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癌症患者疾病感知特征及其影响因素的横断面研究。

Illness perception profile among cancer patients and its influencing factors: A cross-sectional study.

机构信息

School of Nursing, Jinan University, Guangdong, China.

St. Mark's School, 25 Marlboro Road Southborough, MA, USA.

出版信息

Eur J Oncol Nurs. 2024 Apr;69:102526. doi: 10.1016/j.ejon.2024.102526. Epub 2024 Feb 10.

DOI:10.1016/j.ejon.2024.102526
PMID:38401348
Abstract

PURPOSE

The purpose of this study was to explore latent profiles of illness perception among cancer patients and its influencing factors.

METHODS

This study was a cross-sectional study adopting convenience sampling to select cancer patients from two hospitals in China. A total of 286 patients completed Brief Illness Perception Questionnaire, Post-traumatic Growth Inventory, Fear of Disease Progression Questionnaire and Psychosocial Adjustment to Illness Scale. Latent profile analysis and multiple linear regression were performed to explore the subgroups and factors influencing classification.

RESULTS

Three subgroups were identified, which were labelled as "Moderate Illness Perception Group" (16.8%; C1), "High Illness Perception with Heightened Concerns Group" (68.5%; C2) and "High Resilience and Low Symptomatic Impact Group" (14.7%; C3). Specifically, "Normal", "Mild symptom" and "Bed time during the day <50%" of "Functional Status" were more associated with C3. "Worker", "Farmer" and "Self-employed" were more associated with C1 and C2. Patients who had more "knowledge of the disease" were more associated with C2 and C3, who had less "post-traumatic growth" were more associated with C1, and who had less "fear of disease progression" and more "psychosocial adjustment" were more associated with C3 (all P < 0.05).

CONCLUSIONS

There was significant variability of illness perception among three subgroups of cancer patients, which emphasized the complexity of psychological condition. The insights derived from these distinct profiles enables tailored interventions and patient-centered communication strategies. However, integrating objective measures or biomarkers is needed to complement self-reported data.

摘要

目的

本研究旨在探讨癌症患者疾病认知的潜在模式及其影响因素。

方法

本研究采用横断面研究,采用便利抽样法从中国的两家医院选取癌症患者。共 286 例患者完成简明疾病感知问卷、创伤后成长量表、疾病进展恐惧问卷和疾病心理社会适应量表。采用潜在剖面分析和多元线性回归探讨分类的影响因素。

结果

确定了 3 个亚组,分别命名为“中度疾病认知组”(16.8%;C1)、“高度疾病认知伴高度担忧组”(68.5%;C2)和“高弹性和低症状影响组”(14.7%;C3)。具体来说,“功能状态”中的“正常”、“轻度症状”和“白天睡眠时间<50%”与 C3 更相关。“工人”、“农民”和“个体经营者”与 C1 和 C2 更相关。疾病知识更多的患者与 C2 和 C3 更相关,创伤后成长较少的患者与 C1 更相关,疾病进展恐惧较少、心理社会适应较好的患者与 C3 更相关(均 P<0.05)。

结论

癌症患者的疾病认知存在显著的亚组变异性,强调了心理状况的复杂性。这些不同特征的洞察为制定针对性的干预措施和以患者为中心的沟通策略提供了依据。然而,需要整合客观测量或生物标志物来补充自我报告数据。

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