To comprehensively investigate the current status of self-acceptance among breast cancer patients and its correlation with demoralization syndrome, as well as to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) nursing model, we systematically conducted a retrospective analysis of clinical data from 372 breast cancer patients treated in our hospital's breast surgery department between June 2022 and May 2024. These patients were categorized into a demoralization group (n=168) and a non-demoralization group (n=204), based on the presence or absence of demoralization syndrome. By meticulously collecting clinical and psychological information from both groups, we employed a Logistic regression model to conduct an in-depth data analysis, aiming to identify and quantify various risk factors that contribute to the development of demoralization syndrome in breast cancer patients. Furthermore, based on the probability values fitted by the regression equation, we plotted an ROC curve to visually demonstrate the model's performance in predicting the risk of demoralization syndrome occurrence..The results showed that multivariate Logistic regression showed that: education level, occupation, per capita monthly family income, place of residence, breast cancer stage, cancer metastasis, operation method, physical discomfort, SAQ score and SSRS score were important influencing factors for demoralization syndrome (P < 0.05). ROC analysis showed that the AUC of combined prediction and evaluation of demoralization syndrome in breast cancer patients was 0.926, 95%CI was 0.900-0.953, sensitivity was 0.857, specificity was 0.892.The conclusion is that education level, occupation, family per capita monthly income, place of residence, breast cancer stage, cancer metastasis, operation method, physical discomfort, social support level and self-acceptance level are important factors affecting the occurrence of demoralization syndrome in breast cancer patients. ACT nursing can be used for these risk factors. To improve patient mentality.

Jin Jie, Du Lingyan. A Study on the Influencing Factors of Self-Acceptance Status and Demoralization Syndrome in Breast Cancer Patients and the Nursing Effect of Acceptance and Commitment Therapy. International Journal of Frontiers in Medicine (2024), Vol. 6, Issue 8: 44-50. https://doi.org/10.25236/IJFM.2024.060806.

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