Clinical Research
Current status and influencing factors of postoperative marital adjustment in patients with breast cancer
Yang Jie, Yuan Xiaoling, Wu Yufei, Fang Qiong, Qiu Xiaoxia, Gong Yurong
Published 2021-05-26
Cite as Chin J Mod Nurs, 2021, 27(15): 2039-2044. DOI: 10.3760/cma.j.cn115682-20201104-06062
Abstract
ObjectiveTo investigate the marital adjustment status of breast cancer patients after surgery and analyze its influencing factors.
MethodsUsing the convenient sampling method, postoperative breast cancer patients who were treated in 3 ClassⅢ Grade A hospitals in Shanghai from June 2017 to December 2018 were selected as the research objects. The general information questionnaire, Revised Dyadic Adjustment Scale (RDAS) , Breast Cancer Self-Efficacy Scale (BCSES) , Body Image Scale (BIS) , Hospital Anxiety and Depression Scale (HADS) and Medical Outcomes Study Social Support Survey (MOS-SSS) were used for investigation. Univariate analysis, Pearson correlation analysis and multiple linear regression were used to analyze the influencing factors of marital adjustment. In this study, a total of 300 questionnaires were issued and 240 valid questionnaires were returned. The effective recovery rate was 80.0%.
ResultsThe total score of RDAS for postoperative breast cancer patients was (48.88±10.38) . The results of Pearson correlation analysis showed that marital adjustment of postoperative breast cancer patients was positively correlated with self-efficacy, body image, and medical and social support (r=0.357, 0.382, 0.507; P<0.01) , and it was negatively correlated with anxiety and depression (r=-0.362, -0.373; P<0.01) . The results of multiple linear regression analysis showed that awareness of tumor staging, actual support, self-acceptance and body image were the influencing factors of marital adjustment in patients after breast cancer surgery (P<0.05) , explaining 32.9% of the total variation.
ConclusionsThe marital adjustment ability of patients after breast cancer surgery is at a moderate level. The awareness of tumor staging, actual support, self-acceptance and body image are factors that affect the patients' marital adjustment. It is necessary to actively formulate targeted intervention measures to enhance the psychological adjustment ability of patients in order to improve the ability of marriage adjustment.
Key words:
Breast neoplasm; Marital adjustment; Practical support; Self-acceptance; Body image; Influencing factor
Contributor Information
Yang Jie
School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China
Yuan Xiaoling
School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China
Wu Yufei
School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China
Fang Qiong
Nursing Department, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
Qiu Xiaoxia
Day Chemotherapy Center, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
Gong Yurong
Breast Department, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
