Department of General Surgery, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Department of Nursing, Northern Jiangsu People's Hospital, Yangzhou, Jiangsu, China.
Eur J Oncol Nurs. 2024 Jun;70:102612. doi: 10.1016/j.ejon.2024.102612. Epub 2024 May 19.
To characterize patterns of psychological resilience in gastric cancer survivors using latent profile analyses and to explore the factors influencing these latent profiles based on Kumpfer's resilience framework.
Five hundred eighty-six gastric cancer survivors were recruited between July 30, 2021, and May 1, 2023. A demographic and clinical characteristics questionnaire, Connor and Davidson's Resilience Scale (CD-RISC), Fear of Progression Questionnaire Short Form (FoP-Q-SF), General Self-efficacy Scale (GSES), Medical Coping Modes Questionnaire (MCMQ), and Social Support Rating Scale (SSRS) were used for the investigation. Latent profile analysis of the resilience of gastric cancer survivors was conducted, and the factors influencing the latent profiles were explored by multivariate logistic regression analysis.
A total of 586 questionnaires were collected, and 572 were valid, with an effective recovery rate of 97.61%. The results of latent profile analysis showed that the resilience of gastric cancer survivors was divided into four subgroups, namely, the low-resilience group (18.4%), moderate-resilience group (43.2%), medium-high-resilience group (30.2%), and high-resilience group (8.2%). Multivariate logistic regression analysis showed that fear of disease progression, self-efficacy, medical coping mode and social support were influencing factors of subgroups.
Psychological resilience in gastric cancer survivors is individualized. Nurses should assess risk and protective factors for survivor resilience based on Kumpfer's resilience framework, identify unique needs, and develop new approaches and interventions.
采用潜在剖面分析（LPA）对胃癌幸存者的心理弹性模式进行特征描述，并基于 Kumpfer 的弹性框架探讨影响这些潜在剖面的因素。
2021 年 7 月 30 日至 2023 年 5 月 1 日期间共招募了 586 名胃癌幸存者。采用一般资料和临床特征问卷、Connor-Davidson 弹性量表（CD-RISC）、恐惧进展问卷短表（FoP-Q-SF）、一般自我效能感量表（GSES）、医学应对方式问卷（MCMQ）和社会支持评定量表（SSRS）进行调查。对胃癌幸存者的弹性进行潜在剖面分析，并通过多变量逻辑回归分析探讨潜在剖面的影响因素。
共收集了 586 份问卷，其中 572 份有效，有效回收率为 97.61%。潜在剖面分析结果显示，胃癌幸存者的弹性分为四个亚组，即低弹性组（18.4%）、中弹性组（43.2%）、中高弹性组（30.2%）和高弹性组（8.2%）。多变量逻辑回归分析显示，疾病进展恐惧、自我效能、医学应对方式和社会支持是亚组的影响因素。
胃癌幸存者的心理弹性具有个体差异。护士应根据 Kumpfer 的弹性框架评估幸存者弹性的风险和保护因素，识别独特需求，并制定新的方法和干预措施。
