目的 探索肺癌患者失志综合征现状,并分析不同剖面类别的影响因素。 方法 便利抽样法连续纳入安徽医科大学 第一附属医院 2023 年 4 月至 2024 年 4 月诊治的 150 例肺癌患者作为研究对象,采用基本信息调查表、失志量表及家庭关怀 度指数问卷对其进行问卷调查。 对肺癌患者失志综合征特征进行潜在剖面分析,并通过 Logistic 回归分析探讨失志综合征潜 在剖面的影响因素。 结果 共回收有效问卷 150 份。 年龄(61. 09±9. 42)岁,其中男性 112 例,占比 74. 677%,女性 38 例,占比 25. 33%。 将肺癌患者失志综合征分为高失志组、中失志组及低失志组 3 个潜在剖面类别。 肺癌患者归属于各个潜在剖面的 平均概率分别为 0. 964、0. 950,0. 964。 单因素分析结果显示:家庭收入水平、居住地、存在共病、家庭功能及体质指数对肺癌 患者失志综合征分组差异具有统计学意义(P<0. 05)。 结论 肺癌患者失志综合征存在异质性,且受家庭收入水平、居住地、存 在共病、家庭功能及体质指数等因素的影响。 临床工作人员应辨别不同类别患者的特征,针对肺癌高失志组患者积极采用应 对措施,尽可能降低其失志状况,减少因失志引起的心理痛苦、厌世轻生等连锁反应的发生。

Objective To explore the status of demoralization in lung cancer patients and analyze the influencing factors of different profile categories. Method A total of 150 lung cancer patients diagnosed and treated in the First Affiliated Hospital of Anhui Medical University from April 2023 to September 2024 were continuously included as the research subjects by the convenience sampling method. They were surveyed by using the basic information questionnaire the disorientation scale and the family care index questionnaire. The latent profile analysis of the characteristics of demoralization syndrome in lung cancer patients was conducted and the influencing factors of the latent profile analysis of demoralization syndrome were explored through single - factor combined with Logistic regression analysis. Result 150 valid questionnaires were collected. The average age was 61. 09±9. 42 years including 112 males 74. 67% and 38 females 25. 33% . The demoralization of lung cancer patients was divided into three latent profile analysis categories high desensitization group medium desensitization group and low desensitization group. The average probability of lung cancer patients belonging to each latent profile analysis was 0. 964 0. 950 0. 964 respectively. Univariate analysis showed that family income level place of residence presence of comorbidities family function and body mass index had statistically significant differences in the groups of lung cancer patients with demoralization P < 0. 05 . Conclusion There is heterogeneity of demoralization in lung cancer patients and it is affected by family income level place of residence comorbidities family function and body mass index. Clinical staff should identify the characteristics of different categories of patients and actively adopt countermeasures for patients with high desensitization of lung cancer so as to reduce their desensitization status as much as possible and reduce the occurrence of chain reactions such as psychological pain and life-weariness caused by desensitization.