Zhu Kaili, Guo Zhangrong, Zhang Yue, Li Siyu, Wang Xiaoqing, Xu Rui, Duan Peibei
School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Department of Orthopedics, The People's Hospital of Rugao, Nantong, China.
Asia Pac J Oncol Nurs. 2025 Feb 22;12:100677. doi: 10.1016/j.apjon.2025.100677. eCollection 2025 Dec.
This study aimed to explore the current status of emotional inhibition in older adults with gastrointestinal tumors and to analyse its influencing factors.
From September to November 2024, 362 older adults with gastrointestinal tumors completed a self-designed questionnaire on demographic and clinical characteristics, an emotional inhibition scale, a self-esteem scale, and a multidimensional scale of perceived social support. Latent profile analysis was used to classify emotional inhibition in the participants, and multiple logistic regression was used to analyse the factors influencing each subgroup.
Based on the level of emotional inhibition, older adults with gastrointestinal cancer were divided into three subgroups: "low emotional inhibition-active disclosure" (40.0%), "medium emotional inhibition" (41.2%), and "high emotional inhibition-disguise feelings group" (18.8%). The multivariate logistic regression analysis showed that sex, living conditions, disease stage, self-esteem level, and perceived social support were factors influencing participants' emotional inhibition ( < 0.05).
Emotional inhibition levels vary among older adults with gastrointestinal cancer. Medical staff should consider the characteristics, self-esteem, and perceived social support of the patients. Additionally, more targeted interventions, such as cognitive-behavioural group therapy or mindfulness-based cognitive therapy, should be developed to reduce patients' emotional inhibition.
本研究旨在探讨老年胃肠道肿瘤患者情绪抑制的现状，并分析其影响因素。
2024年9月至11月，362名老年胃肠道肿瘤患者完成了一份自行设计的关于人口统计学和临床特征的问卷、一份情绪抑制量表、一份自尊量表以及一份多维感知社会支持量表。采用潜在剖面分析对参与者的情绪抑制进行分类，并使用多因素logistic回归分析影响各亚组的因素。
根据情绪抑制水平，老年胃肠道肿瘤患者分为三个亚组：“低情绪抑制-积极表露组”（40.0%）、“中等情绪抑制组”（41.2%）和“高情绪抑制-掩饰情感组”（18.8%）。多因素logistic回归分析显示，性别、生活状况、疾病分期、自尊水平和感知社会支持是影响参与者情绪抑制的因素（<0.05）。
老年胃肠道肿瘤患者的情绪抑制水平存在差异。医务人员应考虑患者的特征、自尊和感知社会支持。此外，应开展更有针对性的干预措施，如认知行为团体治疗或基于正念的认知治疗，以降低患者的情绪抑制。
