Relationship between stigma and self-image in postoperative patients with head and neck cancer:the parallel mediating effect of self-disclosure and rumination
10.3969/j.issn.1671-8283.2025.10.006
- VernacularTitle:自我表露和反刍思维在头颈癌术后患者自我形象与病耻感的并行中介效应及护理对策
- Author:
Yayun JIANG
1
;
Dawei CHI
;
Xiaomin ZHAO
Author Information
1. 烟台毓璜顶医院口腔科,山东 烟台,264000;滨州医学院护理学院/老年医学院,山东 烟台,264003
- Publication Type:Journal Article
- Keywords:
self-disclosure;
rumination;
stigma;
self-image;
head and neck cancer;
parallel mediation effect;
cross-sectional study
- From:
Modern Clinical Nursing
2025;24(10):35-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effects of self-disclosure and rumination on stigma and self-image in patients with head and neck cancer after surgery,so as to provide a reference for targeted intervention.Methods A total of 390 postoperative patients with head and neck cancer who were hospitalized in a Class Ⅲ Grade A general hospital in Shandong Province were selected by quota sampling method according to disease type.The general information questionnaire,shame and stigma scale in head and neck cancer distress disclosure index,ruminative responses scale and body image scale were used to investigate.Results A total of 360 patients with head and neck cancer after surgery completed the survey.The scores of stigma,self-image,rumination and self-disclosure were(37.9±11.0),(13.9±5.6),(56.5±12.4)and(28.9±7.3),respectively.There was a negative correlation between stigma and self-disclosure in patients with head and neck cancer after surgery(r=-0.386,P<0.001),and a positive correlation with self-image and rumination(r=0.455,0.565,all P<0.001).Self-disclosure and rumination had parallel mediating effects on stigma and self-image in patients with head and neck cancer after surgery,and the mediating effect accounted for 38.82％of the total effect.Conclusion The degree of self-image of postoperative patients with head and neck cancer not only directly affects the level of stigma,but also indirectly affects stigma through the mediating effect of self-disclosure and rumination.In clinical work,measures can be taken to improve the level of self-image and self-disclosure ability of patients,reduce the level of rumination and reduce the stigma of patients.
