Volume 22 Issue 2
Feb.  2024
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ZHANG Yanfang, DING Jing, YU Yuanyuan, JIANG Nannan, ZHAO Long, YANG Xiumu. To analyze the coping style classification and its influencing factors of breast cancer patients undergoing chemotherapy after surgery based on latent profile analysis[J]. Chinese Journal of General Practice, 2024, 22(2): 326-330. doi: 10.16766/j.cnki.issn.1674-4152.003395
Citation: ZHANG Yanfang, DING Jing, YU Yuanyuan, JIANG Nannan, ZHAO Long, YANG Xiumu. To analyze the coping style classification and its influencing factors of breast cancer patients undergoing chemotherapy after surgery based on latent profile analysis[J]. Chinese Journal of General Practice, 2024, 22(2): 326-330. doi: 10.16766/j.cnki.issn.1674-4152.003395

To analyze the coping style classification and its influencing factors of breast cancer patients undergoing chemotherapy after surgery based on latent profile analysis

doi: 10.16766/j.cnki.issn.1674-4152.003395
Funds:

 SK2019A0193

 2021byzd240sk

 2020byzd214sk

 bydc2023075

  • Received Date: 2023-10-11
    Available Online: 2024-03-27
  •   Objective  To analyze the potential categories of coping styles among breast cancer patients and explore the factors that influence them.  Methods  A total of 601 breast cancer patients from three hospitals in Anhui Province were selected as research participants between September 2021 and May 2022. Questionnaire investigations were conducted using the simple coping questionnaire, perceived stress scale, and perceived social support scale.  Results  The coping style of breast cancer patients undergoing postoperative chemotherapy were divided into three categories: the "negative group" (C1), the "positive group" (C2) and the "high positive-high negative group" (C3). Significant differences were observed in the average monthly income, residence, perceived stress, and perceived social support scores among the different categories of breast cancer patients with postoperative chemotherapy (P < 0.05). Compared with the active group, the "negative group" was less likely to have perceived social support (OR=0.957, P < 0.001), and higher levels of perceived stress (OR=1.069, P < 0.01) were associated with a greater likelihood of being in the "negative group". Living in a rural area (OR=1.510, P < 0.05) increased the likelihood of being in the "high positive-high negative group", and higher levels of perceived stress (OR=1.097, P < 0.001) were associated with a higher likelihood of being in the "high positive-high negative group". Compared with the "negative group", higher levels of perceived social support (OR=1.043, P < 0.001) were associated with a higher likelihood of being in the "high positive-high negative group", while a monthly income less than 3 000 yuan (OR=0.431, P < 0.05) decreased the likelihood of being in the high positive-high negative group.  Conclusion  This study categorizes coping styles in breast cancer patients undergoing chemotherapy into three potential categories. Based on these findings, professional nursing staff and health educators can provide personalized psychological intervention to the specific coping styles of individuals.

     

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  • [1]
    陈茂山, 吕青. 《基于人口登记数据2000—2020年全球乳腺癌发病和死亡率分析》要点解读[J]. 中国胸心血管外科临床杂志, 2022, 29(4): 401-406. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXYX202204001.htm

    CHEN M S, LYU Q. Interpretation of the global patterns of breast cancer incidence and mortality: a population-based cancer registry data analysis from 2000 to 2020[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(4): 401-406. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXYX202204001.htm
    [2]
    中国抗癌协会乳腺癌专业委员会. 中国抗癌协会乳腺癌诊治指南与规范(2021年版)[J]. 中国癌症杂志, 2021, 31(10): 954-1040. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGAZ202312004.htm

    Breast Cancer Committee of Chinese anti-Cancer Association. Chinese anti-Cancer Association guidelines and specifications for the diagnosis and treatment of breast cancer (2021 edition)[J]. China Oncology, 2021, 31(10): 954-1040. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGAZ202312004.htm
    [3]
    ALLEMANI C, MATSUDA T, DI C V, et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37513025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries[J]. Lancet, 2018, 39(1): 1023-1075.
    [4]
    沈傲梅, 强万敏, 唐磊, 等. 过渡期青年乳腺癌生存者真实体验的质性研究[J]. 中国实用护理杂志, 2020, 36(23): 1809-1813. doi: 10.3760/cma.j.cn211501-20200225-00619

    SHEN A M, QIANG W M, TANG L, et al. Qualitative research on expriences of young breast cancer survivors during the transition period[J]. Chinese Journal of Practical Nursing, 2020, 36(23): 1809-1813. doi: 10.3760/cma.j.cn211501-20200225-00619
    [5]
    解亚宁. 简易应对方式量表信度和效度的初步研究[J]. 中国临床心理学杂志, 1998, 6(2): 114-115. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY802.017.htm

    XIE Y N. Preliminary study on the reliability and validity of simple coping measures[J]. Chinese Journal of Clinical Psychology, 1998, 6(2): 114-115. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY802.017.htm
    [6]
    KRASNE M, RUDDY K J, POORVU P D, et al. Coping strategies and anxiety in young breast cancer survivors[J]. Support Care Cancer, 2022, 30(11): 9109-9116. doi: 10.1007/s00520-022-07325-7
    [7]
    GALL T L, BILODEAU C. Attachment to god and coping with the diagnosis and treatment of breast cancer: a longitudinal study[J]. Support Care Cancer, 2020, 28(6): 2779-2788. doi: 10.1007/s00520-019-05149-6
    [8]
    常利, 张洁, 王雁, 等. 综合护理干预对乳腺癌改良根治术后病人病耻感及应对方式的影响[J]. 护理研究, 2019, 33(16): 2793-2797. doi: 10.12102/j.issn.1009-6493.2019.16.013

    CHANG L, ZHANG J, WANG Y, et al. Effect of comprehensive nursing intervention on postoperative stigma and coping style of patients with modified radical mastectomy for breast cancer[J]. Chinese Nursing Research, 2019, 33(16): 2793-2797. doi: 10.12102/j.issn.1009-6493.2019.16.013
    [9]
    秦娜娜, 桑文凤, 张全英, 等. 应对方式在中青年冠心病患者知觉压力与睡眠质量间的中介效应[J]. 中华护理教育, 2021, 18(12): 1079-1083. doi: 10.3761/j.issn.1672-9234.2021.12.004

    QIN N N, SANG W F, ZHANG Q Y, et al. The mediating effect of coping style between perceived stress and sleep quality in young and middle-aged patients with coronary heart disease[J]. Chinese Journal of Nursing Education, 2021, 18(12): 1079-1083. doi: 10.3761/j.issn.1672-9234.2021.12.004
    [10]
    伏饶. 慢性心力衰竭患者主要照顾者照顾负担、社会支持及应对方式的相关性研究[D]. 扬州: 扬州大学, 2022.

    FU R. Correlation study of primary caregiver care burden, social support, and coping style in patients with chronic heart failure[D]. Yangzhou: Yangzhou University, 2022.
    [11]
    段素伟, 乔凌芳, 张爱萍, 等. 二元应对干预对乳腺癌术后患者及配偶的影响[J]. 护理学杂志, 2022, 37(4): 71-74. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202204019.htm

    DUAN S W, QIAO L F, ZHANG A P, et al. Effects of dyadic coping intervention on breast cancer patients and their spouses[J]. Journal of Nursing Science, 2022, 37(4): 71-74. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202204019.htm
    [12]
    CONDON S E, ROESCH S C, CLEMENTS P J, et al. Coping profiles and health outcomes among individuals with systemic sclerosis: a latent profile analysis approach[J]. J Scleroderma Relat Disord, 2020, 5(3): 231-236. doi: 10.1177/2397198320930138
    [13]
    KAV I T, AVSEC A, KOCJAN G Z. Coping profiles and their association with psychological functioning: a latent profile analysis of coping strategies during the COVID-19 pandemic[J]. Pers Individ Dif, 2021, 185: 111287. DOI: 10.1016/j.paid.2021.111287.
    [14]
    PÉTÉ E, LEPRINCE C, LIENHART N, et al. Dealing with the impact of the COVID-19 outbreak: are some athletes ' coping profiles more adaptive than others?[J]. Eur J Sport Sci, 2022, 22(2): 237-247. doi: 10.1080/17461391.2021.1873422
    [15]
    杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003(9): 11-15. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200309006.htm

    YANG T Z, HUANG H T. An epidemiological study on stress among urban residents in social transition period[J]. Chinese Journal of Epidemiology, 2003(9): 11-15. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200309006.htm
    [16]
    BLUMENTHAL J A, BURG M M, BAREFOOT J, et al. Social support, type A behavior, and coronary artery disease[J]. Psychosomatic Medicine, 1987, 49(4): 331-340.
    [17]
    LI L, LI S, WANG Y, et al. Coping profiles differentiate psychological adjustment in Chinese women newly diagnosed with breast cancer[J]. Integr Cancer Ther, 2017, 16(2): 196-204.
    [18]
    SARASON B R, PIERCE G R, SHEARIN E N, et al. Perceived social support and working models of self and actual others[J]. J Personal Soci Psychol, 1991, 60(2): 273-287.
    [19]
    周薇, 马松翠, 程梅, 等. 精神分裂症病人家庭照顾者领悟社会支持与焦虑的关系以及应对方式的中介作用[J]. 护理研究, 2021, 35(12): 2090-2095. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202112005.htm

    ZHOU W, MA S C, CHENG M, et al. Relationship between perceived social support and anxiety among family caregivers of patients with schizophrenia: the mediating role of coping styles[J]. Chinese Nursing Research, 2021, 35(12): 2090-2095. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202112005.htm
    [20]
    GUO Y Q, JU Q M, YOU M, et al. A qualitative study on coping strategies of Chinese women with metastatic breast cancer undergoing chemotherapy[J]. Front Psychol, 2022, 13: 841963. DOI: 10.3389/fpsyg.2022.841963.
    [21]
    王灿, 陈旭, 米国琳, 等. 山东省18岁以上人群应对方式及影响因素现况调查[J]. 中国心理卫生杂志, 2020, 34(5): 451-457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202005011.htm

    WANG C, CHEN X, MI G L, et al. A cross-sectional study on coping styles and related factors among people over 18 years old in Shandong province[J]. Chinese Mental Health Journal, 2020, 34(5): 451-457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202005011.htm
    [22]
    李春梅, 胡爱玲. 脊髓损伤患者压力应对方式及其影响因素的研究[J]. 解放军护理杂志, 2017, 34(8): 1-9. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201708001.htm

    LI C M, HU A L. The study of stress coping styles and its influencing factors of spinal injury patients[J]. Nursing Journal of Chinese People's Liberation Army, 2017, 34(8): 1-9. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201708001.htm
    [23]
    袁方, 林梦月, 刘永珍, 等. 前列腺癌患者经济负担现状及影响因素分析[J]. 中华护理杂志, 2022, 57(8): 918-925. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202208004.htm

    YUAN F, LIN M Y, LIU Y Z, et al. The analysis of the financial toxicity and its influencing factors in prostate cancer patients[J]. Chinese Journal of Nursing, 2022, 57(8): 918-925. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202208004.htm
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