Post-Surgery Loneliness and Its Influencing Factors in Elderly Patients With Breast Cancer: A Cross-Sectional Study

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Xian Lin, Ying Zhang, Ruiying Zhang, Shuai Yang, Lei Wang, Yanfeng Shen, Yuhang Sun, Cheng Chen, Jie Li, Xianjie Hao
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Abstract

Objective

To investigate the status of postoperative loneliness and factors influencing it in elderly patients with breast cancer.

Methods

The questionnaire survey was conducted between 1 January 2022 and 31 October 2024 in our hospital to screen 229 elderly patients with breast cancer after surgery who met the inclusion criteria. The patients' general information was collected, and their General Alienation Scale, Fear of Disease Progression Scale (short form; FoP-Q-SF), 10-item Connor–Davidson Resilience Scale (CD-RISC10), Social Support Scale (PSSS), Social Constraints Scale (SCS) and General Self-Efficacy Scale (GSES) scores were compared.

Results

Univariate analysis showed that the differences in social detachment scores among patients of different age groups, marital status, education level, per capita monthly income and surgical modality and whether or not they were receiving chemotherapy were significant (p < 0.001). Multifactorial analysis showed that age group, marital status, surgical modality and chemotherapy as well as their FoP-Q-SF, CD-RISC10, PSSS and SCS scores were all associated with loneliness in elderly patients with breast cancer. Structural equation modelling showed that social support (p < 0.001) and mental toughness (p < 0.001) negatively predicted social alienation, and social constraints (p < 0.001) and fear of disease progression (p < 0.001) positively predicted social alienation. Moreover, mental toughness (p < 0.001) and social support (p < 0.001) negatively predicted fear of disease progression. Social constraints negatively influenced mental toughness (p < 0.001), and social support positively influenced mental toughness (p < 0.001).

Conclusion

Loneliness in elderly patients with breast cancer is at a moderate level and needs to be improved by further research. Mental toughness, fear of disease progression, a history of chemotherapy and social constraints are influential factors in loneliness.

老年乳腺癌患者术后孤独感及其影响因素的横断面研究
目的了解老年乳腺癌患者术后孤独感的现状及影响因素。方法于2022年1月1日至2024年10月31日对229例符合入选标准的老年乳腺癌术后患者进行问卷调查。收集患者的一般信息,收集患者的一般疏离量表、疾病进展恐惧量表(简称;比较FoP-Q-SF、10项康诺-戴维森弹性量表(CD-RISC10)、社会支持量表(PSSS)、社会约束量表(SCS)和一般自我效能量表(GSES)的得分。结果单因素分析显示,不同年龄段、婚姻状况、受教育程度、人均月收入、手术方式及是否接受化疗的患者社会疏离评分差异有统计学意义(p < 0.001)。多因素分析显示,年龄、婚姻状况、手术方式、化疗方式及其top - q - sf、CD-RISC10、PSSS、SCS评分与老年乳腺癌患者的孤独感相关。结构方程模型显示,社会支持(p < 0.001)和精神韧性(p < 0.001)负向预测社会异化,社会约束(p < 0.001)和对疾病进展的恐惧(p < 0.001)正向预测社会异化。此外,心理韧性(p < 0.001)和社会支持(p < 0.001)负向预测对疾病进展的恐惧。社会约束负向影响心理韧性(p < 0.001),社会支持正向影响心理韧性(p < 0.001)。结论老年乳腺癌患者的孤独感处于中等水平,有待进一步研究改善。心理韧性、对疾病进展的恐惧、化疗史和社会约束是孤独的影响因素。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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