Xiong Meidi, Yao Hongmei, Cheng Yuping, Zhang Qingyuan, Luo Ying, Guo Yalun, Shi Hongmei, Bai Jinbing, Zhang Chunhua
Medical Department, Yangtze University, Jingzhou, China.
Nursing Department, Zhongnan Hospital of Wuhan University, Wuhan, China.
Br J Health Psychol. 2025 Feb;30(1):e12773. doi: 10.1111/bjhp.12773.
This study aims to identify specific sub-types of hope levels in breast cancer (BC) patients and explore the influencing factors.
Between August and December 2023, 528 BC patients took part in this study. Latent Profile Analysis (LPA) was employed using the Herth Hope Index, Distress Thermometer, Hospital Anxiety and Depression Scale, Social Support Rating Scale, BC survivors' self-efficacy scale and Functional Assessment of Cancer Therapy-Breast to identify clusters of hope levels.
Three potential categories of hope levels were identified: Low Hope Level-Harmonious-Calm Type (33.71%); Moderate Hope Level-Isolation Fear Type (37.12%); and High Hope Level-Optimistic Coping Type (29.17%). The study established that social support, quality of life, psychological distress, self-efficacy, occupation, income, education and type of surgery are factors influencing hope levels.
Hope levels within BC patients exhibit identifiable heterogeneity. By discerning the features associated with hope levels, the focus extends beyond patients' occupations, income, education and surgical procedures. It also underscores the importance of enhancing social support, quality of life and self-efficacy while mitigating psychological distress. This targeted approach aims to formulate interventions specifically designed to effectively elevate hope levels in BC patients.
本研究旨在确定乳腺癌（BC）患者希望水平的特定亚型，并探讨其影响因素。
2023年8月至12月期间，528例BC患者参与了本研究。使用赫思希望指数、痛苦温度计、医院焦虑抑郁量表、社会支持评定量表、BC幸存者自我效能量表和癌症治疗功能评估-乳腺癌来进行潜在类别分析（LPA），以确定希望水平的聚类。
确定了三种潜在的希望水平类别：低希望水平-和谐-平静型（33.71%）；中等希望水平-恐惧孤立型（37.12%）；高希望水平-乐观应对型（29.17%）。该研究确定社会支持、生活质量、心理困扰、自我效能、职业、收入、教育程度和手术类型是影响希望水平的因素。
BC患者的希望水平存在明显的异质性。通过识别与希望水平相关的特征，关注点不仅在于患者的职业、收入、教育程度和手术程序。它还强调了在减轻心理困扰的同时，增强社会支持、生活质量和自我效能的重要性。这种有针对性的方法旨在制定专门设计的干预措施，以有效提高BC患者的希望水平。
