Characteristics and influencing factors of social isolation in patients with breast cancer: a latent profile analysis

被引:9
|
作者
He, Chunyan [1 ]
Wu, Chao [1 ]
He, Yang [2 ]
Yan, Jiaran [1 ]
Lin, Yawei [1 ]
Wan, Yi [1 ]
Xue, Shuzhi [3 ]
Gao, Fangning [4 ]
Chang, Wei [5 ]
Liu, Rongrong [1 ]
Yang, Tianqi [2 ]
Lang, Hongjuan [1 ]
Cao, Baohua [1 ]
机构
[1] Fourth Mil Med Univ, Dept Nursing, 169 Changle West Rd, Xian 710032, Shaanxi, Peoples R China
[2] Fourth Mil Med Univ, Dept Psychol, Xian, Shaanxi, Peoples R China
[3] Shaanxi Prov Peoples Hosp, Xian, Shaanxi, Peoples R China
[4] Air Force Mil Med Univ, Tangdu Hosp, Xian, Shaanxi, Peoples R China
[5] Fourth Mil Med Univ, Ctr Aerosp Clin Med, Dept Aerosp Med, Xian, Shaanxi, Peoples R China
关键词
Breast cancer; Social isolation; Family functioning; Self-transcendence; Latent profile analysis; SELF-TRANSCENDENCE; SUPPORT; LONELINESS; MORTALITY; ANXIETY; DEPRESSION; NETWORKS; WOMEN; LIFE; HEALTH;
D O I
10.1007/s00520-023-07798-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose The goal of this study is to investigate the social isolation (SI) subtypes of patients with breast cancer (BC) and to explore its influencing factors. Methods A sample of 303 BC patients participated in the study from September to December, 2021. Latent profile analysis (LPA) was performed to identify SI clusters based on the three sub-scales of the Chinese version of the Social Anxiety Scale, the Chinese version of the Social Avoidance and Distress Scale, and the Chinese version of the Loneliness Scale. Results We found that SI can be divided into three categories: high-level (Class 1), middle-level (Class 2), and low-level (Class 3), accounting for 20.46%, 33.00%, and 46.54%, respectively. Compared to Class 3, Class 1, which had the lower average monthly income per family member (RMB) (< 3000: OR = 5.298, P = .021; 3000 similar to 5000: OR = 5.320, P = .018), was more likely to suffer from SI due to occupation (Laborer: OR = 12.023, P = .009). Surgery (OR = 14.138, P < .001; OR = 2.777, P = .020), chemotherapy (OR = 10.224, P = .001; OR = 3.545, P = .001); poorer family functioning (OR = .671, P < .001; OR = .801, P = .002), and lower levels of self-transcendence (OR = .806, P < .001; OR = .911, P < .001) were important influencing factors for SI in Class 1 and Class 2 compared to Class 3. Conclusion SI is classifiably heterogeneous among patients with BC. Strategies that identify characteristics of SI and give targeted intervention focusing on family functioning and improving self-transcendence levels contribute to the prevention of SI among patients with BC.
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页数:10
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