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      Factors related to preoperative uncertainty among patients with breast cancer in Wenzhou, China: A cross-sectional study

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          Abstract

          Background

          One of the most prevalent psychological signs of breast cancer is uncertainty, which is more prevalent in Chinese patients during the preoperative period. Despite the numerous factors contributing to preoperative uncertainty, there is limited relevant research conducted in China.

          Objective

          This study aimed to describe the current state of preoperative uncertainty and to investigate the relationship between anxiety, illness perception, social support, and preoperative uncertainty in patients with breast cancer in Wenzhou, China.

          Methods

          This cross-sectional research used a simple random sampling technique to select 122 participants from a university hospital in Wenzhou, China, from July 2022 to December 2022, employing validated instruments. Descriptive statistics and Pearson’s correlation coefficient were utilized to analyze the data.

          Results

          The average preoperative uncertainty scores of the patients fell within a moderate range (M = 61.92, SD = 7.51). Significant correlations were found between anxiety ( r = 0.638, p <0.01), illness perception ( r = 0.704, p <0.01), social support ( r = -0.481, p <0.01), and preoperative uncertainty.

          Conclusions

          The results can assist healthcare professionals, especially nurses, in recognizing the factors contributing to uncertainty before surgery in patients with breast cancer. This knowledge enables them to promptly address and minimize this issue, leading to improved outcomes.

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          Most cited references62

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          Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries

          This article provides an update on the global cancer burden using the GLOBOCAN 2020 estimates of cancer incidence and mortality produced by the International Agency for Research on Cancer. Worldwide, an estimated 19.3 million new cancer cases (18.1 million excluding nonmelanoma skin cancer) and almost 10.0 million cancer deaths (9.9 million excluding nonmelanoma skin cancer) occurred in 2020. Female breast cancer has surpassed lung cancer as the most commonly diagnosed cancer, with an estimated 2.3 million new cases (11.7%), followed by lung (11.4%), colorectal (10.0 %), prostate (7.3%), and stomach (5.6%) cancers. Lung cancer remained the leading cause of cancer death, with an estimated 1.8 million deaths (18%), followed by colorectal (9.4%), liver (8.3%), stomach (7.7%), and female breast (6.9%) cancers. Overall incidence was from 2-fold to 3-fold higher in transitioned versus transitioning countries for both sexes, whereas mortality varied <2-fold for men and little for women. Death rates for female breast and cervical cancers, however, were considerably higher in transitioning versus transitioned countries (15.0 vs 12.8 per 100,000 and 12.4 vs 5.2 per 100,000, respectively). The global cancer burden is expected to be 28.4 million cases in 2040, a 47% rise from 2020, with a larger increase in transitioning (64% to 95%) versus transitioned (32% to 56%) countries due to demographic changes, although this may be further exacerbated by increasing risk factors associated with globalization and a growing economy. Efforts to build a sustainable infrastructure for the dissemination of cancer prevention measures and provision of cancer care in transitioning countries is critical for global cancer control.
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            The hospital anxiety and depression scale.

            A self-assessment scale has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The anxiety and depressive subscales are also valid measures of severity of the emotional disorder. It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments.
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              The Multidimensional Scale of Perceived Social Support

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                Author and article information

                Journal
                Belitung Nurs J
                Belitung Nurs J
                BNJ
                Belitung Nursing Journal
                Belitung Raya Foundation
                2528-181X
                2477-4073
                26 June 2023
                2023
                : 9
                : 3
                : 236-243
                Affiliations
                [0001]Faculty of Nursing, Burapha University, Chon Buri, Thailand
                Author notes
                [* ] Corresponding author: Khemaradee Masingboon, RN, DSN, Assistant Professor, Faculty of Nursing, Burapha University, Chon Buri, 20131, Thailand. Email: khemaradee@ 123456nurse.buu.ac.th

                Cite this article as: Shen, H., Masingboon, K., & Samartkit, N. (2023). Factors related to preoperative uncertainty among patients with breast cancer in Wenzhou, China: A cross-sectional study. Belitung Nursing Journal, 9(3), 236-243. https://doi.org/10.33546/bnj.2648

                Author information
                https://orcid.org/0000-0002-6278-7860
                https://orcid.org/0000-0002-8193-3042
                Article
                BNJ-9-3-236
                10.33546/bnj.2648
                10363974
                bc60a3f1-f5b4-4499-9a50-54d435872312
                © The Author(s) 2023

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which allows others to remix, tweak, and build upon the work non-commercially as long as the original work is properly cited. The new creations are not necessarily licensed under the identical terms.

                History
                : 30 March 2023
                : 30 April 2023
                : 02 June 2023
                Categories
                Original Research

                breast neoplasms,uncertainty,anxiety,illness perception,social support,nurses,china

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