目的 在自我损耗理论视角下，探索中青年乳腺癌患者社会再融合行为的演变过程。方法 采用描述性质性研究方法，于2024年11月至2025年4月采用目的抽样法选取广西壮族自治区某三级甲等医院就诊的20例女性中青年乳腺癌患者为研究对象，进行半结构式深度访谈，采用定向内容分析法分析资料。结果 提炼出4个主题，8个亚主题，即:行为退缩（社交活动主动隔离、因躯体形象改变回避社交），行为试探（尝试性恢复部分社会角色、选择性参与低强度社交），行为调适（主动调整社交策略、积极寻求与利用社会支持），行为融合（建立稳定的常态化生活模式、在社会参与中实现自我价值认同）。结论 中青年乳腺癌患者社会再融合呈阶段性演变，从退缩走向融合。护理人员需识别各阶段特点，提供心理支持、角色适应与同伴互助等阶段化干预，促进患者重返社会。

Objective To explore the evolution process of social reintegration behaviors in young and middle-aged breast cancer patients from the perspective of ego depletion theory.Methods With the descriptive qualitative research method,20 young and middle-aged female breast cancer patients from a tertiary A hospital in Guangxi Zhuang Autonomous Region were selected by purposive sampling for semi-structured in-depth interviews from November 2024 to April 2025.Data were analyzed using directed content analysis.Results A total of 4 themes and 8 sub-themes were extracted: behavioral withdrawal (active isolation from social activities,avoidance of social interactions due to changes in body image),behavioral probing (tentative resumption of partial social roles,selective participation in low-intensity social activities),behavioral adjustment (active modification of social strategies,proactive seeking and utilization of social support),and behavioral integration (establishment of a stable routine lifestyle,achievement of self-worth recognition through social participation).Conclusions The social reintegration of such patients shows different phases,progressing from withdrawal to integration.Nursing staff need to identify the characteristics of each stage and provide intervention such as psychological support,role adaptation,and peer support to help the patients return to society.

R473.73

桂林市科学研究与技术开发计划项目（20210227-8-1；2020011207-8）；桂林医科大学护理科研基础能力提升项目资助（202504023）