Potential profile analysis and influencing factors of spousal psychological reaction in young and middle-aged patients with breast cancer
10.3760/cma.j.cn211501-20240903-02407
- VernacularTitle:中青年乳腺癌患者配偶心理反应的潜在剖面分析及影响因素研究
- Author:
Weilian JIANG
1
;
Xiaoyan LIANG
;
Xinmeng HAN
;
Yuanfang WU
;
Lipeng HUANG
;
Xuelei CHEN
Author Information
1. 桂林医学院第二附属医院消毒供应室，桂林 541199
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Social support;
Spouses;
Young and middle-aged;
Psychological reaction;
Perceived partner responsiveness;
Latent profile
- From:
Chinese Journal of Practical Nursing
2025;41(27):2111-2118
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore different types of psychological reactions of spouses of young and middle-aged breast cancer patients and their influencing factors based on potential profile analysis, so as to provide reference for targeted intervention in clinical practice.Methods:A cross-sectional investigation method was used to select the spouses of middle-aged and young patients with breast cancer who were hospitalized in the Second Affiliated Hospital of Guilin Medical University, Quanzhou County People's Hospital, and Bobai County People's Hospital from January 2023 to June 2024. General Data Questionnaire, Spousal Psychological Response Scale of Breast Cancer Patients, Perceived Partner Responsiveness Scale and Perceptive Social Support Scale were used to investigate. The potential profile analysis of spousal psychological reaction of young and middle-aged breast cancer patients was carried out, and the influencing factors of different categories were analyzed by ordered multiple Logistic regression.Results:A total of 232 questionnaires were distributed, and 211 valid questionnaires were collected, with an effective response rate of 91.0%.The spouses of 211 middle-aged and young patients with breast cancer were 30-59 (43.25 ± 2.58) years old. The total psychological response score was (69.96 ± 8.36). The low psychological response high coping group accounted for 24.6% (52/211), the moderate psychological response group accounted for 33.2% (70/211), and the high psychological response low coping group accounted for 42.2% (89/211). The results of ordered multiple Logistic regression analysis showed that cumulative care time, tumor stage of patients, perceived partner responsiveness, and perceived social support were the influencing factors of potential categories of psychological responses of spouses of young and middle-aged breast cancer patients ( OR values were 0.014-0.304, all P<0.05). Conclusions:There is heterogeneity in the psychological reactions of spouses of young and middle-aged breast cancer patients. According to the characteristics of the classification, the nursing staff should formulate targeted intervention strategies, focusing on improving the perceived partner responsiveness, establishing an effective social support system, and reducing the level of psychological response.
