年轻乳腺癌患者生育忧虑的潜在剖面分析

Latent profile analysis of reproductive concerns in young breast cancer patients

目的探讨年轻乳腺癌患者生育忧虑的潜在类别特征,并分析不同类别患者的特征差异。方法采用一般资料调查表、癌症后生育忧虑量表、痛苦表露指数量表修订版、感知伴侣回应性量表对哈尔滨市两所三级甲等医院300例年轻乳腺癌患者进行问卷调查,采用潜在剖面分析和无序多分类Logistic回归模型探索生育忧虑潜在类别特征及其影响因素。结果获得4个潜在类别组:低生育忧虑-自身担忧型(12.67%)、中生育忧虑-均衡型(35.67%)、中生育忧虑-自身担忧型(21.33%)、高生育忧虑-均衡型(30.33%)。年龄、家庭人均月收入、是否为独生子女、家庭生育意愿、癌症家族史、自我表露、感知伴侣回应性是患者生育忧虑潜在类别的影响因素。结论年轻乳腺癌患者生育忧虑存在明显的异质性,临床护理中应根据不同分类特征及影响因素,构建个性化干预措施,以降低患者的生育忧虑水平。

Objective To explore the latent profile characteristics of reproductive concerns in young breast cancer patients,and to ana⁃lyze the characteristics of different types of patients.Methods A total of 300 young breast cancer patients from two grade A tertiary hospitals in Harbin were investigated by the General Data Questionnaire,Reproductive Concerns After Cancer scale(RCAC),the Distress Disclosure Index(DDI),and Perceived Partner Responsiveness Scale(PPRS).Latent profile analysis and disordered multinomial Logistic regression model were used to explore the latent characteristics and influencing factors of reproductive concerns.Results Four potential categories were obtained:low reproductive concerns-self-worry type(12.67%),medium reproductive concerns-balanced type(35.67%),medium reproduc⁃tive concerns-self-worry type(21.33%),high reproductive concerns-balanced type(30.33%).Age,family per capita monthly income,whether it is the only child,family reproductive desire,family genetic history,self-disclosure,and perceived partner responsiveness were the influencing factors of the latent profile of patients'reproductive concerns.Conclusion There is obvious heterogeneity in reproductive con⁃cerns of young breast cancer patients.In clinical nursing,individualized interventions should be constructed according to different classification characteristics and influencing factors to reduce the level of reproductive concerns of patients.