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乳腺癌术后化疗患者自我损耗的潜在剖面分析及影响因素研究

张宇彤 李红梅 张俊 王茜 李沁瑶

护理学报2025,Vol.32Issue(19):1-6,6.
护理学报2025,Vol.32Issue(19):1-6,6.DOI:10.16460/j.issn2097-6569.2025.19.001

乳腺癌术后化疗患者自我损耗的潜在剖面分析及影响因素研究

Potential profile analysis and influencing factors of ego-depletion in patients undergoing postoperative chemotherapy for breast cancer

张宇彤 1李红梅 1张俊 2王茜 1李沁瑶1

作者信息

  • 1. 山西医科大学汾阳学院护理系,山西汾阳 032200
  • 2. 山西省汾阳医院甲乳外科,山西汾阳 032200
  • 折叠

摘要

Abstract

Objective To investigate the characteristics of ego-depletion in patients with breast cancer and to analyze the influencing factors of patients in different categories.Methods Using convenient sampling,from April 2023 to April 2024,223 patients with breast cancer during postoperative chemotherapy in breast and thyroid ward and oncology ward of Fenyang Hospital were selected for the study.Patients were investigated using the General Information Questionnaire,Self-Regulatory Fatigue Scale,Social Constraints Scale,Social Impact Scale,and Cognitive Fusion Questionnaire.Latent profile analysis was used to identify categories of ego-depletion characteristics of the patients,and ordered multi-categorical logistic regression to further analyze their influencing factors.Results Pa-tients with breast cancer during postoperative chemotherapy can be divided into"low depletion-emotional dysregulation group(49.3%)","medium depletion-cognitive-behavioral group(32.3%)",and"general high-depletion group(18.4%)";ordered multi-categorical lo-gistic regression showed that patients with lower literacy,poorer sleep quality,no postoperative breast preservation,higher social con-straints,higher social impact and greater psychological rigidity had higher levels of ego-depletion(all P<0.05).Conclusion There is heterogeneity in ego-depletion in patients undergoing postoperative chemotherapy for breast cancer,which can be categorized into three potential categories;patients with less education,poorer sleep quality,no breast preservation,cognitive fusion and greater social impact and social restraints have higher levels of ego-depletion.More attention should be paid to such patients and effective measures should be carried out to reduce the level of ego-depletion in patients.

关键词

乳腺癌/自我损耗/社会限制/社会影响/认知融合/潜在剖面分析

Key words

breast cancer/ego-depletion/social restraints/social impact/cognitive fusion/potential profile analysis

分类

临床医学

引用本文复制引用

张宇彤,李红梅,张俊,王茜,李沁瑶..乳腺癌术后化疗患者自我损耗的潜在剖面分析及影响因素研究[J].护理学报,2025,32(19):1-6,6.

基金项目

山西省研究生创新项目(2023SJ173) (2023SJ173)

山西医科大学汾阳学院科研项目(2022C29) (2022C29)

山西省临床护理研究重点实验室项目(2020ZDSYS15) (2020ZDSYS15)

护理学报

2097-6569

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