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三阴性乳腺癌幸存者的生活质量——希望、自我效能感和社会支持的作用。

Quality of life among breast cancer survivors with triple negative breast cancer--role of hope, self-efficacy and social support.

作者信息

Shen Aomei, Qiang Wanmin, Wang Ying, Chen Yuhong

机构信息

Nursing Department, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China.

Nursing Department, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China.

出版信息

Eur J Oncol Nurs. 2020 May 16;46:101771. doi: 10.1016/j.ejon.2020.101771.

Abstract

PURPOSE

To investigate quality of life status and its influence factors among Chinese triple negative breast cancer patients, especially the role of hope, self-efficacy and social support.

METHOD

121 triple negative breast cancer patients were recruited from March to June 2019. Data was collected by demographic and clinical characteristics questionnaire and instruments assessing hope, social support, self-efficacy and quality of life. Descriptive statistics, independent samples t-tests or one-way analysis of variance, Pearson correlation analyses and multiple regression analyses were applied.

RESULTS

Hope, social support and self-efficacy were all positively correlated with quality of life (P < 0.001). Multiple regression analyses indicated hope, income, cancer stage, self-efficacy, and social support as indicators of quality of life, explaining 56.2% of the response variation (P < 0.001).

CONCLUSIONS

Quality of life of triple negative breast cancer patients need to be improved. Income, hope, self-efficacy and social support are positive predictors, and cancer stage are negative predictors of quality of life. Supportive programs and interventions targeting on increasing levels of hope, self efficacy and social support should be considered while caring for this group.

摘要

目的

调查中国三阴性乳腺癌患者的生活质量状况及其影响因素,尤其是希望、自我效能感和社会支持的作用。

方法

2019年3月至6月招募了121例三阴性乳腺癌患者。通过人口统计学和临床特征问卷以及评估希望、社会支持、自我效能感和生活质量的工具收集数据。应用描述性统计、独立样本t检验或单因素方差分析、Pearson相关分析和多元回归分析。

结果

希望、社会支持和自我效能感均与生活质量呈正相关(P < 0.001)。多元回归分析表明,希望、收入、癌症分期、自我效能感和社会支持是生活质量的指标,解释了56.2%的反应变异(P < 0.001)。

结论

三阴性乳腺癌患者的生活质量有待提高。收入、希望、自我效能感和社会支持是生活质量的积极预测因素,而癌症分期是生活质量的消极预测因素。在关爱这一群体时,应考虑开展旨在提高希望、自我效能感和社会支持水平的支持性项目和干预措施。

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