上海护理2025，Vol.25Issue(6)：55-60,6.DOI:10.3969/j.issn.1009-8399.2025.06.010
肺癌术后患者创伤后应激障碍的潜在剖面分析及影响因素研究
Latent Profile Analysis of Post-Traumatic Stress Disorder and Its Influencing Factors in Patients Un-dergoing Lung Cancer Surgery
摘要
Abstract
Objective To explore the population heterogeneity of post-traumatic stress disorder(PTSD)and its influencing factors in patients undergoing lung cancer surgery.Methods From January to April 2023,a total of 290 patients undergoing lung cancer surgery at Tianjin Medical University Cancer Institute&Hospital were selected by convenience sampling.They were investigated using the General Information Questionnaire,Post-Traumatic Stress Disorder Checklist-Civilian version(PCL-C),Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and Strategies Used by People to Promote Health(SUPPH).Latent profile analysis was conducted using Mplus 8.3 to identify PTSD classes in patients undergoing lung cancer surgery.Multivariate ordinal logistic regression was conducted to identify influencing factors of each latent class.Results PTSD in patients undergoing lung cancer surgery was categorized into three latent classes:mild symptoms(n=150),moderate symptoms(n=117),and severe symptoms with high avoidance(n=23).Regression analysis identified medical burden,self-management efficacy and fear of progression as influencing factors of PTSD latent classification(all P<0.05).Conclusion PTSD in patients undergoing lung cancer surgery demonstrates population heterogeneity.Healthcare providers should take targeted nursing interventions based on distinct population characteristics and influencing factors to alleviate PTSD and enhance quality of life.关键词
肺肿瘤/胸腔镜手术/应激障碍,创伤后/潜在剖面分析/群体异质性Key words
Lung cancer/Thoracoscopic surgery/Post-traumatic stress disorder/Latent profile analysis/Pop-ulation heterogeneity分类
临床医学引用本文复制引用
刘丽峰,孙景虾,厉见连..肺癌术后患者创伤后应激障碍的潜在剖面分析及影响因素研究[J].上海护理,2025,25(6):55-60,6.基金项目
天津市医学重点学科(专科)建设项目(TJYXZDXK-011A) （专科）
天津医科大学肿瘤医院护理创新人才项目(HL2021-21). （HL2021-21）
