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子宫内膜癌病人创伤后成长潜在类别分析OA

Latent class analysis of post-traumatic growth in patients with endometrial cancer

中文摘要英文摘要

目的:探讨子宫内膜癌(EC)病人创伤后成长的潜在类别,并分析不同类别的影响因素.方法:采用便利抽样法,选取2022年6月—2024年6月于我院住院治疗的263例子宫内膜癌病人作为研究对象.使用一般资料调查表、创伤后成长量表(PTGI)、简体中文版事件相关反刍性沉思问卷(C-ERRI)、9项病人健康问卷(PHQ-9)进行调查.采用潜在类别分析识别子宫内膜癌病人创伤后成长类别,采用Logistic回归分析探讨不同类别子宫内膜癌病人创伤后成长的影响因素.结果:子宫内膜癌病人创伤后成长分为消极应对型、心理平稳型及积极成长型.Logistic回归分析结果显示,体质指数、目的性反刍性沉思水平、抑郁症状是子宫内膜癌病人不同类别创伤后成长的影响因素.结论:子宫内膜癌病人创伤后成长整体处于中等水平,且存在明显个体差异.临床工作者应依据不同类别特征开展分层干预,以优化病人心理结局.

Objective:To explore the latent classes of post-traumatic growth in patients with endometrial cancer,and to analyze the influencing factors of different categories.Methods:Convenience sampling method was used to select 263 patients with endometrial cancer hospitalized from June 2022 to June 2024 in our hospital.The General Information Questionnaire,Posttraumatic Growth Inventory(PTGI),Chinese version of Event Related Rumination Inventory(C-ERRI),Patient Health Questionnaire-9(PHQ-9)were used to investigate.Latent class analysis was used to identify categories of post-traumatic growth in patients with endometrial cancer.Logistic regression was used to analyze the influencing factors of posttraumatic growth in patients with different categories of endometrial cancer.Results:The post-traumatic growth of endometrial cancer were characterized by negative coping,psychological smoothness,and positive growth.Logistic regression analyses results showed that BMI,level of purposeful rumination,and depressive symptoms were the influencing factors of post-traumatic growth in patients with different categories of endometrial cancer.Conclusions:Clinical staff should carry out stratified interventions based on different category characteristics to optimize patient psychological outcomes.Clinical staff should implement precise management of patients based on the influencing factors of different categories of post-traumatic growth,combine with the specificity of post-traumatic growth patterns,improve mental health outcomes of patients.

董娜;董仙萍;刘英杰;厉昕妤

唐山市妇幼保健院,河北 063003唐山市妇幼保健院,河北 063003唐山市妇幼保健院,河北 063003唐山市妇幼保健院,河北 063003

子宫内膜癌创伤后成长反刍性沉思抑郁潜在类别分析

endometrial cancerpost-traumatic growthruminationdepressionlatent class analysis

《护理研究》 2026 (11)

1868-1874,7

河北省卫生厅科研基金项目,编号:20231037

10.12102/j.issn.1009-6493.2026.11.008

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