| 刘丽峰,孙景虾,厉见连.肺癌术后患者创伤后应激障碍的潜在剖面分析及影响因素研究[J].上海护理,2025,25(6): |
| 肺癌术后患者创伤后应激障碍的潜在剖面分析及影响因素研究 |
| Latent profile analysis and influencing factor of post-traumatic stress disorder in postoperative lung cancer patients |
| 投稿时间：2024-12-18 修订日期：2025-05-29 |
| DOI： |
| 中文关键词: 肺癌 胸腔镜手术 创伤后应激障碍 潜在剖面分析 群体异质性 |
| 英文关键词:Lung cancer Thoracoscopic surgery Post-traumatic stress disorder Latent profile analysis Group heterogeneity |
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| 中文摘要: |
| 目的 探讨肺癌术后患者创伤后应激障碍(PTSD)的群体异质性及其影响向因素。方法 便利选取290例接受胸腔镜手术的肺癌患者作为研究对象,采用一般资料调查表、创伤后应激障碍问卷-民用版(PCL-C)、恐惧疾病进展简化量表(FoP-Q-SF)和癌症自我管理效能感量表(SUPPH)进行调查。采用Mplus 8.3软件对肺癌术后患者的PTSD进行潜在剖面分析,并通过多元有序Logistic回归分析考察各潜在类别的影响因素。结果 肺癌术后患者的PTSD可分为3个潜在类别,即低PTSD症状型(n=150)、中PTSD症状型(n=117)和高PTSD症状高回避型(n=23)。Logistic回归分析表明,医疗负担情况、自我管理效能及恐惧疾病进展是肺癌术后患者PTSD潜在类别的影响因素(均P<0.05)。结论 肺癌术后患者的PTSD存在群体异质性,医护人员应根据不同群体特征及影响因素进行有针对性的护理干预,从而改善患者创伤后应激状态,提高生活质量。 |
| 英文摘要: |
| Objective To explore the group heterogeneity of post-traumatic stress disorder (PTSD) in postoperative lung cancer patients and analyze the influencing factors. Methods With convenience sampling, a total of 290 lung cancer patients who underwent thoracoscopic surgery were selected and surveyed by general information questionnaire, Post-Traumatic Stress Disorder Checklist-Civilian (PCL-C), Fear of Progression Questionnaire Short Form (FoP-Q-SF) and Strategies Used by People to Promote Health (SUPPH). Latent profile analysis was used to identify the latent categories of PTSD among postoperative patients with lung cancer using Mplus 8.3 software, and then multiple ordinal logistic regression analysis was performed to investigate the influencing factors of each latent category. Results Three latent categories of PTSD existed in postoperative patients with lung cancer: low PTSD symptoms type (n=150), moderate PTSD symptoms type (n=117) and high PTSD symptoms and high avoidance type (n=23). The results of logistic regression analysis demonstrated that medical burden, self-management efficacy and fear of disease progression were the influencing factors the latent classification of PTSD in postoperative lung cancer patients (P<0.05 for all). Conclusion There is group heterogeneity of PTSD in patients after lung cancer surgery, and medical staff should carry out targeted nursing intervention according to different group characteristics and influencing factors, so as to improve the post-traumatic stress state of patients and improve the quality of life. |
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