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Influencing factors of stigma after modified radical mastectomy in patients with breast cancer#br# |
HU Linlin ZHOU Xiaofeng WANG Yebei ZHOU Yuan REN Huihui YAO Feng▲ |
Department of Surgery, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430000, China |
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Abstract Objective To analyze the influencing factors of stigma after modified radical mastectomy in patients with breast cancer. Methods A total of 240 breast cancer patients who received modified radical mastectomy in Renmin Hospital of Wuhan University from January 2018 to January 2021 were selected as research subjects. All patients received social impact scale (SIS) to assess stigma, and basic information of patients and their families was questioned and recorded. SIS scores of patients with different data characteristics were compared to analyze the related factors that may affect the stigma of patients after modified radical mastectomy. Results Two hundred and fourty patients with different degrees of stigma after modified radical mastectomy had an average SIS score of (61.89±8.41) points. The SIS score of patients with junior high school education or below, average monthly income ≤ 2000 yuan, on-the-job, postoperative time > two years were higher than those of patients with senior high school, technical secondary school education or above, average monthly income > 2000 yuan, no occupation, postoperative time ≤ two years, the difference was statistically significant (P < 0.05). Multiple linear regression analysis showed that education level (X1), average monthly income (X2), postoperative time (X3), and work status (X4) were all influential factors leading to stigma of patients after modified radical mastectomy, and the equation: Y = 58.776+4.444X1+5.688X2+6.537X3+4.000X4 (F = 194.543, R2 = 0.871, adjusted R2 = 0.867, P < 0.05). Conclusion The stigma of patients after modified radical mastectomy is affected by many factors, so early intervention of patients with these factors should be paid attention to in order to reduce the stigma of them.
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