自我关怀在头颈癌患者领悟社会支持与身体意象间的中介效应分析

doi:10.3761/j.issn.1672-9234.2026.04.018

Abstract

Abstract:

Objective To explore the mediating effect of self-compassion between perceived social support and body image in postoperative patients with head and neck cancer. Methods A cross-sectional survey was conducted from May to August 2024. A total of 610 postoperative patients with head and neck cancer who were hospitalized or attended follow-up outpatient visits in a tertiary Grade A hospital in Zhejiang Province were continuously selected as the research subjects. Data were collected using the General Information Questionnaire，Perceived Social Support Scale，Self-Compassion Scale，and Body Image Scale. Results A total of 577 valid questionnaires were collected，of which 221 patients（38.30%） exhibited body image disturbance. Structural equation modeling analysis revealed that perceived social support not only directly predicted body image（direct effect was -0.135，P<0.05），but also indirectly influenced body image through self-compassion（indirect effect was -0.513，P<0.001）. The indirect effect accounted for 79.17% of the total effect. Conclusion Self-compassion plays a partial mediating role between perceived social support and body image in postoperative patients with head and neck cancer. In clinical nursing，enhancing patients’ perceived social support and focusing on cultivating their self-compassion ability may help improve their body image.

Key words: Head and Neck Neoplasms, Self-Compassion, Social Support, Body Image, Mediation Analysis

SHAO Yanhong, YIN Huifang, REN Haiyan, FANG Shuiping, XU Jingsi, GAO Diya, SHI Jiaqing, ZHU Xiaoya, HUANG Lihua. Mediating effect of self-compassion between perceived social support and body image in postoperative patients with head and neck cancer[J].Chinese Journal of Nursing Education, 2026, 23(4): 498-504.

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References 26

[1]	Pfister DG, Spencer S, Adelstein D, et al. Head and neck can-cers,version 2. 2020,NCCN clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw, 2020, 18(7):873-898. doi: 10.6004/jnccn.2020.0031
[2]	Henry M, Albert JG, Frenkiel S, et al. Body image concerns in patients with head and neck cancer:a longitudinal study[J]. Front Psychol, 2022,13:816587.
[3]	贾泽欢. 头颈癌患者身体意象障碍风险预测模型的构建及验证[D]. 太原: 山西医科大学, 2023.
	Jia ZH. Construction and validation of a risk prediction model for body image disturbance in patients with head and neck cancer[D]. Taiyuan: Shanxi Medical University, 2023.
[4]	Nikita R, Kumar R. Body image distress among cancer pa-tients:needs for psychosocial intervention development[J]. Support Care Cancer, 2022, 30(7):6035-6043. doi: 10.1007/s00520-022-07049-8 pmid: 35412075
[5]	Cerea S, Sansoni M, Scarzello G, et al. Psychological variables associated with quality of life in patients with head and neck cancer:the role of body image distress[J]. Support Care Cancer, 2022, 30(11):9127-9139.
[6]	Ellis MA, Sterba KR, Day TA, et al. Body image disturbance in surgically treated head and neck cancer patients:a patient-centered approach[J]. Otolaryngol Head Neck Surg, 2019, 161(2):278-287. doi: 10.1177/0194599819837621 pmid: 30961419
[7]	曹德冉, 卢文红, 熊娜, 等. 头颈肿瘤术后出院患者身体意象现状及其影响因素研究[J]. 现代临床护理, 2022, 21(11):21-27.
	Cao DR, Lu WH, Xiong N, et al. Current status and influencing factors of body images in patients after head and neck tumour surgery[J]. Mod Clin Nurs, 2022, 21(11):21-27.
[8]	Mills JS, Minister C, Samson L. Enriching sociocultural perspec-tives on the effects of idealized body norms:integrating shame,positive body image,and self-compassion[J]. Front Psychol, 2022, 13:983534. doi: 10.3389/fpsyg.2022.983534
[9]	姜乾金. 医学心理学[M]. 北京: 人民卫生出版社, 2005.
	Jiang QJ. Medical psychology[M]. Beijing: People’s Medical Pub-lishing House, 2005.
[10]	Jiang YT, Wu XY, Li HM, et al. Social support,fear of cancer recurrence and sleep quality in breast cancer:a moderated network analysis[J]. Eur J Oncol Nurs, 2025,74:102799.
[11]	中国临床肿瘤学会指南工作委员会. 中国临床肿瘤学会(CSCO)头颈部肿瘤诊疗指南-2020[M]. 北京: 人民卫生出版社, 2020.
	Guideline Working Committee. Guidelines of Chinese Society of Clinical Oncology(CSCO):head and neck cancer[M]. Bei-jing: People’s Medical Publishing House, 2020.
[12]	Kendall MG. Rank correlation methods[M]. 3rd ed. London: Charles Griffin,1962.
[13]	Hopwood P, Fletcher I, Lee A, et al. A body image scale for use with cancer patients[J]. Eur J Cancer, 2001, 37(2):189-197. doi: 10.1016/s0959-8049(00)00353-1 pmid: 11166145
[14]	崔宛玉, 林宽佳, 黄惠玑. 口腔癌手术病人于住院期间身体心像改变及其因应行为探讨[J]. 护理暨健康照护研究, 2013, 9(2):127-138.
	Cui WY, Lin KJ, Huang HJ. A study of body image changes and coping behaviors in patients with oral cancer during hos-pitalization[J]. J Nurs Healthcare Res, 2013, 9(2):127-138.
[15]	Zimet GD, Powell SS, Farley GK, et al. Psychometric charac-teristics of the multidimensional scale of perceived social support[J]. J Pers Assess, 1990, 55(3/4):610-617. doi: 10.1207/s15327752jpa5503&4_17
[16]	姜乾金. 领悟社会支持量表[J]. 中国行为医学科学, 2001, 10(10):41-43.
	Jiang QJ. Perceived Social Support Scale[J]. Chin J Behav Med Brain Sci, 2001, 10(10):41-43.
[17]	常红娟, 解梦瑶, 陈静, 等. 临床护士自我关怀现状及潜在剖面分析[J]. 中华护理杂志, 2023, 58(13):1615-1622. doi: 10.3761/j.issn.0254-1769.2023.13.013
	Chang HJ, Xie MY, Chen J, et al. Current situation and potential profile analysis of self-compassion behavior of clinical nurses[J]. Chin J Nurs, 2023, 58(13):1615-1622. doi: 10.3761/j.issn.0254-1769.2023.13.013
[18]	Neff KD. The development and validation of a scale to mea-sure self-compassion[J]. Self Identity, 2003, 2(3):223-250. doi: 10.1080/15298860309027
[19]	宫火良, 贾会丽, 郭天满, 等. 青少年自我同情量表的修订及其信效度检验[J]. 心理研究, 2014, 7(1):36-40,79.
	Gong HL, Jia HL, Guo TM, et al. The revision of self-compassion scale and its reliability and validity in adoles-cents[J]. Psychol Res, 2014, 7(1):36-40,79.
[20]	Cash TF, Pruzinsky T. Body image:a handbook of theory,re-search, and clinical practice[M]. New York: Guilford Press, 2002.
[21]	孙慧颖, 冯国栋. 分子影像学在耳鼻喉科相关头颈部恶性肿瘤中的应用现状[J]. 中国临床新医学, 2019, 12(9):940-945.
	Sun HY, Feng GD. Current application status of molecular imaging in otolaryngology-related head and neck cancers[J]. Chin J New Clin Med, 2019, 12(9):940-945.
[22]	Zhu F, Liu CL, Zhang W, et al. The mediating effect of cop-ing styles between self-compassion and body image distur-bance in young breast cancer survivors:a cross-sectional study[J]. BMC Nurs, 2023, 22(1):178. doi: 10.1186/s12912-023-01342-5
[23]	Burychka D, Miragall M, Baños RM. Towards a comprehensive understanding of body image:integrating positive body image,embodiment and self-compassion[J]. Psychol Belg, 2021, 61(1):248-261. doi: 10.5334/pb.1057 pmid: 34394951
[24]	Raque TL, Lamphere B, Motzny C, et al. Pathways by which self-compassion improves positive body image:a qualitative analysis[J]. Behav Sci, 2023, 13(11):939. doi: 10.3390/bs13110939
[25]	Siegel JA, Huellemann KL, Hillier CC, et al. The protective role of self-compassion for women’s positive body image:an open replication and extension[J]. Body Image, 2020,32:136-144.
[26]	Tannous-Haddad L, Barel E, Tzischinsky O. Perceived social support and psychological wellbeing:testing the moderated mediation model of self-compassion and culture[J]. Front Psychol, 2024,15:1474177.

Mediating effect of self-compassion between perceived social support and body image in postoperative patients with head and neck cancer

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