首页|基于潜在剖面分析的乳腺癌术后化疗患者应对方式分型及其影响因素分析

基于潜在剖面分析的乳腺癌术后化疗患者应对方式分型及其影响因素分析

To analyze the coping style classification and its influencing factors of breast cancer patients undergoing chemotherapy after surgery based on latent profile analysis

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目的 分析乳腺癌术后化疗患者应对方式的潜在类别,探讨不同潜在类别的乳腺癌术后化疗患者应对方式的影响因素.方法 选取2021年6月-2022年5月安徽省三所医院共601例乳腺癌术后化疗患者为研究对象,采用简易应对问卷、知觉压力量表和领悟社会支持量表进行问卷调查.结果 乳腺癌术后化疗患者应对方式可以分为"消极组"(C1)、"积极组"(C2)、"高积极-高消极组"(C3)3种潜在类别;不同类别乳腺癌术后化疗患者应对方式在人均月收入和居住地、知觉压力和领悟社会支持得分上差异均有统计学意义(P<0.05);相对于"积极组",领悟社会支持(OR=0.957,P<0.001)得分水平越高出现在"消极组"的可能性越小,知觉压力(OR=1.069,P<0.01)得分水平越高出现在"消极组"的可能性越大;相对于"积极组",居住地为农村(OR=1.510,P<0.05)出现在"高积极-高消极组"的可能性较大,知觉压力(OR=1.097,P<0.001)得分水平越高出现在"高积极-高消极组"的可能性越大;相对于"消极组",领悟社会支持(OR=1.043,P<0.001)得分水平越高出现在"高积极-高消极组"的可能性越大,人均月收入<3 000元(OR=0.431,P<0.05)出现在"高积极-高消极组"的可能性小.结论 本研究识别出乳腺癌术后化疗患者3种应对方式的潜在类别,专业护理人员和健康教育工作者可根据其不同应对方式潜在类别的心理特征实施个性化心理干预.
Objective To analyze the potential categories of coping styles among breast cancer patients and explore the factors that influence them.Methods A total of 601 breast cancer patients from three hospitals in Anhui Province were selected as research participants between September 2021 and May 2022.Questionnaire investigations were conducted u-sing the simple coping questionnaire,perceived stress scale,and perceived social support scale.Results The coping style of breast cancer patients undergoing postoperative chemotherapy were divided into three categories:the"negative group"(C1),the"positive group"(C2)and the"high positive-high negative group"(C3).Significant differences were observed in the average monthly income,residence,perceived stress,and perceived social support scores among the different categories of breast cancer patients with.postoperative chemotherapy(P<0.05).Compared with the active group,the"negative group"was less likely to have perceived social support(OR=0.957,P<0.001),and higher levels of perceived stress(OR=1.069,P<0.01)were associated with a greater likelihood of being in the"negative group".Living in a rural area(OR=1.510,P<0.05)increased the likelihood of being in the"high positive-high negative group",and higher levels of perceived stress(OR=1.097,P<0.001)were associated with a higher likelihood of being in the"high positive-high negative group".Compared with the"negative group",higher levels of perceived social sup-port(OR=1.043,P<0.001)were associated with a higher likelihood of being in the"high positive-high negative group",while a monthly income less than 3 000 yuan(OR=0.431,P<0.05)decreased the likelihood of being in the high positive-high negative group.Conclusion This study categorizes coping styles in breast cancer patients undergoing chemotherapy into three potential categories.Based on these findings,professional nursing staff and health educators can provide personalized psychological intervention to the specific coping styles of individuals.

Coping stylePerceived pressurePerceived social supportPotential profile analysisBreast cancer

张艳芳、丁京、于园园、蒋楠楠、赵龙、杨秀木

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蚌埠医科大学护理学院,安徽蚌埠 233030

蚌埠医科大学第二附属医院内分泌科,安徽蚌埠 233030

蚌埠医科大学全科医学发展中心,安徽蚌埠 233000

应对方式 知觉压力 领悟社会支持 潜在剖面分析 乳腺癌

安徽省教育厅人文社科重点项目蚌埠医学院人文社科重点研究项目蚌埠医学院人文社科重点研究项目蚌埠医学院大学生创新创业训练计划项目

SK2019A01932021byzd24Osk2020byzd214skbydc2023075

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(2)
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