| Objective To explore the profile of psychological resilience of breast cancer patients by using latent profile analysis(LPA),and to analyze the relationship between the profiles of psychological resilience and body image of breast cancer patients.It provides a theoretical basis for the later development of individualized psychological resilience intervention to improve the psychological resilience and body image level of breast cancer patients.Methods This study was a cross-sectional study,using a convenient sampling method,305 breast cancer patients in a 3A grade hospital in Anhui were investigated using the Sociodemographic and Medical Information Questionnaire,14 items Resiliency Scale(RS-14),Body Image after Breast Cancer Questionnaire(BIBCQ)and Chemotherapy Induced Alopecia Distress Scale(CADS).Data entry using Epi Date 3.1,Mplus7.0 a potential profile of psychological resilience,SPSS21.0 further analysis of the data.Results(1)The score of psychological resilience of breast cancer patients was(71.07±10.82),chemotherapy induced alopecia distress was(13.55±8.75),body image level was(149.78±24.62).(2)In addition to the physical sub-scale of the Chemotherapy Induced Alopecia Distress Scale,psychological resilience and chemotherapy induced alopecia distress in breast cancer patients and their dimensions(r=-0.559,-0.665,-0.408,-0.368,P all<0.001),body image levels and their dimensions(r=-0.691,-0.633,-0.197,-0.696,-0.554,-0.658,-0.419,P all<0.001)were negatively correlated.(3)Psychological resilience of breast cancer patients can be classified into three profiles:C1“low resilience-negative coping”group(18.9%),C2“medium resilience-positive regulation”group(46.9%),C3“high resilience-positive acceptance”group(34.2%).(4)There were significant differences in the demographic between the three profiles,Including age,education,employment,medical insurance,monthly income and location(F/x~2=9.866,58.347,58.741,27.281,33.461,P all<0.05).(5)In regard to body image and chemotherapy induced alopecia distress,there were significant differences between the three profiles(F=125.913,103.667,100.293,77.94,108.166,89.583,120.025,39.778,P all<0.05)and there was no significant difference between C2 and C3 for transparency,arm concerns,relationship and physical.(6)The total score of the psychological resilience scale between different psychological resilience profiles is coincident.Conclusion The psychological resilience of breast cancer patients is in the middle and lower level,and the body image is in the low level.The psychological resilience of breast cancer patients is divided into three profiles with different characteristics and different profiles are different levels of body image.The“low resilience-negative coping”group had the lowest body image level and bothered the most;the“medium resilience-positive regulation”group followed,and the“high resilience-positive acceptance”group was lighter.Medical staff should focus on breast cancer patients with younger age,low education,resignation,poor economic ability and remote residence,and pay attention to the group heterogeneity of psychological resilience of breast cancer patients,and formulate more targeted and individual intervention programs according to the specific characteristics of psychological resilience profiles of patients,so as to improve the intervention effect of psychological resilience of patients,and then promote the level of body image of patients. |
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