Tang Yingmei, Liu Ranran, Cai Jiyu, Li Xiaoxu, Yang Ling, Huang Yanwei, Li Jingye, Song Jingyuan
School of Nursing, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China.
Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221000, Jiangsu, China.
Support Care Cancer. 2025 Jun 28;33(7):637. doi: 10.1007/s00520-025-09700-6.
To investigate the association between supportive care needs (SCNs) and self-management efficacy in patients with breast cancer (BC) receiving chemotherapy.
This was a cross-sectional study. A total of 160 BC chemotherapy patients in the Affiliated Hospital of Xuzhou Medical University were selected using convenience sampling. The general information questionnaire, the Chinese version of the 34-item Short-Form Supportive Care Needs Survey, and Strategies Used by People to Promote Health were used for investigation. One-way ANOVA, t-test, and hierarchical regression analysis were used for data analysis. This study adheres to STROBE reporting guidelines.
The total score of SCNs of BC chemotherapy patients was 192.96 (54.95). Pearson correlation analysis showed that the score of self-management efficacy was negatively correlated with the score of SCNs (P < 0.01, r = - 0.691). When the demographic variables were controlled, self-management efficacy, which was tested in model 2, explained an additional 28.4% of the variance in SCNs. BC chemotherapy patients, who received fewer number of chemotherapy cycles (β = - 0.187, P < 0.01), were younger (β = - 0.115, P < 0.05), had no family history of breast cancer (β = - 0.109, P < 0.05), had lower levels self-management efficacy (β = - 0.583, P < 0.001), and had higher SCNs.
BC chemotherapy patients have reported a high level of unmet SCNs. Medical staff should improve their self-management efficacy by assessing and taking targeted nursing measures, thereby reducing their SCNs and enhancing their quality of life.
探讨接受化疗的乳腺癌患者的支持性护理需求（SCNs）与自我管理效能之间的关联。
这是一项横断面研究。采用便利抽样法，选取徐州医科大学附属医院的160例乳腺癌化疗患者。使用一般信息问卷、中文版34项简短支持性护理需求调查问卷和促进健康的个人策略进行调查。采用单因素方差分析、t检验和分层回归分析进行数据分析。本研究遵循STROBE报告指南。
乳腺癌化疗患者的SCNs总分是192.96（54.95）。Pearson相关分析显示，自我管理效能得分与SCNs得分呈负相关（P < 0.01，r = - 0.691）。在控制人口统计学变量后，模型2中检验的自我管理效能解释了SCNs中另外28.4%的方差。化疗周期数较少（β = - 0.187，P < 0.01）、年龄较小（β = - 0.115，P < 0.05）、无乳腺癌家族史（β = - 0.109，P < 0.05）、自我管理效能水平较低（β = - 0.583，P < 0.001）的乳腺癌化疗患者，其SCNs较高。
乳腺癌化疗患者报告了较高水平未满足的SCNs。医护人员应通过评估并采取针对性护理措施来提高其自我管理效能，从而减少其SCNs并提高其生活质量。
