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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (15): 48-53.doi: 10.16460/j.issn1008-9969.2021.15.048

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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

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

CLC Number: 

  • R473.73
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