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泰国接受化疗的乳腺癌患者自我同情的预测因素:一项横断面研究。

Factors predicting self-compassion among patients with breast cancer undergoing chemotherapy in Thailand: A cross-sectional study.

作者信息

Krutchan Nisa, Skulphan Sombat, Thapinta Darawan, Thungjaroenkul Petsunee, Saengthong Songserm

机构信息

Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.

Faculty of Nursing, Burapha University, Chon Buri, Thailand.

出版信息

Belitung Nurs J. 2024 Jun 28;10(3):341-350. doi: 10.33546/bnj.3359. eCollection 2024.

Abstract

BACKGROUND

Breast cancer is the most common female malignancy. Although chemotherapy is the primary treatment for breast cancer, it frequently has several detrimental side effects. Patients with breast cancer require self-compassion to regulate their emotions in order to cope with their suffering. Factors affecting self-compassion have mostly been investigated in the context of chronic diseases in general, not specifically in relation to patients receiving chemotherapy for breast cancer.

OBJECTIVE

This cross-sectional study sought to describe the self-compassion level and to examine the predictive ability of self-critical judgment, body image, stress, attachment style, social support, hope, and self-reassuring on self-compassion among patients with breast cancer undergoing chemotherapy.

METHODS

The participants were 210 Thai women with breast cancer who received chemotherapy in northern Thailand and were selected using proportionate random sampling. Data were collected from December 2021 to January 2023 using validated instruments. Data were analyzed using descriptive statistics and hierarchical regression analysis.

RESULTS

Self-compassion was moderate (Mean = 2.91, SD = 0.91). Self-critical judgment (β = 0.487, <0.001) and hope (β =0.128, = 0.032) could predict self-compassion in patients with breast cancer undergoing chemotherapy and explained 40.1% of the variance.

CONCLUSION

The study's findings highlight the importance of addressing self-critical judgment and fostering hope in patients with breast cancer undergoing chemotherapy to enhance their self-compassion. Nurses and other healthcare providers can use the findings to provide interventions to promote self-compassion.

摘要

背景

乳腺癌是女性最常见的恶性肿瘤。尽管化疗是乳腺癌的主要治疗方法,但它常常有几种有害的副作用。乳腺癌患者需要自我同情来调节情绪,以应对病痛。影响自我同情的因素大多是在一般慢性病的背景下进行研究的,而非专门针对接受乳腺癌化疗的患者。

目的

这项横断面研究旨在描述自我同情水平,并检验自我批评判断、身体意象、压力、依恋风格、社会支持、希望和自我安慰对接受化疗的乳腺癌患者自我同情的预测能力。

方法

参与者为210名在泰国北部接受化疗的泰国乳腺癌女性患者,采用按比例随机抽样的方法选取。2021年12月至2023年1月期间,使用经过验证的工具收集数据。采用描述性统计和层次回归分析对数据进行分析。

结果

自我同情水平中等(均值=2.91,标准差=0.91)。自我批评判断(β=0.487,<0.001)和希望(β=0.128,=0.032)可以预测接受化疗的乳腺癌患者的自我同情,并解释了40.1%的方差。

结论

该研究结果凸显了在接受化疗的乳腺癌患者中解决自我批评判断并培养希望以增强其自我同情的重要性。护士和其他医疗服务提供者可以利用这些结果提供促进自我同情的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80c5/11211746/fdf30eb8802a/BNJ-10-3-341-g001.jpg

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