头颈癌病人身体意象与主观幸福感的发展轨迹

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Development trajectory of body image and subjective well-being in patients with head and neck

cancer

YANG Qingfeng'，ZHAO Chuanjing1，HUANG Shengfei²， XIONG Yingyou'，HU Rong1，LONG Dejian'

1.Minda Hospital of Hubei Minzu University，Hubei 4450 China;2.The Central Hospital of Enshi Tujia

and Miao AutonomousPrefecture

*Corresponding Author ZHAO Chuanjing.E-mail： 417815902@qq.com

AbstractObjective：Toexploretedevelopmentrajectoryofodyimageandsubjectivewellbeingipatientswitheadadnckcancer andthepredictiverelationshipbetweenthem.Methods：Atotalof162patientswithheadandnckcanceradmitedtoMindaHospitalof HubeiMinzuUniversityandEnshiTujaandMiaoAutonomousPrefectureCentralHospitalfromFebruary2O22toMarch2024were selectedasreearchsubjects.hepatientsweresurveyedbyusingageneraliformatioquestioaireBodyImageScalB）dGeal Well-BeingShdueG）Reslts：odyiageandbjeieellingweeoreladatall3tieptsatagosisot post-diagnosis，and 6 months post-diagnosis） （P<0.05） 0.Thecross-lagged model showed that body image levels negatively predicted subjective well-being at the subsequent time point0 P<0.05） .The latent growth model showed that patients with head and neck cancer exhibited an increasing trend in body image from diagnosis to 6 months post-diagnosis S=0.286 P<0.001 ）.However，subjectivewell-beingshowed decreasing trend ⋅S=-0.305，P<0.001 ）.At the initial level，body image and subjective well-being were negatively correlated （r=-0.378 P=0.002 ）.The initial level of body image positively predicted its own rate of change （β=0.342 P=0.008 ）and positively predicted the rateofchange insubjectivewell-being β=0.532 P=0.003 ）.Additionally，therateofchangeinbody imagepositivelypredictedtherateof change in subjective well-being β=0.567 P<0.001 0.Conclusions：Body image showed an upward trend in patients with head and neck canceraftsdeellinoowardoasptucofei patients with head and neck cancer.

Keywordsheadand neckcancer;body image;subjective well-being;latent growth model;crosshysteresis model; nursing

头颈癌（headandneckcancer，HNC）是指起源于口腔、鼻窦和鼻腔、咽、喉和唾液腺内壁表面的恶性肿瘤，其发病率呈逐年上升趋势[1]。（剩余10140字）