Chen Yujie, Li Xuting, Chen Tian, Liu Tian, Lei Qi, Qiao Jianfeng, Ye Man, Huang Lihua
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, China.
Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, China.
Asia Pac J Oncol Nurs. 2024 Jul 6;11(9):100554. doi: 10.1016/j.apjon.2024.100554. eCollection 2024 Sep.
To identify the potential subgroups of postoperative rehabilitation management self-efficacy in patients with lung cancer and explore the association between these subgroups and symptom burden.
This cross-sectional study enrolled 231 lung cancer patients who underwent surgery between May and August 2023. Latent profile analysis, univariate analysis, and disordered multinomial logistic regression were performed to explore postoperative rehabilitation management self-efficacy profiles and identify interindividual variability. ANOVA, LSD, and Tamhane's T2 method were used for multiple comparisons between symptom burden and self-efficacy subgroups.
The three subgroups of postoperative rehabilitation management self-efficacy identified included low level group (17.7%), medium level group (63.2%), and high level group (19.0%). Patients with junior high school education were more likely to be classified as medium level groups, and patients with higher levels of social support and better resilience were more likely to be classified as medium and high level groups. Symptom severity and symptom interference of lung cancer patients after surgery varied considerably among the three classes. In the lung cancer module, the high level group had fewer symptoms than the medium level group ( < 0.05).
Postoperative rehabilitation management self-efficacy has different classification features among patients with lung cancer. Educational background, resilience, and social support were the influencing factors of postoperative rehabilitation management self-efficacy. Lung cancer patients with higher self-efficacy in postoperative rehabilitation management showed fewer symptom burdens. Medical staff should actively pay attention to patients with low self-efficacy and provide precise interventions for patients with different subgroups.
识别肺癌患者术后康复管理自我效能的潜在亚组，并探讨这些亚组与症状负担之间的关联。
这项横断面研究纳入了2023年5月至8月期间接受手术的231例肺癌患者。进行潜在剖面分析、单因素分析和无序多项逻辑回归，以探索术后康复管理自我效能剖面并识别个体间差异。采用方差分析、最小显著差异法（LSD）和塔哈尼T2法对症状负担与自我效能亚组之间进行多重比较。
确定的术后康复管理自我效能的三个亚组包括低水平组（17.7%）、中等水平组（63.2%）和高水平组（19.0%）。初中文化程度的患者更有可能被归类为中等水平组，社会支持水平较高且心理弹性较好的患者更有可能被归类为中等和高水平组。肺癌患者术后的症状严重程度和症状干扰在这三个类别中差异很大。在肺癌模块中，高水平组的症状比中等水平组少（P<0.05）。
肺癌患者术后康复管理自我效能具有不同的分类特征。教育背景、心理弹性和社会支持是术后康复管理自我效能的影响因素。术后康复管理自我效能较高的肺癌患者症状负担较轻。医护人员应积极关注自我效能低的患者，并为不同亚组的患者提供精准干预。
