关键词: 肺癌, 家庭照顾者, 获益感, 潜在剖面分析, 影响因素分析, 心理护理, 肿瘤护理

Abstract:

Objective To explore the potential categories and characteristics of benefit finding in family caregivers of lung cancer patients，and to analyze the related influencing factors. Methods This was a cross-sectional study，and a convenient sampling method was used to select lung cancer patients and their family caregivers who were treated in a tertiary care hospital in Wuhan from September 2021 to August 2022. General demographic information questionnaire，Family Environment Scale（FES），Benefit Finding Scale（BFS），and General Self-Efficacy Scale（GSES） were conducted for investigation. Latent profile was analyzed using the categories of benefit finding，ordinal and multinomial Logistic regression analysis to identify the factors associated with the potential categories of benefit finding. Results According to the results of latent profile analysis，the benefit finding of family caregivers of lung cancer patients were classified into 3 categories，defined as low benefit finding-lack of perceived support group（n=170，65.13%），medium benefit finding-acceptance of reality group（n=73，27.97%），and high benefit finding-personal growth group（n=18，6.90%）. The result of ordinal and multinomial logistic regression analysis showed that work status of caregivers，tumor stage of patients，combined treatment status of patients，duration of diagnosis of patients，age of caregivers and the score of GSES were the influencing factors of the potential categories of benefit finding. Conclusion Family caregivers of lung cancer patients have obvious differences in characteristics by benefit finding. It is suggested that medical staff should adopt verbal persuasion，personalized psychological intervention，information support，positive incentive and other methods to focus on improving their self-efficacy and enhancing their benefit finding.

Key words: Lung Cancer, Family Caregiver, Benefit Finding, Latent Profile Analysis, Root Cause Analysis, Psychological Nursing, Oncologic Nursing