乳腺癌病人社交焦虑和病耻感在家庭关怀度与孤独感间的中介作用OACSTPCD

Objective:To explore the mediating role of social anxiety and stigma on family caring and loneliness in breast cancer patients,and to provide reference for intervention of loneliness in breast cancer patients.Methods:A total of 328 breast cancer patients from 8 hospitals in Anhui province between December 2021 and July 2022 were selected as the subjects by convenience sampling method.The Social Anxiety Subscale of the Self-Consciousness Scale(SASSC),the Social Impact Scale(SIS),the Adaptation,Partnership,Growth,Affection and Resolve(APGAR),and the University of California at Los Angles Loneliness Scale(UCLA)were used to conduct the questionnaire survey.Results:The total scores of SASSC,SIS,APGAR and UCLA in breast cancer patients were 11.72±5.33,59.51±12.98,6.84±3.67,and 49.20±9.14,respectively.There were negatively correlated with the total scores of APGAR and the total scores of UCLA(P＜0.05).There were positively correlated with the total scores of UCLA and the total scores of SASSC,SIS(all P＜0.05).Social anxiety and stigma played mediating role between family caring degree and loneliness in breast cancer patients.Conclusions:Family care could indirectly affect loneliness through the chain mediating effects of social anxiety and stigma among breast cancer patients.