Analysis of factors influencing potential categories of self-disgust in young and middle-aged breast cancer patients
10.3760/cma.j.cn211501-20240510-01170
- VernacularTitle:中青年乳腺癌患者自我厌恶潜在类别的影响因素分析
- Author:
Yutong ZHANG
1
;
Hongmei LI
1
;
Qian WANG
1
;
Qinyao LI
1
;
Miao LI
1
;
Panpan LI
1
Author Information
1. 山西医科大学汾阳学院护理系，汾阳 032200
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Self-disgust;
Social restraints;
Perceived discrimination;
Potential profile analysis;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2025;41(1):20-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the potential profile categories of self-disgust in young and middle-aged breast cancer patients, and analyze the influencing factors of different categories.Methods:A convenience sampling method was used, and 270 young and middle-aged breast cancer patients admitted to the thyroid and breast cancer ward and oncology ward of Fenyang Hospital in Shanxi Province from September 2023 to April 2024 were the study subjects. The survey was conducted transect surveys using the general information questionnaire, Questionnaire for the Assessment of Self-Disgust, Social Constraints Scale, the Chronic Illness Rejection and Discrimination Scale. Potential categories of self-disgust in young and middle-aged breast cancer patients were explored using latent profile analysis, and unordered multinomial Logistic regression was employed to investigate their influencing factors.Results:A total of 234 young and middle-aged female breast cancer patients were included, with the age of (45.61±10.90) years old. Latent profile analysis revealed three potential categories of self-hatred in these patients: low disgust group (45.30%, 106/234), medium disgust group (41.45%, 97/234), and generalized high disgust group (13.25%, 31/234). Compared to the low disgust group, patients with more comorbidities and poorer self-care ability were more likely to belong to the generalized high disgust group ( OR=0.244, 8.775, both P<0.05). Patients with a longer duration of illness and higher scores on the social constraints scale and chronic illness rejection and discrimination scale were more likely to fall into the medium disgust group and the generalized high disgust group ( OR values were 0.156 - 1.317, all P<0.05). Conclusions:The level of self-disgust in young and middle-aged breast cancer patients is significantly heterogeneous. Nursing staff should formulate personalized intervention strategies according to this classification characteristic, which can be cut from the perspective of reducing patients' social restriction and chronic illness rejection and discrimination to improve patients' acceptance of the disease and self-acceptance level, and then reduce their self-disgust.
