接受内分泌治疗的乳腺癌患者的健康促进行为和心理困扰:更年期症状和社会支持的中介作用。

Q3 Medicine
Post reproductive health Pub Date : 2024-03-01 Epub Date: 2024-02-20 DOI:10.1177/20533691241232055
Xia Li, Tingting Wei, Yan Zhang, Hailing Ren, Xinyu Liu
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引用次数: 0

摘要

研究目的调查接受内分泌治疗的乳腺癌患者的健康促进行为与心理困扰之间的关系,以及更年期症状和社会支持是否对这些关系起中介作用:这是一项方便抽样的横断面研究,涉及 226 名乳腺癌患者:参与者通过自我报告问卷进行调查,问卷包括人口统计学和临床信息、凯斯勒心理压力量表、健康促进生活方式档案Ⅱ、更年期评分量表和感知社会支持调查,分别测量心理压力、健康促进行为、更年期症状和社会支持。采用引导法进行中介分析,以检验中介因素:结果:共有 78.7% 的患者表示自己有心理困扰。他们的健康促进行为与心理困扰直接负相关。此外,促进健康的行为通过更年期症状和社会支持对心理困扰有显著的间接影响。中介效应分别占总效应的34.8%和27.6%:结论:在接受内分泌治疗的乳腺癌患者中,心理困扰的发生率很高。更年期症状和社会支持是促进健康行为与心理困扰之间关系的中介。医护人员应对更年期症状和健康生活方式进行评估,并提供专业干预措施,以增加患者及其护理人员的健康促进行为,控制不愉快的躯体症状;这些行动可能会改善他们的心理困扰。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health-promoting behaviours and psychological distress in breast cancer with endocrine therapy: Mediating roles of menopausal symptoms and social support.

Objective: To investigate the relationship between health-promotion behaviour and psychological distress and whether menopausal symptoms and social support mediate these relationships in patients with breast cancer receiving endocrine therapy.

Study design: This was a cross-sectional study involving convenience sampling that involved 226 patients with breast cancer.

Main outcome measures: Participants were investigated by self-reporting questionnaires that included demographic and clinical information, the Kessler psychological distress scale, the Health-Promoting Lifestyle Profile Ⅱ, the Menopause Rating Scale, and the Perceived Social Support Survey to measure psychological distress, health-promoting behaviour, menopausal symptoms, and social support, respectively. Mediation analyses were conducted with the bootstrapping method to test for mediating factors.

Results: In total, 78.7% patients reported that they were suffering from psychological distress. Their health-promoting behaviours were directly and negatively associated with psychological distress. In addition, health-promoting behaviour had a significant indirect effect on psychological distress through menopausal symptoms and social support. Mediating effects accounted for 34.8% and 27.6% of the total effect, respectively.

Conclusions: There was a high prevalence of psychological distress in patients with breast cancer receiving endocrine therapy. Menopausal symptoms and social support mediated the association between health-promoting behaviour and psychological distress. Health professionals should evaluate menopausal symptoms and health lifestyles, and provide professional interventions to increase health-promoting behaviours and manage unpleasant somatic symptoms for patients and their caregivers; these actions may improve their psychological distress.

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来源期刊
Post reproductive health
Post reproductive health Medicine-Obstetrics and Gynecology
CiteScore
2.50
自引率
0.00%
发文量
31
期刊介绍: Post Reproductive Health (formerly Menopause International) is a MEDLINE indexed, peer reviewed source of news, research and opinion. Aimed at all those involved in the field of post reproductive health study and treatment, it is a vital resource for all practitioners and researchers. As the official journal of the British Menopause Society (BMS), Post Reproductive Health has a broad scope, tackling all the issues in this field, including the current controversies surrounding postmenopausal health and an ageing and expanding female population. Initially this journal will concentrate on the key areas of menopause, sexual health, urogynaecology, metabolic bone disease, cancer diagnosis and treatment, recovering from cancer, cardiovascular disease, cognition, prescribing, use of new hormone therapies, psychology, the science of ageing, sociology, economics, and quality of life. However as a progressive and innovative journal the Editors are always willing to consider other areas relevant to this rapidly expanding area of healthcare.
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