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晚期癌症患者照料者的品味模式及影响因素:一项潜在剖面分析研究

Patterns and influencing factors of savoring in caregivers of advanced cancer patients: a latent profile study.

作者信息

Yao Gui-Ying, Deng Minghui, Fang Xueying, Zhang Mei, Guo Hua, Zhang Bing

机构信息

School of Nursing, Xinxiang Medical University, Xinxiang, 453003, Henan, China.

Xinxiang Key Laboratory for Chronic Disease Basic Research and Intelligent Care, Xinxiang, 453003, Henan, China.

出版信息

BMC Psychol. 2025 Feb 25;13(1):163. doi: 10.1186/s40359-025-02526-1.

Abstract

OBJECTIVE

Caregivers' positive affect benefits patients' and their well-being. Savoring is one important emotion regulation strategy to manage positive affect. Limited information about patterns of savoring hinders the development of targeted interventions to promote cancer caregivers' emotional well-being. The purpose of this study was to identify latent patterns of savoring and investigate influencing factors associated with the identified patterns among caregivers of people with advanced cancer.

METHODS

Latent profile analysis was performed to identify savoring patterns based on savoring beliefs and strategies in 404 informal caregivers of patients with advanced cancer. Multinomial logistic regression analysis examined associated factors regarding different savoring profiles.

RESULTS

Three latent profiles of savoring were identified. Individuals in high level of savoring (HS, 33.4%) showed the highest level of savoring and positive affect. Compared with HS, caregivers in low level of savoring (LS, 9.4%) and medium level of savoring (MS, 57.2%) showed lower savoring and lower positive affect. Active coping(β = -0.109, β = -0.252, p<0.001)was the strongest protecting factor for both MS and LS, while passive coping (β = 0.146, p = 0.008) was a risk factor for LS. Non-assistance from others (β = 0.677, p = 0.015) and unemployment (β = 1.287, p = 0.007)were the strongest risk factors for the MS and LS subgroup, respectively.

CONCLUSIONS

Caregivers' savoring patterns appear to vary at different levels. Oncological professionals should pay attention to caregivers with passive coping, unemployment, and lack of assistance for designing targeted savoring training to promote emotional well-being.

摘要

目的

照顾者的积极情绪有益于患者及其幸福感。品味是管理积极情绪的一种重要情绪调节策略。关于品味模式的信息有限,这阻碍了促进癌症照顾者情绪健康的针对性干预措施的发展。本研究的目的是识别品味的潜在模式,并调查晚期癌症患者照顾者中与所识别模式相关的影响因素。

方法

基于晚期癌症患者404名非正式照顾者的品味信念和策略,进行潜在剖面分析以识别品味模式。多项逻辑回归分析检查了不同品味剖面的相关因素。

结果

识别出三种品味潜在剖面。高品味水平者(HS,33.4%)表现出最高水平的品味和积极情绪。与HS相比,低品味水平者(LS,9.4%)和中等品味水平者(MS,57.2%)表现出较低的品味和积极情绪。积极应对(β = -0.109,β = -0.252,p<0.001)是MS和LS最强的保护因素,而消极应对(β = 0.146,p = 0.008)是LS的危险因素。他人未提供帮助(β = 0.677,p = 0.015)和失业(β = 1.287,p = 0.007)分别是MS和LS亚组最强的危险因素。

结论

照顾者的品味模式似乎在不同水平上存在差异。肿瘤学专业人员在设计针对性的品味训练以促进情绪健康时,应关注消极应对、失业和缺乏帮助的照顾者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b4/11863586/9db30974a635/40359_2025_2526_Fig1_HTML.jpg

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