关键词: 未婚女性, 乳腺癌, 社会支持, 应对方式, 健康坚韧性

Abstract: Objective: To explore the mediating role of social support in coping style and health-related hardiness in unmarried women after breast cancer surgery. Methods: The research objects were selected by target sampling, including 115 unmarried women after radical mastectomy for breast cancer from a tertiary A hospital in Tianjin. The simplified coping style questionnaire(SCSQ), social support rating scale(SSRS), revised health-related hardiness inventor(RHHI-24) questionnaire and self-designed general information questionnaire were used. Results: The total score of social support in 115 unmarried women after breast cancer surgery was 36.65±7.38; the score of positive coping was 24.36±6.68; the score of negative coping was 11.39±4.15； the score of health-related hardiness was 76.83±21.46. The score of health-related hardiness was significantly correlated with total score of social support and score of positive coping style(P<0.05), while was negatively correlated with the score of negative coping style(P<0.05). Structural equation model analysis showed that social support significantly positively predicted health-related hardiness（β=0.65，P<0.001）, Negative coping significantly negatively predicted health-related hardiness(β=-0.28, P<0.001), and social support was a complete mediator between positive coping and health-related hardiness. Conclusion: Unmarried women had a moderately low level of health toughness after breast cancer surgery. In clinical work, we should pay attention to patients’ coping styles and social support status, encourage them to adopt more positive coping styles, provide all-round social support for patients to the greatest extent, in order to alleviate negative emotions, and improve the quality of life.

Key words: Unmarried woman, Breast cancer, Social support, Coping style, Health-related hardiness