Body image and its associated factors among Chinese head and neck cancer patients undergoing surgical treatment: a cross-sectional survey
Body image and its associated factors among Chinese head and neck cancer patients undergoing surgical treatment: a cross-sectional survey
复制标题
DOI：
10.1007/s00520-019-04940-9
复制
发表时间：
2020-03-01
影响因子：
3.1
通讯作者：
Peng, Juan
中科院分区：
文献类型：
--
作者：
Chen, Changlian;Cao, Jiayan;Peng, Juan
目的身体形象是头颈癌患者的一个重要的心理社会问题。然而，大陆头颈癌患者中国的身体形象现状及其相关因素尚不清楚。本研究旨在探讨内地头颈癌手术患者中国对身体形像的关注，并找出相关因素。方法对天津医科大学肿瘤研究所和中国大陆中国医院收治的头颈部肿瘤手术患者154例进行横断面研究。采用身体形象量表(BIS)、领悟社会支持量表(PSSS)、简易应对方式问卷(SCSQ)、医院焦虑抑郁量表(HADS)和为本研究设计的问卷对受试者进行调查。采用Mann-Whitney U检验、Kruskal-Wallis H检验、Spearman等级相关分析和逐步多元回归分析。结果BIS评分为6.00(4.00，8.00)分。多元回归分析显示，焦虑、癌症分期、性别、积极应对方式、文化程度是影响体像的相关因素。这5个变量对体像总变异的贡献率为40.7%。结论这些发现表明接受手术治疗的头颈癌患者对身体形象不满意。焦虑程度更高、癌症分期更晚期、女性、积极应对策略较少、受教育程度较高的患者更有可能拥有较差的身体形象。头颈癌患者首先需要评估和有效的心理社会干预，以管理身体形象方面的担忧。
Purpose Body image is a critical psychosocial issue for patients with head and neck cancer. However, the current status and associated factors of body image in patients with head and neck cancer in Mainland China remain unknown. This study aimed to explore body image concerns for head and neck cancer patients undergoing surgical treatment in Mainland China and to identify the associated factors. Methods A cross-sectional study was conducted including 154 patients who underwent surgery for head and neck cancer at Tianjin Medical University Cancer Institute & Hospital in Mainland China. Participants were surveyed using the Body Image Scale (BIS), the Perceived Social Support Scale (PSSS), the Simplified Coping Style Questionnaire (SCSQ), the Hospital Anxiety and Depression Scale (HADS), and a questionnaire designed for this study. The Mann-Whitney U test, Kruskal-Wallis H test, Spearman's rank correlation, and stepwise multiple regression analysis were used to analyze the data. Results The score of BIS was 6.00 (4.00, 8.00). Multiple regression analysis revealed that anxiety, cancer stage, sex, active coping style, and educational level were factors related to body image. These five variables accounted for 40.7% of the total variance in body image. Conclusions These findings indicate body image dissatisfaction in surgically treated patients with head and neck cancer. Patients with greater anxiety, a more advanced cancer stage, female sex, fewer active coping strategies, and higher education are more likely to have an inferior body image. Assessment and effective psychosocial interventions are needed initially for patients with head and neck cancer to manage body image concerns.