Huang Yuxin, Zhuang Panpan, Guan Aixuan, Ren Xiu Rong, Xu Lichun
Medical Oncology, Zhongshan Hospital Xiamen University, Xiamen, China.
Oral Surgery Department, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Nurs Open. 2025 Jan;12(1):e70130. doi: 10.1002/nop2.70130.
We explored demoralisation syndrome among post-operative patients with breast cancer and its relationship with patients' body image and marital intimacy.
A cross-sectional study.
In this cross-sectional study, 237 patients with breast cancer who were hospitalised in the breast surgery department of Grade A tertiary hospital in Xiamen, China from June 2022 to December 2023 and met the standards of adaxation were selected by the convenience sampling method. The survey tool consists of four parts: general data questionnaire, demoralisation scale-II (DS-II), quality of relationship index (QRI) and body image scale (BIS).
In this study, we examined the demoralisation syndrome in 237 post-operative breast cancer patients, predominantly aged 45-59 years (47.3%), with the majority living with family (94.1%) and having children (95.4%). A small proportion (5.9%) lived alone, and 3% were uninsured, opting to pay for their treatment out-of-pocket. The majority (83.1%) had undergone mastectomy, and 51.9% visited the hospital for chemotherapy, with 5.1% experiencing disease recurrence. The mean demoralisation score was 8.52 (SD = 8.47). We found that 22.8% had moderate and 14.8% had severe demoralisation symptoms. Socioeconomic factors such as age, residence, income, tumour staging, post-operative time, hospital purpose and disease recurrence were associated with demoralisation. Multivariate analysis revealed that income, cancer stage, recurrence, quality of recovery index (QRI) and BIS were independent influencing factors for demoralisation syndrome after breast cancer surgery. These findings highlight the importance of considering a range of patient characteristics when addressing demoralisation in post-operative breast cancer patients.
Demoralisation syndrome in patients after breast cancer surgery is influenced by a combination of sociodemographics, disease, intimate relationship and body image. Clinical medical staff should accurately evaluate and identify patients with demoralisation syndrome after breast cancer surgery and formulate and implement personalised intervention strategies according to their physical conditions and possible influencing factors, so as to reduce the incidence of demoralisation syndrome and improve the quality of life.
我们探讨了乳腺癌术后患者的失志综合征及其与患者身体形象和婚姻亲密关系的联系。
一项横断面研究。
在这项横断面研究中，采用便利抽样法选取了2022年6月至2023年12月在中国厦门一家三级甲等医院乳腺外科住院且符合纳入标准的237例乳腺癌患者。调查工具包括四个部分：一般资料问卷、失志量表-II（DS-II）、关系质量指数（QRI）和身体形象量表（BIS）。
在本研究中，我们对237例乳腺癌术后患者的失志综合征进行了调查，这些患者主要年龄在45 - 59岁（47.3%），大多数与家人同住（94.1%）且育有子女（95.4%）。一小部分（5.9%）独自生活，3%没有医保，选择自费治疗。大多数（83.1%）接受了乳房切除术，51.9%前来医院进行化疗，5.1%经历了疾病复发。失志平均得分是8.52（标准差 = 8.47）。我们发现22.8%有中度失志症状，14.8%有重度失志症状。年龄、居住地、收入、肿瘤分期、术后时间、住院目的和疾病复发等社会经济因素与失志有关。多因素分析显示，收入、癌症分期、复发、康复质量指数（QRI）和BIS是乳腺癌手术后失志综合征的独立影响因素。这些发现凸显了在解决乳腺癌术后患者失志问题时考虑一系列患者特征的重要性。
乳腺癌术后患者的失志综合征受社会人口统计学、疾病、亲密关系和身体形象等多种因素综合影响。临床医护人员应准确评估和识别乳腺癌术后失志综合征患者，并根据其身体状况和可能的影响因素制定并实施个性化干预策略，以降低失志综合征的发生率，提高生活质量。
