摘要
目的探讨宫颈癌患者家庭复原力的不同类别及各类别的影响因素。方法采用便利抽样法,选取2022年10月—2023年9月在山西医科大学第一医院住院的275例宫颈癌患者为研究对象,采用自制的一般资料调查表、疾病获益感量表、心理韧性量表及家庭复原力评定量表中文简化版对宫颈癌患者进行调查。采用潜在剖面分析调查患者的家庭复原力,并采用Logistics回归分析不同类别患者家庭复原力的影响因素。结果本研究共发放问卷275份,回收有效问卷253份,问卷有效回收率为92.0%(253/275)。宫颈癌患者家庭复原力可分为低复原力-消极应对组(18.6%,47/253)、中等复原力-沟通障碍组(59.3%,150/253)、高复原力-包容理解组(22.1%,56/253)3个类别。家庭人均月收入、居住地、主要照顾者、是否放化疗、心理韧性和疾病获益感是不同类别宫颈癌患者家庭复原力的影响因素(P<0.05)。结论宫颈癌患者的家庭复原力可分为3个潜在类别,医护人员应甄别不同类别患者的特征并给予针对性的干预措施,以提高患者的家庭复原力水平。
Objective To explore the different categories of family resilience in cervical cancer patients and their influencing factors.Methods From October 2022 to September 2023,275 cervical cancer patients admitted to the First Hospital of Shanxi Medical University were selected as the study subject by convenience sampling.Cervical cancer patients were surveyed using the self-made General Information Questionnaire,Benefit Finding Scale(BFS),Connor-Davidson Resilience Scale(CD-RISC),and shortened Chinese Version of the Family Resilience Assessment Scale(FRAS-C).Latent profile analysis was used to investigate the family resilience of patients,and Logistic regression was used to analyze the influencing factors of family resilience in different categories.Results A total of 275 questionnaires were distributed,and 253 valid questionnaires were collected,with a valid response rate of 92.0%(253/275).Family resilience of cervical cancer patients was divided into three categories of low resilience-negative coping group(18.6%,47/253),moderate resilience-communication disorder group(59.3%,150/253),and high resilience-inclusive understanding group(22.1%,56/253).The per capita family monthly income,place of residence,primary caregivers,whether to undergo radiotherapy or chemotherapy,psychological resilience,and disease benefit finding were the influencing factors of family resilience in different categories of cervical cancer patients(P<0.05).Conclusions The family resilience of cervical cancer patients can be divided into three latent categories.Medical and nursing staff should identify the characteristics of different categories of patients and provide targeted intervention measures to improve their family resilience.
作者
张转转
李霞
王哲
朱东阁
杨雨桐
丁维娜
Zhang Zhuanzhuan;Li Xia;Wang Zhe;Zhu Dongge;Yang Yutong;Ding Weina(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Department of Gynaecology,First Hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《中华现代护理杂志》
2024年第14期1884-1890,共7页
Chinese Journal of Modern Nursing
基金
山西省科技厅自然科学基金面上项目(202103021224394)。
关键词
宫颈肿瘤
家庭复原力
潜在剖面分析
影响因素
Uterine cervical neoplasms
Family resilience
Latent profile analysis
Influencing factors
