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乳腺癌女性患者的支持性护理需求与耻辱感之间的关系:一项横断面研究。

Relationship Between Supportive Care Needs and Stigma in Women With Breast Cancer: A Cross-Sectional Study.

作者信息

Abdul Razzaq Nejad Reyhaneh, Bagherian Samaneh, Dastjerdi Reza

机构信息

Islamic Azad University, Birjand Branch Birjand Iran.

Birjand University of Medical Sciences Birjand Iran.

出版信息

Health Sci Rep. 2025 Aug 1;8(8):e70903. doi: 10.1002/hsr2.70903. eCollection 2025 Aug.

Abstract

BACKGROUND AND AIMS

Breast cancer is the most common cancer among women. The needs of breast cancer patients have different dimensions, one of these dimensions is supportive care needs. Breast cancer patients experience some degree of social anxiety caused by stigma and negative labels from others. Considering the importance of social support and care of these patients in solving the issue of stigma, this study was conducted to investigate and compare the relationship between supportive care needs and stigma in women with breast cancer.

METHODS

In this cross-sectional study, 115 women > 18 years old with breast cancer of Birjand in Iran were evaluated. Data collection was done using demographic, supportive care needs, and stigma questionnaires. Data analysis was done using SPSS 22 and one-way analysis of variance (ANOVA), independent samples -test, Pearson correlation coefficient, and multiple regression analysis at a significance level of 0.05.

RESULTS

The average age of the studied women was 49.00 ± 10.27 years. The average total score of stigma was 17.50 ± 6.66 and the average total score of supportive care needs was 44.70 ± 12.92. Age, habitat, and education were known as the predictors of stigma ( < 0.05). Age, diagnosis time, disease stage, and stigma score were recognized as predictors of supportive care needs ( < 0.05). There was a weak and negative correlation between supportive care needs and stigma ( = 0.313;  = 0.001).

CONCLUSION

Based on the study results, the support care needs declined when the stigma score decreased. The stigma score is related to marital status, education level, job, and living alone. Age, diagnosis time, disease stage, and stigma score were known as the predictors of Care-support needs in breast cancer patients and age, habitat, and education were known as the predictors of stigma. Therefore, it seems that implementing strategies for reducing stigma in breast cancer patients can help them become more independent.

摘要

背景与目的

乳腺癌是女性中最常见的癌症。乳腺癌患者的需求具有不同层面,其中一个层面是支持性护理需求。乳腺癌患者会因他人的耻辱感和负面标签而经历一定程度的社交焦虑。鉴于社会支持和对这些患者的护理在解决耻辱感问题方面的重要性,开展本研究以调查和比较乳腺癌女性患者的支持性护理需求与耻辱感之间的关系。

方法

在这项横断面研究中,对伊朗比尔詹德115名年龄大于18岁的乳腺癌女性进行了评估。使用人口统计学、支持性护理需求和耻辱感问卷进行数据收集。使用SPSS 22进行数据分析,并采用单因素方差分析(ANOVA)、独立样本t检验、Pearson相关系数和多元回归分析,显著性水平为0.05。

结果

研究女性的平均年龄为49.00±10.27岁。耻辱感的平均总分是17.50±6.66,支持性护理需求的平均总分是44.70±12.92。年龄、居住地和教育程度被确定为耻辱感的预测因素(P<0.05)。年龄、诊断时间、疾病阶段和耻辱感得分被认为是支持性护理需求的预测因素(P<0.05)。支持性护理需求与耻辱感之间存在微弱的负相关(r = 0.313;P = 0.001)。

结论

根据研究结果,当耻辱感得分降低时,支持性护理需求也会下降。耻辱感得分与婚姻状况、教育水平、工作和独居有关。年龄、诊断时间、疾病阶段和耻辱感得分是乳腺癌患者支持性护理需求的预测因素,年龄、居住地和教育程度是耻辱感的预测因素。因此,似乎实施减少乳腺癌患者耻辱感的策略可以帮助她们更加独立。

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