乳腺癌患者多维脆弱的概念分析

doi:10.3761/j.issn.0254-1769.2026.18.019

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (18): 2587-2593.DOI: 10.3761/j.issn.0254-1769.2026.18.019

• 综述 • 上一篇

乳腺癌患者多维脆弱的概念分析

马尚红¹(), 王青¹, 杨艳丽¹, 丁晓彤², 杨庆红¹, 付岩灵¹, 尚敏¹, 李峥³^,^*()

¹ 兰州大学护理学院兰州市 730011
² 北京大学心理与认知科学学院/脑机接口与心理健康调控北京市重点实验室北京市 100871
³ 中国医学科学院北京协和医学院护理学院北京市 100144

收稿日期:2026-03-09 出版日期:2026-09-20 发布日期:2026-09-23
*通讯作者: *李峥，E-mail：zhengli@pumc.edu.cn
作者简介:马尚红：女，本科（硕士在读），护士，E-mail：mashh2024@lzu.edu.cn
第一联系人：作者贡献声明
马尚红：研究设计、概念框架构建、文献分析、论文撰写与修订；王青：研究设计、经费支持与论文修订；杨艳丽、丁晓彤：文献筛选与论文修订；杨庆红、付岩灵、尚敏：文献整理、论文修订；李峥：研究设计指导、论文审核
基金资助:
兰州大学中央高校基本科研业务费专项资金(lzujbky-2025-29)

A concept analysis of multidimensional vulnerability in breast cancer patients

MA Shanghong¹(), WANG Qing¹, YANG Yanli¹, DING Xiaotong², YANG Qinghong¹, FU Yanling¹, SHANG Min¹, LI Zheng³^,^*()

¹ School of Nursing， Lanzhou University， Lanzhou 730011， China
² School of Psychological and Cognitive Sciences， Peking University/Beijing Key Laboratory of Brain-Computer Interface and Mental Health Modulation， Beijing 100871， China
³ School of Nursing， Chinese Academy of Medical Sciences & Peking Union Medical College， Beijing 100144， China

Received:2026-03-09 Online:2026-09-20 Published:2026-09-23
* Corresponding author: *LI Zheng，E-mail：zhengli@pumc.edu.cn
Funding program:
Fundamental Research Funds for the Central Universities of Lanzhou University(lzujbky-2025-29)

摘要/Abstract

摘要：

目的分析乳腺癌患者多维脆弱的定义与内涵，为构建精准的乳腺癌患者多维脆弱评估工具、指导临床筛查与实施个体化干预提供参考。方法系统检索PubMed、CINAHL、Web of Science、Cochrane Library、Scopus、万方数据库、维普数据库、中国知网等数据库，检索时限为建库至2026年1月31日。采用Walker和Avant概念分析法进行分析。结果最终纳入36篇文献。乳腺癌患者多维脆弱包括易感性、累积性、适应性、不确定性、主体性5个定义属性；前因包括治疗相关躯体功能改变、压力源暴露、社会心理资源匮乏、应对能力不足；后果包括生理功能耗竭、心理适应动态变化、社会适应障碍、生活质量下降。结论该研究通过概念分析明确了乳腺癌患者多维脆弱的概念属性，可为临床医护人员评估乳腺癌患者多维脆弱提供参考。未来研究可结合乳腺癌患者多维脆弱的概念，开发相关评估工具，早期识别与分层干预乳腺癌患者的多维脆弱，提升其生存质量。

关键词: 乳腺癌, 脆弱性, 风险, 多维度, 概念分析, 护理

Abstract:

Objective To analyze the definition and attributes of multidimensional vulnerability in breast cancer patients，providing a reference for constructing precise assessment tools for multidimensional vulnerability in breast cancer patients and guiding clinical screening and individualized intervention. Methods A systematic search was conducted across PubMed，CINAHL，Web of Science，Cochrane Library，Scopus，Wanfang，VIP，and CNKI from inception to January 31，2026. Walker and Avant’s concept analysis method was applied for the analysis. Results A total of 36 articles identified 5 attributes，namely susceptibility，cumulativeness，adaptability，uncertainty，and subjectivity. Antecedents included treatment-related physical dysfunction，stressor exposure，psychosocial resource depletion，and inadequate coping. Consequences comprised physiological exhaustion，dynamic psychological adaptation，social maladjustment and declining quality of life. Conclusion This analysis clarified the conceptual attributes of multidimensional vulnerability in breast cancer patients，providing guidance for clinical assessment. Future research should develop assessment tools to enable early identification and stratified interventions of multidimensional vulnerability，thereby improving patients’ quality of life.

Key words: Breast Cancer, Vulnerability, Risk, Multidimension, Concept Analysis, Nursing Care

马尚红, 王青, 杨艳丽, 丁晓彤, 杨庆红, 付岩灵, 尚敏, 李峥. 乳腺癌患者多维脆弱的概念分析[J]. 中华护理杂志, 2026, 61(18): 2587-2593.

MA Shanghong, WANG Qing, YANG Yanli, DING Xiaotong, YANG Qinghong, FU Yanling, SHANG Min, LI Zheng. A concept analysis of multidimensional vulnerability in breast cancer patients[J]. Chinese Journal of Nursing, 2026, 61(18): 2587-2593.

图/表 1

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乳腺癌患者多维脆弱的概念分析

A concept analysis of multidimensional vulnerability in breast cancer patients

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