肺癌患者非正规护理人员的受益发现特征和护理能力比较:潜在特征分析

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-05-01 DOI:10.1016/j.apjon.2024.100480
Xiaoyuan Lin , Ziqing Chen , Qi Zhao , Xiaozhou Zhou
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引用次数: 0

摘要

目的 本研究旨在探讨肺癌患者非正规照顾者的获益发现(BF)特征,识别人口学和疾病特征,并分析不同特征之间照顾能力的差异。 方法 本横断面研究采用便利抽样法,从中国广州某三级甲等医院选取了272名肺癌患者的非正规照顾者。研究工具包括人口学和疾病特征问卷、修订版BF量表和中文版家庭照顾者任务量表。数据分析采用潜特征分析、卡方检验、费雪精确概率检验、Kruskal-Wallis检验和多元逻辑回归等方法:"高受益-家庭和个人成长"(特征 1,7.7%)、"中等受益-认知不清晰"(特征 2,44.9%)和 "低受益-应对能力不足"(特征 3,47.4%)。(2) 有共同照顾者且病程在 6-12 个月的患者更有可能属于特征 1;40-60 岁患者的照顾者倾向于属于特征 2;病程在 12 个月以上且临床分期为 II 或 III 期的老年患者的照顾者更有可能属于特征 3。(结论肺癌患者非正式照顾者的BF存在异质性。医护人员可根据肺癌护理人员的年龄、临床分期、病程和共同护理人状况等特征识别其关键特征,并通过有针对性的护理指导提高其护理能力。
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Benefit-finding profiles and comparison of caregiving ability among informal caregivers of patients with lung cancer: A latent profile analysis

Objective

This study aimed to explore the benefit finding (BF) profiles among informal caregivers of patients with lung cancer, identify demographic and disease characteristics, and analyze differences in caregiving ability between profiles.

Methods

This cross-sectional study utilized convenience sampling to select 272 informal caregivers of patients with lung cancer from a tertiary care hospital in Guangzhou, China. The research instruments used included the Demographic and Disease Characteristics Questionnaire, the revised version of the BF Scale, and the Chinese version of the Family Caregiver Task Inventory. Data analysis was performed using latent profile analysis, chi-square test, Fisher's exact probability test, Kruskal–Wallis test, and multivariate logistic regression.

Results

(1) BF can be divided into three profiles: “high benefit—family and personal growth” (Profile 1, 7.7%), “moderate benefit—unclear perception” (Profile 2, 44.9%), and “low benefit—coping ability deficient” (Profile 3, 47.4%). (2) Having a cocaregiver and a disease duration of 6–12 months were more likely to belong to Profile 1; caregivers of patients aged 40–60 years tended to belong to Profile 2; caregivers of older patients with disease duration > 12 months and clinical stage II or III were more likely to belong to Profile 3. (3) There were significant differences in the total score of caregiving ability and the scores of each dimension among the different BF profiles (P < 0.001), and the caregiving abilities of Profile 1 and Profile 2 were higher than those of Profile 3.

Conclusions

There was heterogeneity in BF among informal caregivers of patients with lung cancer. Healthcare professionals can identify the key profiles of lung-cancer caregivers based on characteristics such as age, clinical stage, disease duration, and cocaregiver status and enhance their caregiving ability through targeted nursing guidance.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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