| 陈丽吏,杨颖,肖宁婷,李金穗,唐鑫汇,李莉.乳腺癌术后患者症状负担与功能锻炼依从性的关系：希望水平的作用路径[J].四川精神卫生杂志,2024,37(4):348-353.Chen Lili,Yang Ying,Xiao Ningting,Li Jinsui,Tang Xinhui,Li Li,Relationship between symptom burden and compliance of functional exercise in patients after breast cancer surgery： the pathway of hope level[J].SICHUAN MENTAL HEALTH,2024,37(4):348-353 |
| 乳腺癌术后患者症状负担与功能锻炼依从性的关系：希望水平的作用路径 |
| Relationship between symptom burden and compliance of functional exercise in patients after breast cancer surgery： the pathway of hope level |
| 投稿时间：2024-05-20 |
| DOI：10.11886/scjsws20240520003 |
| 中文关键词: 乳腺癌 症状负担 希望水平 功能锻炼依从性 中介效应 |
| 英文关键词:Breast cancer Symptom burden Hope level Functional exercise compliance Mediating effect |
| 基金项目:南充市社会科学研究“十四五”规划2022年度项目（项目名称：认知行为治疗对乳腺癌患者生活质量的研究，项目编号：NC22B301） |
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| 中文摘要: |
| 背景 功能锻炼依从性是影响乳腺癌患者术后康复效果的重要因素，患者的症状负担和希望水平均与功能锻炼依从性有关，但在乳腺癌术后患者群体中，关于三者之间关系的证据有限。目的 探讨乳腺癌术后患者的希望水平在症状负担与功能锻炼依从性之间的作用路径，为改善乳腺癌术后患者功能锻炼依从性提供参考。方法 于2023年3月26日—12月9日，连续选取四川省某三甲医院的312例乳腺癌术后患者为研究对象。采用中文版安德森症状评估量表（MDASI-C）、中文版Herth希望量表（HHS-C）、乳腺癌术后患者院外功能锻炼依从性量表进行调查。采用Pearson相关分析考查各量表评分的相关性。采用SPSS 25.0宏程序Process中的模型4分析希望水平在症状负担与功能锻炼依从性之间的作用路径。结果 共308例（98.72%）乳腺癌术后患者完成有效问卷调查。乳腺癌术后患者MDASI-C评分与HHS-C评分和功能锻炼依从性评分均呈负相关（r=-0.202、-0.279，P均<0.01），HHS-C评分与功能锻炼依从性评分呈正相关（r=0.453，P<0.01）。乳腺癌术后患者的希望水平是症状负担与功能锻炼依从性之间的作用路径，效应值为-0.083（95% CI：-0.139~-0.009），占总效应的29.74%。结论 乳腺癌术后患者的症状负担可以直接影响功能锻炼依从性，也可以通过希望水平间接影响功能锻炼依从性。 |
| 英文摘要: |
| Background Compliance of functional exercise has considerable impact on the effectiveness of postoperative rehabilitation among patients with breast cancer. Both symptom burden and hope level of patients are in relation with the compliance mentioned above， but there is limited evidence for the relationship among the three in patients after breast cancer surgery.Objective To explore the pathway of hope level between symptom burden and functional exercise compliance in patients after breast cancer surgery， with intention to provide references for improving their functional exercise compliance.Methods From March 26 to December 9， 2023， 312 patients who received breast cancer surgery in a tertiary grade A hospital in Sichuan Province were selected as the study objects. Investigation was conducted by adopting scales including the Chinese version of the M. D. Anderson Symptom Inventory （MDASI-C）， the Chinese version of the Herth Hope Scale （HHS-C） and the Functional Exercise Compliance Scale among breast cancer patients after discharge. Pearson correlation analysis was used to examine the correlation among each scale score. Model 4 from the macro program Process of SPSS 25.0 was used to analyze the pathway of hope level between symptom burden and functional exercise compliance.Results A total of 308 patients （98.72%） after breast cancer surgery completed effective questionnaire survey. As results showed， MDASI-C score was negatively correlated with scores of HHS-C and functional exercise compliance （r=-0.202， -0.279， P<0.01）， and HHS-C score was positively correlated with score of functional exercise compliance （r=0.453， P<0.01）. The hope level acted as pathway between symptom burden and functional exercise compliance in breast cancer patients after surgery， and the effect value was -0.083 （95% CI： -0.139~-0.009）， accounting for 29.74% of the total effect.Conclusion The symptom burden of breast cancer patients after surgery can affect their compliance of functional exercise directly and can also indirectly affect the compliance through the level of hope. ［Funded by Nanchong Social Science Research "14th Five-Year Plan" 2022 Annual Project （number， NC22B301）］ |
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