Objective: To analyze the influencing factors of stigma in patients with breast cancer after operation, and to explore the relationship between stigma and self-esteem, quality of life and psychosocial adaptability. Methods: 83 patients with modified radical mastectomy who were admitted in our hospital from February 2017 to April 2020 were selected, all women. The clinical data were collected by self-designed general information questionnaire, the social impact scale (SIS) was used to investigate the stigma of patients. The psychosocial adaptability, quality of life and self-esteem of patients with breast cancer were evaluated by psychosocial adaptation questionnaire for breast cancer, European core quality of life questionnaire (EORTC QLQ-C30), self esteem scale (SES) which were designed by Cheng ran and Wang Aiping. Pearson correlation analysis was used to analyze the relationship between SIS score and SES, EORTC QLQ-C30 and psychosocial adaptation questionnaire score of breast cancer. Univariate and multivariate logistic regression were used to analyze the influencing factors of stigma in breast cancer patients. Results: A total of 83 questionnaires were distributed in this study, 3 invalid questionnaires and 80 valid questionnaires were recovered. The effective recovery rate was 96.39% (80/83). The scores of social exclusion, economic discrimination, internal shame, social isolation and total score were higher than the domestic norm (P<0.05). The scores of SES, EORTC QLQ-C30 and psychosocial adaptability of postoperative breast cancer patients were lower than the domestic norm (P < 0.05). There was a negative correlation between SIS score and SES, EORTC QLQ-C30 and psychosocial adaptation questionnaire in breast cancer patients (P<0.05). There were significant differences in SIS scores among breast cancer patients with different marital status, education level, family average monthly income, age, occupation status, residence (P<0.05). Multivariate logistic regression analysis showed that, Age≤39 years old, part-time or other occupation, marital status of unmarried / divorced / widowed, family per capita monthly income <3000 yuan, education level of junior college or below, residence in rural areas were the influencing factors of stigma (P<0.05). Conclusion: Patients with breast cancer have obvious postoperative stigma, age, occupational status, marital status, family per capita monthly income, education level and residence all have an impact on the shame of patients with breast cancer after operation, and stigma is closely related to self-esteem, quality of life and psychosocial adaptability of patients. |