 10.1016/j.canep.2018.06.002.
[27] Choi E, Henneghan AM. Comparing Fatigue, Loneliness, Daytime Sleepiness,Stress in Younger and Older Breast Cancer Survivors: A Cross-sectional Analysis[J]. Clin J Oncol Nurs, 2022, 26(2): 155-164.DOI: 10.1188/22.
[28] Berhili S, Ouabdelmoumen A, Sbai A, et al.Radical Mastectomy Increases Psychological Distress in Young Breast Cancer Patients: Results of A Cross-sectional Study[J]. Clin Breast Cancer, 2019, 19(1): e160-e165.DOI: 10.1016/j.clbc.2018.08.013.
[1] HUANG Pan-pan, CHENG Hong, ZHANG Ying-hong, WANG Yan, ZHANG Lian-sheng. Construction of "Internet + Nursing Service" Risk Management Evaluation Index System Based on 4R-model Crisis Management Theory [J]. Journal of Nursing, 2022, 29(9): 16-20.
[2] LI Xiang, FENG Ying-pu, MENG Xiao-jing, ZHOU Li-min, HUO Xiao-ran, XU Meng-min, WANG Hao. Best Evidence Summary of Oral Health Management for Stroke Patients [J]. Journal of Nursing, 2022, 29(9): 36-41.
[3] ZOU Zi-yu, TANG Hong-mei, WU Li, CHEN Rong-feng, MEI Hua. Scoping Review of Readability Assessment of Breast Cancer-related Health Education Materials [J]. Journal of Nursing, 2022, 29(9): 42-46.
[4] MAI Jian-xin, CHEN Wan-hua, NIE Sha. Application of SBAR Model in Transfer of Patients Receiving Modified Electroconvulsive Therapy [J]. Journal of Nursing, 2022, 29(9): 21-25.
[5] CHEN Fang-fang, YE Ling-xiao, HU Yan, ZHENG Ya-hua, LI Juan, LOU Ke-nan, LIU Mei, HU Kang-li. Best Evidence Summary of Early Exercise Rehabilitation after Pacemaker Implantation [J]. Journal of Nursing, 2022, 29(8): 53-58.
[6] WANG Qi, LIU La-mei, CHEN Li-na, QUE Xiao-ling, SU Shao-yu. Construction of Sensitivity Indicators of Specialized Nursing Quality of Nursing Perioperative Period of Children's Bronchoscopy [J]. Journal of Nursing, 2022, 29(8): 69-74.
[7] TIAN Yun-wei, LI Shan-ling, TIAN Wen-wen, LI Wei-guo, SHAO Qin. Qualitative Research of Cognition on Near-miss Events in Nursing Staff [J]. Journal of Nursing, 2022, 29(7): 32-35.
[8] ZHAO Ling-bo, CAO Wen-li. Evaluation System of Occupational Competence of Caregivers of the Elderly with Dementia in Nursing Home [J]. Journal of Nursing, 2022, 29(7): 27-31.
[9] LUO Yu-qin, LI Meng-xuan, CHENG Qiu, WANG Ting, ZHENG Jing-yu, FANG Jin-bo, GONG Yu-ping. Case-control Study on Risk Factors of Perianal Infection in Patients with Hematological Malignancy undergoing Chemotherapy [J]. Journal of Nursing, 2022, 29(7): 7-11.
[10] CAI Ying-ying, ZHANG Jun-feng, CAI Ai-fang, ZENG Ya-yan, LI Ling, HUANG Qiong-shan, LIU Xing-ling. Development of Evidence-based Core Competence-oriented Nursing Round Model [J]. Journal of Nursing, 2022, 29(6): 50-54.
[11] REN Peng-na, HU Xiao-yi, TANG Ai-ling, ZHANG Yue, XU Fang-lei. Construction of Evidence-based Nursing Plan for Discharge Preparation of Elderly Patients with Urinary Incontinence [J]. Journal of Nursing, 2022, 29(6): 7-10.
[12] MI Yuan-yuan, HUANG Hai-yan, CHEN Hui, CHEN Han-zhen, MING Yao-hui, NIE Tao. Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission [J]. Journal of Nursing, 2022, 29(6): 15-19.
[13] CAO Mi, ZHANG Jun, YUE Shao-ting. Best Evidence Summary for Post-hospital Neurodevelopmental Supportive Care for Preterm Infants [J]. Journal of Nursing, 2022, 29(6): 44-49.
[14] WU Yu-jie, WU Li-ping, LENG Hong-yao, WANG Yan, LIN Guang-yan. Best Evidence Summary of Prevention and Management of Dog Bite Wound Infection [J]. Journal of Nursing, 2022, 29(5): 52-56.
[15] LI Ying, CHEN Qiao-song, BAI Ya-ping, HONG Yun-ting, WU Yu-ling, DAI Qiu-wen. Effect of Nursing Project Management on Patients with Greater Risk of Falls [J]. Journal of Nursing, 2022, 29(5): 69-73.
Viewed
Full text


Abstract

Cited
  Shared   
[1] MA Hui, YANG Fu-guo, LU Xiao-hong, XIA Ting-ting, YIN Chun-lan, LI Yao-yao. Influence Factors of Self-management Behavior of Patients with Percutaneous Coronary Intervention[J]. Journal of Nursing, 2018, 25(20): 1 -4 .
[2] MA Jing-shuang, SUN Qian, WANG Yan-jie. Role of PAD Class in Teaching of Introduction to Nursing Science[J]. Journal of Nursing, 2018, 25(20): 5 -7 .
[3] . [J]. Journal of Nursing, 2018, 25(20): 8 -9 .
[4] YU Jie, JI Hong, WANG Zhao-xiu, ZHANG Yan-hong, DING Wen-xiu. Compassion Fatigue of Nurses: A Conceptual Analysis[J]. Journal of Nursing, 2018, 25(20): 10 -14 .
[5] . [J]. Journal of Nursing, 2018, 25(20): 14 -17 .
[6] LENG Zhi-bing, YANG Xiao-ling, YANG Ping, WANG Xiao-yuan, XIE Jian-lei, PU Heng-ping. Meta-analysis of Different Effects of Pre-hospital and Hospital Endotracheal Intubation on Prognosis of Patients with Severe Traumatic Brain Injury[J]. Journal of Nursing, 2018, 25(20): 18 -23 .
[7] ZHAO Shi-yu, KE Hui, LI Meng-yuan, XIONG Can, YU Jiao-hua. Effect of Enteral Nutritional Supplements on Prevention and Treatment of Pressure Ulcers: A Systematic Review[J]. Journal of Nursing, 2018, 25(20): 24 -30 .
[8] ZHENG Wen, CHOU An, ZHANG Li-bin, SHENG Li-sha. Development of Evaluation Index System of Tacit Knowledge for Higher Vocational Nursing Students[J]. Journal of Nursing, 2018, 25(20): 31 -36 .
[9] DU Lan-yu, HU Xia, WANG Xiang-hong, LIU Hai-na, REN Lei, ZHU Xiao-xiu, DUAN You-ping. Prevalence of Frailty in Patients with Maintenance Hemodialysis and Its Effect on Prognosis[J]. Journal of Nursing, 2018, 25(20): 37 -41 .
[10] . [J]. Journal of Nursing, 2018, 25(20): 42 -46 .