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接受疾病及其与接受化疗的结直肠癌患者中发现益处的关系:一项潜在剖面分析。

Acceptance of illness and its relationship with benefit finding among patients with colorectal cancer undergoing chemotherapy: A latent profile analysis.

作者信息

Li Fangyi, Xiao Tian, Tang Ao, Wang Zibochang, Liu Chunmei, Ma Qiumei, Zhou Linyu, Xiao Ruihan, He Biao, Qiu Xueqin, Chen Xiaoju

机构信息

School of Nursing, Chengdu Medical College, Chengdu, China.

Department of Health Service Teaching and Research, The General Hospital of Western Theater Command, Chengdu, China.

出版信息

Asia Pac J Oncol Nurs. 2025 May 16;12:100715. doi: 10.1016/j.apjon.2025.100715. eCollection 2025 Dec.

Abstract

OBJECTIVE

This study aimed to identify the potential profiles of acceptance of illness among colorectal cancer patients undergoing chemotherapy, examine the factors influencing these profiles, and analyze the relationship between acceptance of illness in different profiles and benefit finding.

METHODS

A cross-sectional study was conducted with 475 parents with colorectal cancer undergoing chemotherapy in southwest China from June to November 2024. Data were collected using general information questionnaire, the Acceptance of Illness Scale (AIS), and the Benefit Finding Scale (BFS). Use descriptive statistics, latent profile analysis, and multivariate logistic regression to analyze the data, while multiple linear regression was used to examine the impact of different categories of acceptance of illness on benefit finding.

RESULTS

The acceptance of illness of patients was classified into three latent categories: "Low acceptance of illness group" (29.5%), "Moderate acceptance of illness group" (37.9%), and "High acceptance of illness group" (32.6%). Gender, relationship with family members, average monthly household income per capita and history of surgery were the influencing factors of acceptance of illness in different categories of patients ( ​< ​0.05). After controlling for confounding factors, the latent profiles of acceptance of illness were significant predictors of benefit finding ( ​< ​0.001).

CONCLUSIONS

The acceptance of illness among colorectal cancer patients undergoing chemotherapy exhibits heterogeneity and can be categorized into three latent profiles. Higher acceptance of illness among patients is associated with a higher level of benefit finding. Health care providers should implement targeted interventions based on the influencing factors of different categories of acceptance of illness to enhance benefit finding levels.

摘要

目的

本研究旨在确定接受化疗的结直肠癌患者对疾病的潜在接受概况,探讨影响这些概况的因素,并分析不同概况下疾病接受度与益处发现之间的关系。

方法

于2024年6月至11月在中国西南部对475名接受化疗的结直肠癌患者进行了横断面研究。使用一般信息问卷、疾病接受度量表(AIS)和益处发现量表(BFS)收集数据。采用描述性统计、潜在概况分析和多因素逻辑回归对数据进行分析,同时使用多元线性回归检验不同疾病接受类别对益处发现的影响。

结果

患者的疾病接受度分为三个潜在类别:“低疾病接受度组”(29.5%)、“中度疾病接受度组”(37.9%)和“高疾病接受度组”(32.6%)。性别、与家庭成员的关系、人均家庭月收入和手术史是不同类别患者疾病接受度的影响因素(P<0.05)。在控制混杂因素后,疾病接受度的潜在概况是益处发现的显著预测因素(P<0.001)。

结论

接受化疗的结直肠癌患者对疾病的接受度存在异质性,可分为三个潜在概况。患者较高的疾病接受度与较高水平的益处发现相关。医护人员应根据不同疾病接受类别的影响因素实施有针对性的干预措施,以提高益处发现水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97cc/12143793/fbf2f0a83ad9/gr1.jpg

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