Wu Lihua, Chen Xingyu, Dong Tingting, Yan Wei, Wang Linying, Li Wanling
Department of Lymphoma, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, China.
Department of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, China.
Asia Pac J Oncol Nurs. 2024 May 4;11(7):100503. doi: 10.1016/j.apjon.2024.100503. eCollection 2024 Jul.
Many young male cancer patients experience reproductive concerns. Self-disclosure might be able to improve patients' perceived social support and reproductive concerns. Nevertheless, these relationships have not yet been confirmed among young male cancer patients. This study aims to investigate the level of reproductive concerns and to identify the mediating role of perceived social support between self-disclosure and reproductive concerns among young male cancer patients in China by developing a structural model.
This study was a quantitative, cross-sectional design. We used the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement guidelines to report this study. A total of 369 young male cancer survivors were recruited by convenience sampling from two tertiary hospitals in Taiyuan, Shanxi, China. Data were collected using a "general data questionnaire", "distress disclosure index" (DDI), "perceived social support scale" (PSSS), and "reproductive concerns after cancer-male" (RCAC-M) via the WeChat mini program "Questionnaire Star" and paper questionnaire. Descriptive statistics, Pearson correlation analyses, and structural equation models were adopted to analyze the data.
Reproductive concerns were at moderate levels and negatively associated with self-disclosure ( = -0.619, < 0.01) and perceived social support ( = -0.599, < 0.01). Self-disclosure indirectly influenced reproductive concerns (-0.328∼-0.159, < 0.001) through perceived social support.
Self-disclosure and perceived social support are closely associated with reproductive concerns in young male cancer patients, and perceived social support is a mediator between self-disclosure and reproductive concerns. Healthcare providers could reduce reproductive concerns by enhancing self-disclosure and improving perceived social support.
This study was registered on ClinicalTrials.gov on June 13, 2023 (NCT05914181).
许多年轻男性癌症患者存在生殖方面的担忧。自我表露或许能够改善患者所感受到的社会支持及生殖方面的担忧。然而，这些关系在年轻男性癌症患者中尚未得到证实。本研究旨在通过构建一个结构模型，调查中国年轻男性癌症患者的生殖担忧水平，并确定自我表露与生殖担忧之间所感受到的社会支持的中介作用。
本研究采用定量、横断面设计。我们使用流行病学观察性研究报告强化（STROBE）声明指南来报告本研究。通过便利抽样从中国山西太原的两家三级医院招募了369名年轻男性癌症幸存者。通过微信小程序“问卷星”和纸质问卷，使用“一般资料问卷”、“苦恼表露指数”（DDI）、“领悟社会支持量表”（PSSS）和“癌症后男性生殖担忧”（RCAC-M）收集数据。采用描述性统计、Pearson相关分析和结构方程模型对数据进行分析。
生殖担忧处于中等水平，与自我表露（r = -0.619，P < 0.01）和领悟社会支持（r = -0.599，P < 0.）呈负相关。自我表露通过领悟社会支持间接影响生殖担忧（-0.328∼-0.159，P < 0.001）。
自我表露和领悟社会支持与年轻男性癌症患者的生殖担忧密切相关，领悟社会支持是自我表露与生殖担忧之间的中介。医疗保健提供者可以通过增强自我表露和改善领悟社会支持来减少生殖担忧。
本研究于2023年6月13日在ClinicalTrials.gov上注册（NCT05914181）。
