妇科恶性肿瘤患者家庭复原力的潜在剖面分析

Latent profile analysis of family resilience among patients with gynecological malignancies

目的 基于潜在剖面分析,探讨妇科恶性肿瘤患者家庭复原力的类别特征。方法 采用一般资料调查表、家庭复原力量表、医院焦虑抑郁量表及压力知觉量表对484例妇科恶性肿瘤患者进行调查,采用一般资料调查表对其家属进行调查。结果 潜在剖面分析显示,妇科恶性肿瘤患者的家庭复原力可分为低家庭复原力组(21.07%)、中家庭复原力组(44.63%)和高家庭复原力组(34.30%)3个潜在类别。初中及以下学历、夫妻关系不佳、与其他主要家庭成员关系不佳、家属身体健康状况好及家庭分担照顾者在1人及以下者归属于低家庭复原力组的可能性更大(P<0.05)。低家庭复原力组患者的焦虑抑郁、压力知觉得分最高,高家庭复原力组的焦虑抑郁与压力知觉得分最低(P<0.05)。结论 妇科恶性肿瘤患者的家庭复原力具有明显的异质性,护理人员应根据患者家庭复原力的特征,为患者制订个性化的干预策略,提升其家庭复原力水平。

Objective To explore the categorical characteristics of family resilience among patients with gynecological malignant tumor based on latent profile analysis.Methods A total of 484 patients with gynecologic malignant tumor were investigated by using general data questionnaire,Family Resilience Scale,general hospital anxiety and depression scale and perceived stress scale.The family members were investigated by means of general information questionnaire.Results Latent profile analysis showed that the family resilience of patients with gynecologic malignant tumor could be divided into a low family resilience group(21.07%),a middle family resilience group(44.63%)and a high family resilience group(34.30%).Those with less than junior high school education,poor relationship between husband and wife,poor relationship with other main family members,good health status of family members and one or less family caregivers were more likely to belong to the low resilience group(P<0.05).The patients with low family resilience had the highest scores of anxiety,depression and pressure,while the patients with high family resilience had the lowest scores of anxiety,depression and pressure(P<0.05).Conclusions The family resilience of patients with gynecologic malignant tumor is obviously heterogeneous.Therefore,nursing staff should develop personalized intervention strategies for patients based on the characteristics of the patient's family resilience to improve their family resilience level.