Qian Li, Li Yan, Yue Dan
School of Nursing, North Sichuan Medical College, Nanchong, China.
Department of Education, Chongqing University Three Gorges Hospital, Chongqing, China.
Front Med (Lausanne). 2025 Mar 26;12:1556701. doi: 10.3389/fmed.2025.1556701. eCollection 2025.
Breast cancer is the most common cancer among women. Health-promoting behaviors can enhance the quality of life for breast cancer survivors; however, further research is needed to identify the factors influencing these behaviors.
A survey was conducted on 238 breast cancer survivors from a tertiary hospital in Chongqing using a general information questionnaire, the Family Cohesion and Adaptability Scale, the Self-Advocacy Scale, and the Health-Promoting Lifestyle Profile II. Descriptive analysis was performed using SPSS 26.0, and the mediating effect of variables was analyzed using the structural equation model in SPSS AMOS 24.0.
The model results revealed positive correlations between family cohesion and adaptability and self-advocacy ( = 0.55; < 0.05), between family cohesion and adaptability and health promotion ( = 0.42; < 0.05), and between self-advocacy and health promotion (β = 0.43; < 0.05) among breast cancer survivors. Furthermore, self-advocacy partially mediated the relationship between family cohesion and adaptability and health-promoting lifestyles (β = 0.237; < 0.05).
Self-advocacy is a mediator variable in the relationship between family cohesion and adaptability, and the health-promoting lifestyle of breast cancer survivors.
乳腺癌是女性中最常见的癌症。促进健康的行为可以提高乳腺癌幸存者的生活质量；然而，需要进一步研究以确定影响这些行为的因素。
使用一般信息问卷、家庭亲密度和适应性量表、自我倡导量表以及健康促进生活方式量表II，对重庆一家三级医院的238名乳腺癌幸存者进行了调查。使用SPSS 26.0进行描述性分析，并使用SPSS AMOS 24.0中的结构方程模型分析变量的中介效应。
模型结果显示，乳腺癌幸存者中，家庭亲密度和适应性与自我倡导之间呈正相关（= 0.55；< 0.05），家庭亲密度和适应性与健康促进之间呈正相关（= 0.42；< 0.05），自我倡导与健康促进之间呈正相关（β = 0.43；< 0.05）。此外，自我倡导部分中介了家庭亲密度和适应性与健康促进生活方式之间的关系（β = 0.237；< 0.05）。
自我倡导是家庭亲密度和适应性与乳腺癌幸存者健康促进生活方式之间关系的中介变量。
