Latent profile analysis and influencing factors of body image among patients with head and neck cancer

doi:10.3761/j.issn.0254-1769.2025.02.013

Abstract

Abstract:

Objective To explore the potential profile of body image and its influencing factors among head and neck cancer patients. Methods Convenience sampling was employed to investigate 335 head and neck cancer patients in a tertiary hospital in Shandong Province from October 2023 to May 2024. Data was collected using the patient’s general information questionnaire，Body Image Scale，Medical Coping Modes Questionnaire，Perceived Social Support Scale，Comprehensive Score for Financial Toxicity based on the Patient-Reported Outcome Measures. Latent profile analysis and multivariate Logistic regression analysis were used to explore distinct profiles and influencing factor of body image in head and neck patients. Results A total of 335 valid questionnaires were collected in this study, and 95.4% of the valid questionnaires were included. Body image of patients with head and neck cancer could be divided into 3 latent profiles：body emotional stability（41.5%），body cognitive dissatisfaction（33.7%） and social behavior avoidance（24.8%）. Age，location of cancer onset，stage of cancer，surgical treatment，medical coping style（facing coping，yielding coping），social support and economic toxicity were the factors influencing the latent profiles of body image in patients with head and neck cancer（P<0.05）. Conclusion There is heterogeneity in body image of patients with head and neck cancer. Medical staff should implement targeted management strategies based on the influencing factors of different profiles to reduce the body image disorders in patients with head and neck cancer，and to promote patients to better return to society.

Key words: Head and Neck Neoplasms, Body Image, Latent Profile Analysis, Influencing Factors, Nursing Care

摘要：

目的探究头颈部肿瘤患者身体意象的潜在剖面并分析不同剖面的影响因素。方法便利选取2023年10月—2024年5月在山东省某三级甲等医院接受治疗的351例头颈部肿瘤患者作为调查对象，采用一般资料调查表、身体意象量表、医学应对方式量表、领悟社会支持量表、患者报告结局的经济毒性综合评分量表对其进行问卷调查。采用潜在剖面分析和多元Logistic回归分析头颈部肿瘤患者身体意象的潜在剖面及其影响因素。结果本研究共回收有效问卷335份，有效问卷回收率为95.4%。头颈部肿瘤患者身体意象可分为躯体情感稳定型（41.5%）、躯体认知不满型（33.7%）和社交行为回避型（24.8%）3个类别。年龄、肿瘤发病部位、疾病分期、是否接受手术治疗、医学应对方式（面对应对、屈服应对）、社会支持及经济负担是头颈部肿瘤患者身体意象潜在剖面的影响因素（均P<0.05）。结论头颈部肿瘤患者身体意象具有明显的群体异质性，医护人员可根据头颈部肿瘤患者身体意象不同剖面的类别特征及影响因素，制订精准化的护理干预措施，以减少头颈部肿瘤患者身体意象失调的发生与发展，促进其更好地回归社会。

关键词: 头颈部肿瘤, 身体意象, 潜在剖面分析, 影响因素, 护理

XU Ping, YAN Rong, ZHANG Miaomiao, LIU Wenhui, JIANG Kai. Latent profile analysis and influencing factors of body image among patients with head and neck cancer[J]. Chinese Journal of Nursing, 2025, 60(2): 215-222.

徐萍, 闫荣, 张淼淼, 柳文慧, 姜凯. 头颈部肿瘤患者身体意象潜在剖面分析及影响因素研究[J]. 中华护理杂志, 2025, 60(2): 215-222.

Figures/Tables 4

Table 1 General information and univariate analysis of potential profiles of body image among patients with head and neck cancer

Table 2 Model fitting results of potential profile analysis model for body image among patients with head and neck cancer（n=335）

Figure 1 The characteristic distribution of 3 potential profiles of body image among patients with head and neck cancer

Table 3 Multifactor analysis of potential profiles of body image among patients with head and neck cancer（n=335）

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