乳腺癌改良根治术后患者述情障碍的影响因素分析

Abstract
Figure/Table
References (27)
Related Citation (15)

Download: PDF (528 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the influencing factors of alexithymia in patients with breast cancer after modified radical surgery. Methods A total of 100 patients with breast cancer undergoing modified radical mastectomy in Anqing Hospital Affiliated to Anhui Medical University from April 2017 to April 2021 were selected as the research subjects. The alexithymia degree of patients were assessed with 20-item Toronto alexithymia scale (TAS-20) after operation, the baseline data questionnaire of patients was designed, the TAS-20 scores of patients with different data characteristics were compared. The influencing factors of alexithymia in patients with breast cancer after modified radical surgery. Results The average TAS-20 score of 100 patients with breast cancer after modified radical mastectomy was (62.65±7.13) points. TAS-20 score of patients with high school education and below was higher than that of patients with college education and above, and the difference was statistically significant (P ＜ 0.05). Correlation analysis showed that TAS-20 score was negatively correlated with brief-illness perception questionnaire (B-IPQ), psychological resilience scale-14 (RS-14), and perceived social support scale (PSSS) scores (r ＜ 0, P < 0.05). Multivariate analysis showed that B-IPQ (X1), RS-14 (X2), and PSSS score (X3) were the influencing factors of alexithymia after modified radical mastectomy (P ＜ 0.05). Multiple linear regression equation was Y = 7.955-0.297X1-0.460X2-0.528X3 (F = 152.124, R2 = 0.865, adjusted R2 = 0.859, P ＜ 0.05). Conclusion The degree of alexithymia in breast cancer patients after modified radical mastectomy is more serious, which may be affected by patients’ disease cognition, mental resilience and understanding of social support.

Key words： Breast cancer Modified radical surgery Alexithymia Disease cognition Psychological resilience Perceived social support

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	QIAN Jia1 WU Lixin2

Cite this article:

QIAN Jia1 WU Lixin2. Analysis of influencing factors of alexithymia in patients with breast cancer after modified radical surgery#br#[J]. 中国医药导报, 2022, 19(6): 64-67.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I6/64

[1] 施剑青，马锦莲，胡飞虹，等.乳腺癌改良根治术后患者病耻感与应对方式、自尊的相关性研究[J].中华现代护理杂志，2018，24（3）：332-335.
[2] 薛丽娜，李香利，施剑青，等.乳腺癌术后化疗患者述情障碍与社会关系质量、生活质量的相关性分析[J].中华现代护理杂志，2018，24（6）：652-655.
[3] Linn BK，Stasiewicz PR，Fillo J，et al. The Great Disrupter：Relationship of Alexithymia to Emotion Regulation Processes and Smoking among Pregnant Women [J]. Subst Use Misuse，2020，55（7）：1113-1121.
[4] 胡莉萍，金诗晓，沙丽艳.癌症患者述情障碍与生活质量关系的研究进展[J].上海护理，2019，19（9）：52-55.
[5] 陈孝平，汪建平.外科学[M].8版.北京：人民卫生出版社，2013：256-260.
[6] Taylor GJ，Bagby MR，Parker JDA. The 20-Item Toronto Alexithymia Scale：Ⅳ.Reliability and factorial validity in different languages and cultures-ScienceDirect [J]. J Psychosom Res，2003，55（3）：277-283.
[7] Broadbent E，Petrie KJ，Main J，et al. The Brief Illness Perception Questionnaire [J]. J Psychosom Res，2006，60（6）：631-637.
[8] 倪倩钰，田俊.心理弹性量表信度和效度评价及应用[J].中国公共卫生，2013，29（10）：1524-1527.
[9] Vaingankar JA，Abdin E，Chong SA. Exploratory and confirmatory factor analyses of the Multidimensional Scale of Perceived Social Support in patients with schizophrenia [J]. Compr Psychiatry，2012，53（3）：286-291.
[10] 郑晓娜，强万敏，赵颂贤，等.乳腺癌根治术后患者述情障碍与家庭关怀度的相关性研究[J].护士进修杂志，2019，34（21）：1989-1992.
[11] 郑香琴，郑晓真，袁亚芬.康复期乳腺癌患者述情障碍与自我和谐的关系[J].中国慢性病预防与控制，2020， 28（4）：300-303.
[12] Loh KP，Magnuson A，Dale W，et al. Association of patient age，function and cognition with cancer treatment decisions：A University of Rochester NCORP study [J]. J Clin Oncol，2016，34（15）：10038.
[13] Okanli A，Karabulutlu EY，Karakas SA，et al. Alexithymia and perception of illness in patients with cancer [J]. Eur J Cancer Care，2018，27（3）：e12839.
[14] 郭琪，姚昶，郭宇飞.乳腺疾病高危人群乳腺癌认知度与乳腺自检现状调查及相关性研究[J].华南预防医学，2020，46（1）：18-21.
[15] Santos MD，Hardy-Léger I，Rigal O，et al. Cognitive rehabilitation program to improve cognition of cancer patients treated with chemotherapy：A 3-arm randomized trial [J]. Cancer，2020，126（24）：5328-5336.
[16] 安云飞，曹仲茹，刘娟，等.乳腺癌化疗患者自我效能、社会支持及应对方式对心理弹性影响的路径分析[J].中华现代护理杂志，2018，24（3）：288-292.
[17] 王秋萍，章新琼，俞群，等.消化道癌症患者化疗期心理弹性贡献与阻碍因素的体验研究[J].广西医学，2019， 41（1）：126-129，132.
[18] 李亭秀，谭虹虹，陈英，等.乳腺癌术后患者化疗期间心理弹性与生活质量的关系及其影响因素分析[J].癌症进展，2019，17（19）：2343-2347.
[19] 余成静，章新琼，王晓慧，等.乳腺癌术后化疗患者不同阶段心理弹性水平及与负性情绪的动态关系[J].广东医学，2019，40（1）：155-157.
[20] 李琳波，康凤英，李振苏，等.焦虑抑郁和心理弹性对乳腺癌病人创伤后成长的影响[J].护理研究，2019，33（6）：960-965.
[21] Scheepers E，Rooij B，Pijnenborg J，et al. Perceived social support in patients with endometrial or ovarian cancer：A secondary analysis from the ROGY care study [J]. Gynecol Oncol，2021，160（3）：811-816.
[22] 钟梦诗，李晓波，唐楠，等.心理弹性在乳腺癌病人领悟社会支持与生活质量关系中的作用[J].护理研究，2019， 33（2）：237-240.
[23] Yeung N，Lu Q. Perceived Stress as a Mediator Between Social Support and Posttraumatic Growth Among Chinese American Breast Cancer Survivors [J]. Cancer Nurs，2018，41（1）：53-61.
[24] 王营营，吴云，黄璐，等.造血干细胞移植患者自我效能及社会支持在乐观与心理韧性之间的链式中介效应[J].中国医药科学，2020，10（21）：1-4.
[25] 贡朋飞，夏百荣，娄阁，等.希望水平在宫颈癌患者术后生活质量和领悟社会支持间中介效应[J].中国公共卫生，2016，32（7）：965-967.
[26] 海比拜·阿合买提，马晶，陈丽，等.社会支持及心理资本与急性白血病患者生活质量关系研究[J].中国医药科学，2021，11（10）：158-161.
[27] 汪靖园，李瑞华，张昊，等.领悟社会支持在胃癌患者家庭功能和创伤后成长间的中介效应[J].中国医学伦理学，2019，32（11）：1481-1486.