护理研究2026，Vol.40Issue(9)：1467-1480,14.DOI:10.12102/j.issn.1009-6493.2026.09.006
乳腺癌化疗病人需求变化轨迹及影响因素的纵向研究
Change trajectories of needs and influencing factors in breast cancer patients undergoing chemotherapy:a longitudinal study
摘要
Abstract
Objective:To explore the dynamic change trajectories of disease information needs,psychological needs,and social needs in breast cancer patients undergoing chemotherapy,and to identify the influencing factors for each trajectory category,thereby providing a basis for developing precise clinical interventions.Methods:A convenience sampling method was used to select 146 breast cancer patients undergoing their first chemotherapy session.A longitudinal follow-up survey was conducted over eight chemotherapy cycles(T1-T8)using the Breast Cancer Patients Needs Scale and the Benefit Finding Scale.Latent class growth modeling was applied to analyze the change trajectories of the three types of needs,and multinomial logistic regression was used to explore the influencing factors of the trajectory categories.Results:The three types of needs in breast cancer patients undergoing chemotherapy all showed a declining trend with population heterogeneity:1)Two trajectory categories were identified for disease information needs:low information needs declining group(58.2%)and high information needs declining group(41.8%);2)Three trajectory categories were identified for psychological needs:low psychological needs group(35.6%),moderate psychological needs group(41.8%),and high psychological needs group(22.6%);3)Two trajectory categories were identified for social needs:low social needs group(69.2%)and high social needs group(30.8%).Multivariate analysis showed that surgery and benefit finding were influencing factors for the disease information needs trajectory(both P<0.05);comorbidities with other chronic diseases and benefit finding were influencing factors for the psychological needs trajectory(both P<0.05);comorbidities with other chronic diseases,metastasis,and benefit finding were influencing factors for the social needs trajectory(all P<0.05).Conclusions:The change trajectories of the three types of needs in breast cancer patients undergoing chemotherapy exhibit population heterogeneity.And they are influenced by different factors.Clinical staff can combine the characteristics of patients'need trajectories and influencing factors to implement targeted interventions,continuously meeting patients'dynamic needs.关键词
乳腺癌/化疗/信息需求/心理需求/社会需求/纵向研究/影响因素Key words
breast cancer/chemotherapy/information needs/psychological needs/social needs/longitudinal study/influencing factors引用本文复制引用
赵映,黄菲,徐滢佳,李明雅,卢燕..乳腺癌化疗病人需求变化轨迹及影响因素的纵向研究[J].护理研究,2026,40(9):1467-1480,14.基金项目
湖北省卫生健康科技项目,编号:WJ2025M175 （）
湖北省自然科学基金项目,编号:2024AFB258 （）
