自我概念在乳腺癌术后患者主观幸福感与社会支持间的中介效应分析

doi:10.20047/j.issn1673-7210.2023.27.18

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摘要目的观察乳腺癌术后患者主观幸福感、社会支持水平，并分析患者自我概念在二者间的中介效应。方法选择2019年10月至2021年10月四川大学华西医院收治的100例乳腺癌术后患者作为研究对象，于术后1个月评估患者自我概念[采用田纳西自我概念问卷（TSCS）评估]、主观幸福感[纽芬兰纪念大学幸福度量表（MUNSH）评估]及社会支持[采用社会支持评定量表（SSRS）评估]；观察乳腺癌术后患者自我概念、主观幸福感及社会支持之间的关系，重点分析自我概念在乳腺癌术后患者主观幸福感与社会支持间的中介效应。结果本调查共回顾100份问卷，有效回收率为100.00%。100例乳腺癌术后患者TSCS、MUNSH得分及SSRS得分处于中等水平；经Pearson相关性检验发现，自我概念与主观幸福感、社会支持呈正相关（r＞0，P＜0.05）；经中介效应分析，得到中介效应方程如下：Y=0.458X+0.384M+e3（Y：主观幸福感；X：社会支持；M：自我概念）。结果显示，社会支持水平可通过对患者的自我概念间接影响患者的主观幸福感，为部分中介效应，中介效应对总效应的贡献率为41.72%。结论乳腺癌术后患者社会支持不仅可通过自我概念影响患者主观幸福感，也可以直接影响患者自我幸福感。

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	冯兰英1　　何苗2　　向燕君1　　谭明英1▲

关键词 ：乳腺癌, 乳腺癌根治术, 自我概念, 社会支持, 主观幸福感

Abstract：Objective To observe the subjective well-being and social support level of patients with breast cancer after operation, and to analyze the mediating effect of self-concept between the two in patients. Methods A total of 100 postoperative breast cancer patients admitted to West China Hospital of Sichuan University from October 2019 to October 2021 were selected as the study objects. Self-concept (Tennessee self-concept questionnaire [TSCS]), subjective well-being (Memorial University of Newfoundland scale of happiness [MUNSH]), and social support (social support rating scale [SSRS]) were assessed a month after surgery. The relationship between self-concept, subjective well-being, and social support of patients after breast cancer surgery were observed, and the mediating effect of self-concept on subjective well-being and social support of patients after breast cancer surgery were analyzed. Results A total of 100 questionnaires were collected with an effective recovery rate of 100.00%. The scores of TSCS, MUNSH, and SSRS of 100 patients after breast cancer surgery were in the medium level. The Pearson correlation test showed that self-concept was positively correlated with subjective well-being and social support (r＞0, P＜0.05). Through the analysis of mediating effects, the equation of mediating effects can be obtained as follows: Y=0.458X+0.384M+e3(Y: subjective well-being; X: social support; M: self-concept). The results showed that the level of social support could indirectly affect the subjective well-being of patients through the self-concept of patients, which was a partial mediating effect, and the contribution rate of the mediating effect to the total effect was 41.72%. Conclusion Social support after breast cancer surgery can not only affect patients’ subjective well-being through self- concept, but also directly affect patients’ self-well-being.

Key words： Breast cancer Radical mastectomy Self-concept Social support Subjective well-being

通讯作者: ▲通讯作者

引用本文:

冯兰英1　　何苗2　　向燕君1　　谭明英1▲. 自我概念在乳腺癌术后患者主观幸福感与社会支持间的中介效应分析[J]. 中国医药导报, 2023, 20(27): 82-85.
FENG Lanying1 HE Miao2 XIANG Yanjun1 TAN Mingying1▲. Analysis on mediating effect of self-concept on subjective well-being and social support in patients with breast cancer after operation. 中国医药导报, 2023, 20(27): 82-85.

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