肺癌患者复发恐惧与应对行为的共同发展轨迹：平行过程潜在类增长分析

IF 2.8 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2025-05-19 DOI:10.1016/j.apjon.2025.100728

Yonglin Li , Yiyang Lin , Shuting Lin , Jialing Lin , Wei-Ti Chen , Feifei Huang

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引用次数: 0

摘要

目的探讨肺癌患者癌症复发恐惧（FCR）与应对行为的共同发展轨迹，并分析家庭心理韧性和生活质量（QOL）对各潜迹的影响。方法对310例肺癌患者在诊断后1、3、6、12个月（T1-T4）进行纵向观察。参与者完成了一套全面的问卷调查。平行过程潜类生长分析用于描述联合发育轨迹。结果发现3种联合发育轨迹：高fcr -差应对-突变组（28.4%,88/310）、中等fcr -中应对-稳定变化组（31.9%,99/310）和低fcr -好应对-稳定变化组（39.7%,123/310）。性别、居住地、教育程度和医疗保险是轨迹班级成员的预测因子。家庭弹性和生活质量在三个班级之间存在显著差异。结论应在特定时间点制定有针对性的干预措施，降低肺癌患者的FCR水平，增强患者的应对行为。讨论了解决和管理肺癌患者对癌症复发的恐惧和应对行为对提高其家庭复原力和生活质量的重要性。医疗保健提供者应特别关注男性肺癌患者、农村地区患者、本科以下学历患者和无医疗保险患者。

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Joint developmental trajectories of fear of recurrence and coping behaviors among patients with lung cancer: A parallel process latent class growth analysis

Objective

This study aimed to investigate the joint developmental trajectories of fear of cancer recurrence (FCR) and coping behaviors in patients with lung cancer and analyze the influences of family resilience and quality of life (QOL) on each latent trajectory.

Methods

Longitudinal observation data from 310 patients with lung cancer were evaluated at 1, 3, 6, and 12 months postdiagnosis (T₁-T₄). The participants completed a comprehensive set of questionnaires. Parallel-process latent class growth analysis was used to delineate the joint developmental trajectories.

Results

Three types of joint developmental trajectories were identified: the high FCR-poor coping-sudden change group (28.4%, 88/310), the moderate FCR-medium coping-stable change group (31.9%, 99/310), and the low FCR-good coping-stable change group (39.7%, 123/310). Gender, residential location, educational level, and medical insurance were predictors of trajectory class membership. There were significant differences in family resilience and QOL across the three classes.

Conclusions

Targeted interventions should be developed at specific time points to reduce FCR levels and enhance coping behaviors among patients with lung cancer. The importance of addressing and managing the fear of cancer recurrence and coping behaviors among patients with lung cancer to enhance their family resilience and QOL is discussed. Healthcare providers should be particularly attentive to patients with lung cancer who are males, those living in rural areas, those with less than a bachelor's degree, and those without medical insurance.

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