Abstract:

Objective To explore the latent class in developmental trajectory of unmet needs of lung cancer patients during chemotherapy and the different characteristics of each potential category. Methods A total of 226 lung cancer patients were sampled from the oncology wards of 4 tertiary hospitals in Harbin and Xi’an from September 2019 to June 2020 using a convenient sampling method. The patients were followed up for 3 times,and the latent class growth model was used to analyze the data. Results 5 latent growth trajectories for unmet needs were identified,namely the high-needs rise group（11.5%）,the medium-needs stable group（32.3%）,the high-needs stable group（43.7%）,the low-needs rise group（6.6%）,and the high-needs decrease group（5.8%）. There were differences in demographic information,disease-related data,psychological factor and quality of life among the groups. Conclusion Clinical staff should make the individualized intervention according to the developmental trajectory of unmet needs of patients.

Key words: Lung Cancer, Unmet Needs, Latent Class Growth Model, Oncology Nursing

摘要：

目的 探讨肺癌化疗患者未满足需求发展轨迹的潜在类别,分析不同类别组的特征差异。 方法 2020年9月—2021年6月,采用便利抽样法选取哈尔滨市、西安市、北京市4所三级甲等医院住院化疗的肺癌患者226例,对其进行3次追踪调查,采用潜类别增长模型进行数据分析。 结果 获得5个潜类别轨迹组：高需求上升组（11.5%）、中需求平稳组（32.3%）、高需求平稳组（43.7%）、低需求上升组（6.6%）、高需求下降组（5.8%）,各组在人口学、疾病相关资料、心理因素以及生活质量方面具有差异性（P<0.05）。 结论 肺癌化疗患者未满足需求存在个体差异,护理人员应重视并实施动态评估,根据患者的不同特征及时给予针对性的支持护理。

关键词: 肺癌, 未满足需求, 潜类别增长模型, 肿瘤护理