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卵巢癌患者情绪抑制特征及影响因素——潜在剖面分析

Emotional Suppression Characteristics and Influencing Factors of Ovarian Cancer Patients - Latent Profile Analysis.

作者信息

Wu Yaru, Zhang Yuting, Yuan Jing, Yang Juan, Chen Ling, Zhu Wei, Xu Chunyan

机构信息

School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.

Department of Gynecological Surgery, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.

出版信息

Patient Prefer Adherence. 2025 Jul 24;19:2189-2199. doi: 10.2147/PPA.S534058. eCollection 2025.

Abstract

BACKGROUND

This quantitative study aimed to analyze the potential categories of emotional suppression characteristics and explore the influencing factors of different categories among ovarian cancer chemotherapy patients in Western Region of China.

METHODS

From September 2024 to March 2025, a convenience sampling method was used to administer a questionnaire to ovarian cancer chemotherapy patients at a gynecology center within a university hospital situated in the Northwest region of China. The investigation employed general information questionnaires, the Emotional Inhibition Scale (EIS), Social Constraint Scales (SCS), Family APGAR Index (APGAR), and the Hospital Anxiety and Depression Scale (HADS). Latent profile analysis (LPA) was conducted to identify the profiles of emotional suppression levels in patients with ovarian cancer undergoing chemotherapy. Multinomial logistic regression was used to investigate the correlations among these profiles in ovarian cancer chemotherapy patients.

RESULTS

A total of 228 ovarian cancer chemotherapy patients participated, yielding an average score of 26.76 ± 5.71 on the emotional suppression. The LPA identified three emotion suppression profiles: high level emotional inhibition-low verbal inhibition (Profile 1,13.0%), high level emotional inhibition-high verbal inhibition (Profile 2,46.1%) and low level emotional inhibition-medium verbal inhibition (Profile 3,40.8%); Multiple Logistic regression analysis revealed that educational attainment (high/low), anxiety symptoms, severe family dysfunction, disease recurrence (yes), marital status (divorced/widowed), and social constraint were significant contributing factors.

CONCLUSION

Our research findings reveal significant heterogeneity in emotional suppression among ovarian cancer patients, which provides valuable information for tailoring intervention measures to meet individual needs, especially for patients in the high-level emotional inhibition group. To enhance patients' emotional management capabilities and alleviate their levels of emotional inhibition, healthcare practitioners should fully consider how the emotional regulation subgroup is influenced by factors such as disease recurrence, educational background, marital status, anxiety levels, family support and patients' perceived social constraints in the medical environment.

摘要

背景

本定量研究旨在分析中国西部地区卵巢癌化疗患者情绪抑制特征的潜在类别,并探讨不同类别情绪抑制特征的影响因素。

方法

2024年9月至2025年3月,采用便利抽样法,对中国西北地区某大学医院妇科中心的卵巢癌化疗患者进行问卷调查。调查采用一般信息问卷、情绪抑制量表(EIS)、社会约束量表(SCS)、家庭APGAR指数(APGAR)和医院焦虑抑郁量表(HADS)。采用潜在剖面分析(LPA)确定卵巢癌化疗患者情绪抑制水平的剖面。采用多项逻辑回归分析卵巢癌化疗患者这些剖面之间的相关性。

结果

共有228例卵巢癌化疗患者参与研究,情绪抑制平均得分为26.76±5.71。LPA确定了三种情绪抑制剖面:高情绪抑制-低言语抑制(剖面1,13.0%)、高情绪抑制-高言语抑制(剖面2,46.1%)和低情绪抑制-中言语抑制(剖面3,40.8%);多项逻辑回归分析显示,教育程度(高/低)、焦虑症状、严重家庭功能障碍、疾病复发(是)、婚姻状况(离婚/丧偶)和社会约束是重要的影响因素。

结论

我们的研究结果揭示了卵巢癌患者情绪抑制存在显著异质性,这为制定个性化干预措施提供了有价值的信息,特别是对于高情绪抑制组的患者。为了提高患者的情绪管理能力并减轻其情绪抑制水平,医护人员应充分考虑情绪调节亚组如何受到疾病复发、教育背景、婚姻状况、焦虑水平、家庭支持以及患者在医疗环境中感知到的社会约束等因素的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f63d/12302986/cb25bc56351e/PPA-19-2189-g0001.jpg

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