胃癌化疗病人心理韧性的潜在剖面分析  

Resilience of gastric cancer patients undergoing chemotherapy:a latent profile analysis

作　　者：李洵 王晓庆[2] 邹炎铃 张紫嫣 李易 段培蓓[2] LI Xun;WANG Xiaoqing;ZOU Yanling;ZHANG Ziyan;LI Yi;DUAN Peibei(School of Nursing,Nanjing University of Chinese Medicine,Jiangsu 210023 China)

机构地区：[1]南京中医药大学护理学院,江苏210023 [2]南京中医药大学附属医院

出　　处：《护理研究》2024年第9期1556-1564,共9页Chinese Nursing Research

基　　金：江苏省中医药科技发展计划项目重点项目,编号:ZD202005。

摘　　要：目的:基于Kumpfer的心理韧性框架探究胃癌化疗病人心理韧性的潜在类别,并分析不同潜在类别的影响因素。方法:采用一般资料调查表、心理韧性量表(CD-RISC)、疾病进展恐惧简化量表(FoP-Q-SF)、一般自我效能量表(GSES)、医学应对方式量表(MCMQ)、社会支持评定量表(SSRS)对2021年12月—2022年11月江苏省某三级甲等医院肿瘤科的265例胃癌化疗病人进行问卷调查,对病人的心理韧性水平进行潜在剖面分析,并通过单因素分析、方差分析和Logistic回归分析探索胃癌化疗病人心理韧性潜在类别的影响因素。结果:潜在剖面分析结果显示,胃癌化疗病人心理韧性分为4个潜在类别,分别是低韧性组(17.7%)、中韧性组(47.6%)、中高韧性组(26.8%)、高韧性-波动组(7.9%);Logistic回归分析显示,疾病进展恐惧、一般自我效能、医学应对方式(面对和屈服维度)、社会支持是心理韧性潜在类别的影响因素(P<0.05)。结论:胃癌化疗病人的心理韧性有明显的类别特征,医护人员应根据其不同潜在类别的特征及影响因素制定针对性、个性化的护理措施,以提高病人的心理韧性水平。Objective:To explore the potential categories of resilience in gastric cancer patients undergoing chemotherapy and to analyze the factors influencing different potential categories based on Kumpfer′s resilience framework(KRF).Methods:Totally 265 patients undergoing chemotherapy for gastric cancer in the oncology department of a tertiary grade A hospital in Jiangsu province from December 2021 to November 2022 were surveyed using the General Information Questionnaire,Connor and Davidson′s Resilience Scale(CD-RISC),Fear of Disease Progression Simplified Scale(FoP-Q-SF),General Self-Efficacy Scale(GSES),Medical Coping Style Scale(MCMQ),and Social Support Rating Scale(SSRS).Latent Profile analysis(LPA)was used to explore the potential categories of resilience among gastric cancer patients undergoing chemotherapy.Single-factor analysis,analysis of variance,and multinomial logistic regression analysis were used to identify the factors associated with the potential categories of resilience.Results:The LPA divided the resilience of gastric cancer chemotherapy patients into 4 potential categories,namely,low resilience group(17.7%),medium resilience group(47.6%),medium-high resilience group(26.8%),and high resilience-volatility group(7.9%).Multiple logistic regression analysis revealed fear of disease progression,self-efficacy,coping style(confrontation dimension,submission dimension),and social support as influencing factors for potential categories of resilience(P<0.05).Conclusion:The resilience of patients undergoing chemotherapy for gastric cancer is characterized by distinct categories.Healthcare professionals should develop targeted and personalized care measures according to the characteristics and influencing factors of their different potential categories to improve the level of mental resilience of patients.

关 键 词：胃癌 心理韧性 疾病进展恐惧 自我效能 医学应对方式 社会支持 潜在剖面分析 

分 类 号：R473.73[医药卫生—护理学]