临床与病理杂志2025，Vol.45Issue(6)：688-698,11.DOI:10.11817/j.issn.2095-6959.2025.250272
宫颈癌化疗患者自我倡权的潜在类别及影响因素
Latent classes and influencing factors of self-advocacy among cervical cancer patients undergoing chemotherapy
摘要
Abstract
Objective:Cervical cancer is the most common malignant tumor of the female reproductive system,posing a serious threat to women's health.During chemotherapy,cervical cancer patients have multiple needs related to information access,participation in decision-making,and social support.As a core component of self-decision-making,self-advocacy is heterogeneous and its influencing factors remain to be clarified.This study used latent profile analysis to explore the latent classes of self-advocacy among cervical cancer patients undergoing chemotherapy,and analyzed the characteristics and influencing factors of each class. Methods:From November 2023 to June 2024,348 cervical cancer patients undergoing chemotherapy were recruited by convenience sampling from three tertiary hospitals in Chengdu.Data were collected using a general information questionnaire,the Self-Advocacy for Female Cancer Survivor Scale,the Chinese version of the M.D.Anderson Symptom Inventor Scale,the Perceived Social Support Scale,and the General Self-Efficacy Scale.Latent profile analysis was used to identify potential classes of self-advocacy,and logistic regression was conducted to examine influencing factors across different classes. Results:Three latent classes of self-advocacy were identified:low self-advocacy(13.5％),moderate self-advocacy(27.0％),and high self-advocacy(59.5％).Logistic regression showed that age,marital status,education level,level of disease knowledge,perceived social support,and general self-efficacy were all significant influencing factors of self-advocacy(all P<0.05). Conclusion:Cervical cancer patients undergoing chemotherapy demonstrate a relatively high level of self-advocacy.Older age,non-married status(single,divorced,and widowed),lower education level,poorer disease knowledge,lower perceived social support,and lower general self-efficacy are associated with weaker self-advocacy.These findings suggest that healthcare providers should focus on such patients and develop targeted interventions to improve their self-advocacy.关键词
宫颈癌/化学治疗/自我倡权/潜在剖面分析/影响因素Key words
cervical cancer/chemotherapy/self-advocacy/latent profile analysis/influencing factors引用本文复制引用
严敏,李慧,马洁,陶思敏,孙思露,朱茜,周艳,龚红霞,何依群,段然..宫颈癌化疗患者自我倡权的潜在类别及影响因素[J].临床与病理杂志,2025,45(6):688-698,11.基金项目
四川省社会科学重点研究基地——成都医学院四川应用心理学研究中心科研项目(CSXL-23309) （CSXL-23309）
四川养老与老年健康协同创新中心开放课题——成都医学院南部县人民医院临床科学研究基金(23LHNBSYB07) （23LHNBSYB07）
成都医学院专业学位研究生课程案例库建设项目(CYAL-202203).This work was supported by the Research Project of Sichuan Applied Psychology Research Center of Chengdu Medical College,Key Research Base of Social Sciences in Sichuan Province(CSXL-23309) （CYAL-202203）
Open Project of Sichuan Collaborative Innovation Center for Aging and Geriatric Health—Clinical Scientific Research Fund of Nanbu County People's Hospital,Chengdu Medical College(23LHNBSYB07) （23LHNBSYB07）
and Construction Project of Case Database for Professional Degree Postgraduate Courses of Chengdu Medical College(CYAL-202203),China. （CYAL-202203）
