头颈部肿瘤患者家庭抗逆力的潜在剖面分析及其影响因素

Latent profile analysis of family resilience in head and neck cancer patients and its influencing factors

目的 了解头颈部肿瘤患者家庭抗逆力特征的分类,并分析不同类别的影响因素。方法 采用便利抽样,选取2021年12月-2022年12月上海质子重离子医院接受治疗的316例头颈部肿瘤患者为研究对象,采用自编一般资料调查问卷和家庭弹性评定量表中文简化版(FRAS-C)分别收集患者一般资料和家庭抗逆力资料。采用潜在剖面分析识别家庭抗逆力特征得类别,采用多元logistic回归分析不同类别的影响因素。结果 头颈部肿瘤患者家庭抗逆力特征分为3个类别:低家庭抗逆力型(10.8%)、高抗逆力-低资源利用型(24.0%)和中等家庭抗逆力型(65.2%)。文化程度、家庭年收入、是否与照顾者同住、子女个数和病程是头颈部肿瘤患者家庭抗逆力不同类别的影响因素(P<0.05)。结论 头颈部肿瘤患者家庭抗逆力特征存在异质性,医护人员可在了解患者社会人口学和疾病特征基础上预判家庭抗逆力特征,针对患者需求提供相应的护理服务,帮助成功应对肿瘤疾病。

Objective To identify the classification of family resilience characteristics of patients with head and neck cancer and to analyze the influencing factors of different categories.Methods A total of 316 head and neck cancer patients treated at Shanghai Proton Heavy Ion Hospital from December 2021 to December 2022 was selected as the study population by convenience sampling and patient's general information and family resilience information were collected by the Self-Administered General Information Questionnaire and the Shortened Chinese Version of the Family Resilience Assessment Scale(FRAS-C),respectively.Latent profile analysis was used to identify potential categories of family resilience,and multivariate logistic regression was used to analyze the factors influencing these potential categories.Results The characteristics of family resilience of patients with head and neck cancer were divided into 3 types:Low family resilience(10.8%),high family resilience-low utilization of resources(24.0%),and moderate family resilience(65.2%).Education level,annual household income,whether living with a caregiver,number of children,and duration of illness were the influence factors of different categories of family resilience in patients with head and neck cancer(P<0.05).Conclusion There is heterogeneity in family resilience characteristics of patients with head and neck cancer.Medical staff can predict family resilience characteristics based on learning patients'socio-demographic and disease characteristics,and provide corresponding care services according to patients'needs to help them successfully cope with oncological diseases.