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乳腺癌患者婚姻调适的潜在剖面分析及其决定因素

Latent Profile Analysis and Determinants of Marital Adjustment in Patients with Breast Cancer.

作者信息

Chen Xiao-Feng, Shen Chen, Gu Zhi-Feng, Dong Chen, Zhuang Yuan, Lu Li-Hua, Lu Ping, Li Yi-Ju

机构信息

Department of Nursing, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001, People's Republic of China.

Medical School (Nursing School), Nantong University, Nantong, Jiangsu, 226001, People's Republic of China.

出版信息

J Multidiscip Healthc. 2024 Dec 5;17:5799-5809. doi: 10.2147/JMDH.S494987. eCollection 2024.

Abstract

OBJECTIVE

The aim of this study is to assess the latent profile types of marital adjustment in patients with breast cancer and to analyze the factors influencing these various profiles.

METHODS

Patients with breast cancer who visited the Breast Surgery Department from January to June 2023 were selected using convenience sampling. These patients were surveyed using a general data questionnaire, the Revised Dyadic Adjustment Scale (RDAS), the Interpersonal Reactivity Index-C (IRI-C), and the Emotional Regulation Self-Efficacy Scale (RESS). Latent profile analysis (LPA) was used to determine different types of marital adjustment among patients, and influencing factors for the various profiles were identified through univariate analysis and multivariate logistic regression analysis.

RESULTS

Marital adjustment in patients with breast cancer was categorized into three latent profiles: the "low marital adjustment-low cohesion group" (20.2%), the "midlevel marital adjustment group" (35.3%), and the "high marital adjustment-satisfaction group" (44.4%). The influencing factors included age, marital status, primary caregiver, type of surgical intervention, empathy, and emotional regulation self-efficacy ( < 0.05).

CONCLUSION

The marital adjustment levels of patients with breast cancer exhibited significant heterogeneity. Medical staff can implement targeted interventions based on the distinct characteristics of each marital adjustment profile, thereby enhancing the marital adjustment of these patients.

摘要

目的

本研究旨在评估乳腺癌患者婚姻调适的潜在类别,并分析影响这些不同类别的因素。

方法

采用便利抽样法选取2023年1月至6月到乳腺外科就诊的乳腺癌患者。使用一般资料问卷、修订版二元调适量表(RDAS)、人际反应指针量表-C(IRI-C)和情绪调节自我效能量表(RESS)对这些患者进行调查。采用潜在类别分析(LPA)确定患者婚姻调适的不同类型,并通过单因素分析和多因素logistic回归分析确定不同类别的影响因素。

结果

乳腺癌患者的婚姻调适分为三种潜在类别:“低婚姻调适-低亲密度组”(20.2%)、“中等婚姻调适组”(35.3%)和“高婚姻调适-满意度组”(44.4%)。影响因素包括年龄、婚姻状况、主要照顾者、手术干预类型、共情和情绪调节自我效能(<0.05)。

结论

乳腺癌患者的婚姻调适水平存在显著异质性。医护人员可根据各婚姻调适类别的不同特点实施针对性干预,从而提高这些患者的婚姻调适水平。

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