孤独在乳腺癌患者社会限制与抑郁间的中介效应

doi:10.3969/j.issn.1674-490X.2025.06.006

医学研究与教育 ›› 2025, Vol. 42 ›› Issue (6): 50-56.DOI: 10.3969/j.issn.1674-490X.2025.06.006

• 护理学 • 上一篇

孤独在乳腺癌患者社会限制与抑郁间的中介效应

曹龙女,崔洪全,王银玲

上海交通大学医学院苏州九龙医院肿瘤科, 江苏苏州 215018

收稿日期:2025-10-11 发布日期:2025-12-31
通讯作者: 王银玲(1993—),女,江苏苏州人,主治医师,硕士,主要从事肿瘤规范化诊治。E-mail: yinlingwang1993@163.com
作者简介:曹龙女(1992—),女,江苏淮安人,主管护师,主要从事肿瘤护理研究。 E-mail: soochoucao@126.com
基金资助:
江苏省医院管理创新研究项目(JSYGY-3-2024-460);上海交通大学医学院苏州九龙医院科研预研基金(SZJL202409)

Mediating effect of loneliness between social constraints and depression in breast cancer patients

CAO Longnü, CUI Hongquan, WANG Yinling

Department of Oncology, Suzhou Jiulong Hospital, School of Medicine, Shanghai Jiao Tong University, Suzhou 215018, China

Received:2025-10-11 Published:2025-12-31

摘要/Abstract

摘要： 目的探究孤独对乳腺癌患者社交限制与抑郁的中介效应,为降低乳腺癌患者抑郁发生率提供参考。方法选取江苏省某医院乳腺癌患者257例,收集研究人群一般资料,应用患者健康抑郁问卷、社会限制量表和癌症孤独量表调查分析。结果乳腺癌患者的抑郁、社会限制、孤独得分分别为(6.63±3.15)分、(30.71±7.73)分和(21.24±5.21)分。抑郁与社会限制、孤独呈正相关,社会限制与孤独呈正相关(r=0.498,r=0.396,r=0.639,均P<0.01)。乳腺癌患者的孤独在社会限制与抑郁间起部分中介效应,中介效应占总效应的27.15%。结论医护人员应采取措施降低乳腺癌患者的社会限制,降低孤独感,从而减少抑郁的发生。

关键词: 乳腺癌, 抑郁, 社会限制, 孤独, 中介效应

Abstract: Objective To investigate the mediating effect of loneliness on the relationship between social constraints and depression in breast cancer patients and inform the reduction of the incidence of depression in breast cancer patients. Methods Data were collected from 257 breast cancer patients at a hospital in Jiangsu province using three scales: the Patient Health Depression Questionnaire, Social Constraints Scale, and Cancer Loneliness Scale. General information was then analyzed. Results Depression, social constraints and loneliness scores of breast cancer patients were 6.63±3.15, 30.71±7.73 and 21.24±5.21 respectively. Depression was positively connected to social constraints and loneliness, and social constraints was positively connected to loneliness(r=0.498,r=0.396,r=0.639, all P<0.01). The loneliness of breast cancer patients has a partial mediating effect between social constraints and depression, with the mediating effect making up 27.15% of the total effect. Conclusion Medical workers should take measures to reduce the social constraints of breast cancer patients and reduce the loneliness so as to reduce the occurrence of depression.

Key words: breast cancer, depression, social constraints, loneliness, mediating effect

中图分类号:

R473.73

曹龙女,崔洪全,王银玲. 孤独在乳腺癌患者社会限制与抑郁间的中介效应[J]. 医学研究与教育, 2025, 42(6): 50-56.

CAO Longnü, CUI Hongquan, WANG Yinling. Mediating effect of loneliness between social constraints and depression in breast cancer patients[J]. Journal of Hebei Medical College for Continuing Education, 2025, 42(6): 50-56.

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孤独在乳腺癌患者社会限制与抑郁间的中介效应

Mediating effect of loneliness between social constraints and depression in breast cancer patients

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