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| Analysis on mediating effect of self-concept on subjective well-being and social support in patients with breast cancer after operation |
| FENG Lanying1 HE Miao2 XIANG Yanjun1 TAN Mingying1▲ |
1.Department of Outpatient, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China;
2.Clinical Breast Disease Center, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China
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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.
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