摘要
目的探讨鼻咽癌患者复发恐惧的潜在类别并分析其影响因素。方法采用便利抽样法,选取2021年7月-2023年12月复旦大学附属眼耳鼻喉科医院收治的鼻咽癌患者为研究对象。采用一般资料调查表、恐惧疾病进展简化量表、简易疾病感知问卷和医学应对方式问卷进行调查。采用Mplus 8.3软件进行潜在剖面分析,采用多分类Logistic回归分析探讨鼻咽癌患者不同复发恐惧类别的影响因素。结果共发放问卷208份,回收有效问卷208份,问卷有效回收率为100.00%。208例鼻咽癌患者的复发恐惧得分为(34.01±8.32)分;鼻咽癌患者复发恐惧表现为3种不同潜在类别,分别命名为低恐惧型(19.71%,41/208)中度恐惧型(66.83%,139/208)和高度恐惧型(13.46%,28/208)。不同复发恐惧类别的鼻咽癌患者在性别、工作状态、个人月收入、肿瘤临床分期、疾病感知和医学应对方式等方面比较,差异具有统计学意义(P<0.05)。结论鼻咽癌患者普遍存在复发恐惧。医护人员应重点关注女性、退休和无业、个人经济收入低、肿瘤分期较高、疾病负性感知严重、应对方式消极等特征的患者,并及早采取有效干预措施。
Objective To explore the latent classes of recurrence fear in nasopharyngeal carcinoma patients and analyze their influencing factors.Methods From July 2021 to December 2023,convenience sampling was used to select nasopharyngeal carcinoma patients admitted to the Eye and ENT Hospital of Fudan University as research subjects.The survey was conducted using the General Information Questionnaire,Fear of Progression Questionnaire-Short Form,Brief Illness Perception Questionnaire,and Medical Coping Modes Questionnaire.Mplus 8.3 software was used for latent profile analysis.Multivariate logistic regression was used to analyze the factors influencing the different classes of recurrence fear in nasopharyngeal carcinoma patients.Results A total of 208 questionnaires were distributed,and 208 valid questionnaires were collected,with a valid response rate of 100.00%.The recurrence fear score of 208 nasopharyngeal carcinoma patients was(34.01±8.32).The fear of recurrence in nasopharyngeal carcinoma patients included three latent classes:low fear(19.71%,41/208),moderate fear(66.83%,139/208),and high fear(13.46%,28/208).There were statistically significant differences in gender,working condition,individual monthly income,tumor clinical stage,illness perception,and medical coping modes among nasopharyngeal carcinoma patients with different recurrence fear classes(P<0.05).Conclusions Nasopharyngeal carcinoma patients generally have a fear of recurrence.Medical and nursing staff should focus on patients who are female,retired or unemployed,have low personal economic income,have high tumor stages,have severe negative illness perception,and have negative coping modes,and take effective intervention measures as soon as possible.
作者
胡延秋
黄杰鹏
张徐超
归纯漪
Hu Yanqiu;Huang Jiepeng;Zhang Xuchao;Gui Chunyi(Nursing Department,Eye and ENT Hospital of Fudan University,Shanghai 200031,China;School of Nursing,Fudan University,Shanghai 200032,China)
出处
《中华现代护理杂志》
2024年第27期3720-3726,共7页
Chinese Journal of Modern Nursing
基金
2021年上海市卫生健康委员会面上项目(202140068)
复旦-复星护理科研基金(FNF202247)。
关键词
鼻咽肿瘤
复发恐惧
潜在剖面分析
疾病感知
应对方式
影响因素
Nasopharyngeal neoplasms
Fear of recurrence
Latent profile analysis
I
llness perception
Coping style
Influencing factors
