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肺癌病人癌症相关认知障碍潜在剖面分析及影响因素OA

Latent profile analysis and influencing factors of cancer-related cognitive impairment in lung cancer patients

中文摘要英文摘要

目的:探究肺癌病人认知功能的潜在剖面及影响因素.方法:选取2025年1月—8月在重庆市某三级甲等医院肿瘤科就诊的296例肺癌病人为调查对象,采用一般资料调查表、癌症治疗功能评估-认知功能量表、运动依从性量表、焦虑自评量表对其进行调查,运用潜在剖面分析探究癌症相关认知障碍的潜在剖面,采用单因素分析、无序多分类Logistic回归分析探究癌症认知障碍病人潜在剖面的影响因素.结果:癌症相关认知障碍病人可分为3个潜在剖面:高认知功能组(67.2%)、中等认知功能组(22.6%)、低认知功能组(10.1%).无序多分类 Logistic 回归结果显示,文化程度、肿瘤分期、年龄、运动依从性、焦虑是肺癌病人认知功能潜在剖面的影响因素(均P<0.05).结论:肺癌病人癌症相关认知障碍存在群体异质性,提示医护人员可根据不同类别肺癌病人认知功能水平的影响因素,制定更具针对性的干预措施.

Objective:To explore the latent profiles of cognitive function in lung cancer patients and their influencing factors.Methods:A total of 296 lung cancer patients who visited the oncology department of a tertiary grade A hospital in Chongqing from January to August 2025 were selected as the survey subjects.General information questionnaire,Functional Assessment of Cancer Therapy-Cognitive Function Scale,Exercise Adherence Scale,and Self-Rating Anxiety Scale were used for investigation.Latent profile analysis was employed to explore the latent profiles of cancer-related cognitive impairment,while univariate analysis and multinomial Logistic regression analysis were used to investigate the influencing factors of latent profiles in cancer-related cognitive impairment patients.Results:Cancer-related cognitive impairment patients could be classified into three latent profiles:high cognitive function group(67.2%),moderate cognitive function group(22.6%),and low cognitive function group(10.1%).Multinomial Logistic regression results showed that educational level,tumor stage,age,exercise adherence,and anxiety were influencing factors of latent profiles of cognitive function in lung cancer patients(all P<0.05).Conclusions:Cancer-related cognitive function in lung cancer patients exhibits group heterogeneity.It suggests that healthcare professionals should develop more targeted intervention measures based on the influencing factors of different categories of lung cancer patients'cognitive function levels.

朱晓菊;罗思熊;付海炜;关伟;王宗华

中国人民解放军陆军军医大学,重庆 400038||中国人民解放军陆军军医大学大坪医院中国人民解放军陆军军医大学,重庆 400038||重庆市护士学校中国人民解放军陆军军医大学,重庆 400038中国人民解放军陆军军医大学大坪医院中国人民解放军陆军军医大学,重庆 400038

肺癌认知功能癌症相关认知障碍潜在剖面分析影响因素肿瘤护理

lung cancercognitive functioncancer-related cognitive impairmentlatent profile analysisinfluencing factorsoncology nursing

《护理研究》 2026 (9)

1488-1494,7

重庆市科卫联合医学科研项目,编号:2022MSXM116

10.12102/j.issn.1009-6493.2026.09.008

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