Minor children parenting concerns in young and middle-aged breast cancer patients:a study on influencing factors based on random forest model
10.3969/j.issn.1671-8283.2025.02.001
- VernacularTitle:基于随机森林模型的中青年乳腺癌患者未成年子女养育忧虑及其影响因素
- Author:
Yifen SONG
1
;
Xianglian SUN
;
Chen LIU
;
Jinlei ZHANG
;
Xiaoxiao YIN
;
Yaqing ZHANG
;
Weihui JIA
;
Chonggao YIN
Author Information
1. 山东第二医科大学护理学院,山东 潍坊,261053
- Publication Type:Journal Article
- Keywords:
breast cancer;
parenting concerns;
social support;
concern about cancer recurrence;
disease perception;
random forest model;
least absolute shrinkage and selection operator;
cross-sectional studies
- From:
Modern Clinical Nursing
2025;24(2):1-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the current status of minor children parenting concerns among young and middle-aged breast cancer patients and investigate the influencing factors based on a random forest model so as to provide references for clinical interventions.Methods A convenience sampling method was used to select breast cancer patients undergoing treatment in our hospital between April and December 2023.A self-designed general information questionnaire,the Chinese version of parenting concerns questionnaire(PCQ),perceived social support scale(PSSS),concern about recurrence scale(CARS),and the brief illness perception questionnaire(BIPQ)were used for the study.A random forest model and the least absolute shrinkage and selection operator(LASSO)were employed to prioritise variables and filtered by significance.The selected variables were then incorporated into the multiple linear regression analysis.Results A total of 260 patients completed the study.The score of minor children parenting concerns of young and middle-aged breast cancer patients was 51.1±6.4.The multiple linear regression analysis,which included variables determined by random forest and LASSO regression(and sorted by the importance of influencing factors),showed that higher disease perception,lower perceived social support,greater concern about cancer recurrence,stage IV tumors,being divorced/widowed,and having more minor children were associated with higher parenting concerns among young and middle-aged breast cancer patients(all P<0.05),accounting for 57.0%of the total variance.Conclusion The minor children parenting concerns in young and middle-aged breast cancer patients are at a moderately high level and are influenced by a variety of factors.Healthcare professionals should develop targeted measures and interventions to reduce the parenting concerns among the patients.
