To explore the correlation among supportive care needs, psychological resilience and quality of life in breast cancer patients undergoing postoperative chemotherapy.

A total of 140 female breast cancer patients who received postoperative chemotherapy in the daycare ward of the First Affiliated Hospital of Anhui Medical University from July to December 2019 were selected as subjects for a cross-sectional investigation. The Chinese version of Supportive Care Need Survey (SCNS)-SF34, Chinese version of Connor-Davidson Resilience Scale (CD-RISC), Chinese version of Function Assessment of Cancer Therapy-Breast (FACT-B) were used for evaluation. The t test or one-factor variance analysis was used to compare the SCNS-SF34, CD-RISC and FACT-B scores among breast cancer patients with different clinical characteristics, and Pearson correlation analysis was used to explore the correlation among the scores of three scales. The influence of SCNS-SF34 and CD-RISC dimensions on FACT-B score was analyzed by multiple linear regression.

A total of 140 questionnaires were distributed, 138 were recovered, and 4 incomplete questionnaires were excluded. There were 134 valid questionnaires, with an effective rate of 95.7%. SCNS-SF34 score of 134 patients was 140.3±11.3, CD-RISC score was 59.6±8.0, FACT-B score was 88.8±13.7. There were significant differences in SCNS-SF34, CD-RISC and FACT-B scores among patients with different educational level, family monthly income, medical insurance type, clinical stage of tumor, chemotherapy course and surgical method (SCNS-SF34 score: F=7.161, 4.780, 7.413, 3.505, 8.996, t=3.750, all P<0.050; CD-RISC score: F=6.628, 5.059, 7.292, 4.533, 9.105, t=-2.822, all P<0.050; FACT-B score: F=6.350, 5.152, 6.771, 3.955, 8.180, t=-2.373, all P<0.050), and there was a significant difference in CD-RISC score among patients with different marital status (F=3.144, P=0.046). SCNS-SF34 score was negatively correlated with CD-RISC score and FACT-B score (r=-0.947, -0.918, both P<0.001), and CD-RISC score was positively correlated with FACT-B score (r=0.963, P<0.001). Tenacity and self-reliance were the influencing factors of FACT-B score (B=4.235, 95%CI: 3.873-4.596, t=23.157, P<0.001; B=0.417, 95%CI: 0.059-0.775, t=2.304, P=0.023).

Breast cancer patients undergoing postoperative chemotherapy have different supportive care needs and low psychological resilience and quality of life scores. Patients with low levels of psychological resilience have a high need for supportive care. Tenacity and self-reliance can predict patients’ quality of life. Nursing staff can give different nursing interventions according to patients’ supportive care needs and psychological resilience.