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

摘要：

目的 探究肺癌患者家庭照顾者获益感的潜在类别及其特征差异，分析相关影响因素，提出护理对策。 方法 该研究为横断面研究，采用便利抽样法选取2021年9月—2022年8月在武汉市某三级甲等医院治疗的肺癌患者及其家庭照顾者作为调查对象。使用一般资料调查表、家庭环境量表、疾病获益感量表修订版、一般自我效能感量表进行调查。使用潜在剖面分析探索肺癌患者家庭照顾者获益感的潜在类别，采用有序多分类Logistic回归分析探讨相关影响因素。 结果 共纳入261名肺癌患者家庭照顾者，其获益感分为3个类别，分别命名为“低获益-感知支持缺乏组”（n=170，65.13%）、“中等获益-接受现实组”（n=73，27.97%）和“高获益-个人成长组”（n=18，6.90%）。有序多分类Logistic回归分析结果显示，家庭照顾者有无工作、患者的疾病分期、患者是否采用联合治疗、患者确诊时长、家庭照顾者的年龄、家庭照顾者的一般自我效能感量表得分是肺癌患者家庭照顾者获益感的影响因素。 结论 肺癌患者家庭照顾者的获益感存在明显的分类特征，建议护理人员采取个性化心理干预、信息支持、正向激励等方法，着重提高其自我效能，提升其获益感。

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