膀胱癌患者家庭照顾者癌症复发恐惧的潜在剖面及影响因素分析  

Latent profile analysis and influencing factors of fear of cancer recurrence in bladder cancer patients family caregivers

作　　者：王倩玉 李春莲 张姝 杨彬 景书帆 WANG Qianyu;LI Chunlian;ZHANG Shu;YANG Bin;JING Shufan(School of Nursing,Shanxi University of Chinese Medicine,Jinzhong 030619,Shanxi,China;Urinary Surgery,Shanxi Bethune Hospital,Taiyuan 030023,Shanxi,China)

机构地区：[1]山西中医药大学护理学院,山西晋中030619 [2]山西白求恩医院泌尿外科,山西太原030023

出　　处：《护士进修杂志》2025年第7期687-692,699,共7页Journal of Nurses Training

基　　金：山西省基础研究计划面上项目(编号:2021030211224364)。

摘　　要：目的识别膀胱癌患者家庭照顾者癌症复发恐惧(fear of cancer recurrence,FCR)的潜在类别,分析各类别的特征差异。方法采用便利抽样法,于2023年7月—2024年1月选取山西省某三甲医院泌尿外科住院治疗的膀胱癌主要家庭照顾者为研究对象,采用一般资料调查表、照顾者FCR量表简表(FCR inventory short from-caregiver version,FCRI-SF-C)、社会支持评定量表(social support rating scale,SSRS)、家庭坚韧性量表(family hardiness index,FHI)和照顾者负担量表(Zarit caregiver burden interview,ZBI)进行调查。结果最终共调查326名照顾者,其中294名照顾者存在FCR,可分为3个潜在剖面,即“轻度复发恐惧-积极调适组”(15.3%)、“中度复发恐惧-稳定应对组”(25.2%)和“重度复发恐惧-焦虑失调组”(59.5%)。无序多分类logistic回归分析结果显示,照顾者的性别、年龄、居住地、患者是否复发、社会支持水平及照顾者负担程度均影响膀胱癌患者家庭照顾者FCR的潜在剖面(P<0.05)。结论膀胱癌患者家庭照顾者FCR的发生率高且具有明显的分类特征。临床工作者可根据不同类别照顾者的特征制定个性化干预措施,降低其FCR水平。Objective To identify the potential categories of fear of cancer recurrence(FCR)family caregivers of bladder cancer,and to analyze the characteristics of each category.Methods From July 2023 to January 2024,the convenience sampling method was used to select the main family caregivers of bladder cancer who were hospitalized in the urology department of a top three hospital in Shanxi province as the research object.The general information questionnaire,the caregiver's FCR inventory short from-caregiver version(FCRI-SF-C),the social support rating scale(SSRS),the family hardiness index(FHI),and the Zarit caregiver burden interview(ZBI)were used to investigate.Results A total of 326 caregivers were finally investigated,of which 294 caregivers had FCR,which could be divided into 3 potential profiles,namely"mild recurrence fear-positive adjustment group"(15.3%),"moderate recurrence fear-stable response group"(25.2%),and"severe recurrence fear-anxiety disorder group"(59.5%).The results of disordered multinomial logistic regression analysis showed that the gender,age,place of residence,recurrence of patients,level of social support,and burden of caregivers all affected the potential profile of FCR in family caregivers of bladder cancer(P<0.05).Conclusion The incidence of FCR in family caregivers of bladder cancer is high and has obvious classification characteristics.Clinical workers can develop personalized interventions based on the characteristics of different types of caregivers to reduce their FCR.

关 键 词：家庭照顾者 膀胱癌 癌症复发恐惧 照顾者负担 社会支持 潜在剖面分析 

分 类 号：R473.73[医药卫生—护理学]