主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (2): 219-225.doi: 10.3969/j.issn.1672-1756.2025.02.012

• 论著 • 上一篇    下一篇

老年癌症化疗患者内在能力的潜在类别及影响因素研究

李思宇 朱凯丽 夏超 杨玲 段培蓓   

  1. 南京中医药大学附属医院肿瘤科,210029 南京市(李思宇,朱凯丽,夏超,杨玲);护理部(段培蓓)
  • 出版日期:2025-02-15 发布日期:2025-02-15
  • 通讯作者: 段培蓓,本科,主任护师,护理部主任,E-mail:yfy0033@njucm.edu.cn
  • 作者简介:李思宇,硕士在读
  • 基金资助:
    江苏省研究生科研与实践创新计划项目(SJCX24_0828); 江苏省中医药科技发展计划重点项目(ZD202005)

Latent class analysis and influencing factors of Intrinsic Capacity in elderly cancer patients undergoing chemotherapy

LI Siyu, ZHU Kaili, XIA Chao, YANG Ling, DUAN Peibei   

  1. Department of Oncology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, 210029, China
  • Online:2025-02-15 Published:2025-02-15
  • Contact: E-mail:yfy0033@njucm.edu.cn

摘要: 目的:分析老年癌症化疗患者内在能力的潜在类别及影响因素,为不同特征人群制定个性化干预措施提供参考依据。方法:采用方便抽样法,选取2023年9月至2024年6月江苏省某三级甲等医院330例老年癌症化疗患者为研究对象,采用一般资料调查表、健康素养评估量表、自我感知老化量表及内在能力评估工具进行问卷调查。对患者的内在能力进行潜在类别分析,并采用多元Logistic回归分析其影响因素。结果:老年癌症化疗患者内在能力分为3个潜在类别,分别是“内在能力相对较高”(22.15%)、“低感觉-低运动”(31.51%)、“低认知-低心理”(43.33%);多元Logistic回归分析显示,吸烟史、年龄、文化程度、化疗次数、健康素养、自我感知老化是内在能力潜在类别的影响因素(P<0.05)。结论:老年癌症化疗患者内在能力的衰退有明显的类别特征,医护人员应根据不同的影响因素制定有针对性、个性化的护理措施,以提高患者的内在能力水平。

关键词: 内在能力;健康素养;自我感知老化;潜在类别分析

Abstract: Objective: To analysis the latent categories of Intrinsic Capacity (IC) in elderly cancer patients undergoing chemotherapy, analyze the controllable influencing factors for each category, and provide targets for personalized intervention measures tailored to populations with distinct characteristics. Methods: A convenience sampling method was used to recruit 330 elderly cancer patients undergoing chemotherapy as research participants in a tertiary grade A hospital in Jiangsu province from September 2023 to June 2024. Questionnaire investigation was conducted using the General Information Questionnaire, Health Literacy Assessment Scale, Ageing Perceptions Questionnaire, and Intrinsic Capacity Assessment Tool. Latent categories of patients' IC were analyzed, and the influencing factors of latent categories of IC in elderly cancer patients undergoing chemotherapy were explored using multiple Logistic regression. Results: The IC of elderly cancer patients undergoing chemotherapy were divided into three latent categories, namely, "IC relatively high" (22.15%), "low sensory-low motion" (31.51%), and "low cognition-low psychological" (43.33%). Multiple Logistic regression analysis showed that smoking history, age, education level, number of chemotherapy, health literacy, and self-perceived aging were influencing factors of the latent class of IC (P<0.05). Conclusion: The decline of IC in elderly cancer patients undergoing chemotherapy has obvious category characteristics. Healthcare professionals should formulate targeted and personalized nursing measures according to the interventionable influencing factors of different groups to improve the IC level of patients.

Key words: Intrinsic Capacity; health literacy; self-perceived aging; latent class analysis

中图分类号:  R47;R197