Zhu Mengyao, Zhang Yiheng, He Haiyan, Chen Lili, Chen Juanjuan, Zhang Meifen
School of Nursing, Sun Yat-sen University, Guangzhou, China.
Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Asia Pac J Oncol Nurs. 2023 Jul 4;10(8):100266. doi: 10.1016/j.apjon.2023.100266. eCollection 2023 Aug.
To describe the social participation and acceptance of disability (AOD) in young and middle-aged patients with breast cancer after surgery and their dynamic trajectories and to explore the critical factors associated with social participation.
212 young and middle-aged patients with breast cancer after surgery were recruited for a 6-month follow-up study, and 158 of whom completed four surveys. Participants were asked to complete questionnaires including a general information questionnaire, Social Dysfunction Screening Scale, and Adaptation of Disability Scale Revised at baseline, and at 1, 3, and 6 months. T-test and chi-square test were used to analyze the difference in baseline data. Linear generalized estimating equations were used to analyze the dynamic trend and influencing factors. The Cochran-Armitage trend test was used to analyze the trend of the incidence of social function defects.
The status of social participation in patients after breast cancer surgery was poor, and 77.9%, 59.3%, 45.9%, and 29.1% had social function defects, respectively. The AOD was at a moderate level. Both social participation and AOD showed a trend of dynamic improvement. Age ( = 0.044), residence ( = 0.007), surgery type ( = 0.043), postoperative chemotherapy ( = 0.003), and AOD ( < 0.001) were the key factors associated with social participation.
Medical staff should focus on elderly patients, who lived outside the provincial capital city, received total mastectomy, or modified radical mastectomy and postoperative chemotherapy. AOD might be an important potential avenue for improving the social participation level of young and middle-aged patients with breast cancer after surgery.
描述中青年乳腺癌患者术后的社会参与情况及对残疾的接纳程度（AOD）及其动态变化轨迹，并探讨与社会参与相关的关键因素。
招募212例中青年乳腺癌术后患者进行为期6个月的随访研究，其中158例完成了4次调查。参与者被要求在基线时以及术后1、3和6个月完成问卷，包括一般信息问卷、社会功能缺陷筛查量表和残疾适应量表修订版。采用t检验和卡方检验分析基线数据的差异。使用线性广义估计方程分析动态趋势和影响因素。采用 Cochr an - Armitage趋势检验分析社会功能缺陷发生率的趋势。
乳腺癌术后患者的社会参与状况较差，社会功能缺陷发生率分别为77.9%、59.3%、45.9%和29.1%。AOD处于中等水平。社会参与和AOD均呈现动态改善趋势。年龄（P = 0.044）、居住地（P = 0.007）、手术类型（P = 0.043）、术后化疗（P = 0.003）和AOD（P < 0.001）是与社会参与相关的关键因素。
医务人员应关注年龄较大、居住在非省会城市、接受全乳切除术或改良根治术及术后化疗的患者。AOD可能是提高中青年乳腺癌术后患者社会参与水平的重要潜在途径。
