目的 探讨胃癌患者健康促进生活方式的潜在类别及其特征，为临床制订针对性的健康教育方案提供参考。 方法 便利抽样选取郑州市某三级甲等医院230名胃癌术后患者，采用一般资料调查表、健康促进生活方式量表修订版进行调查。对胃癌患者健康促进生活方式进行潜在类别分析，并应用多元logistic回归探讨一般资料对类别的影响。 结果 胃癌患者健康促进生活方式分为良好健康促进组（48.7%）、强支持中能动组（37.4%）、低健康促进组（13.9%），一般资料中仅年龄、居住地、疾病了解程度、有无合并其他疾病是强支持中能动组或低健康促进组的影响因素（均P＜0.05）。 结论 胃癌患者健康促进生活方式存在异质性，可分为3种潜在类别，年龄＞60岁、农村居住、疾病了解不足、合并其他慢性病的胃癌患者更易归入低健康促进组。

Objective To explore the potential categories and characteristics of health-promoting lifestyle in patients with gastric cancer,and to provide a basis for the clinical development of targeted health education programs. Methods By convenience sampling method,230 postoperative patients with gastric cancer at a tertiary hospital in Zhengzhou were selected.General Information Questionnaire and Health-Promoting Lifestyle Profile Revised-Ⅱ were used for the investigation.Latent class analysis was used to explore the potential categories of health-promoting lifestyle in patients with gastric cancer.Multiple logistic regression was used to explore the influence of general Information on categories. Results The health-promoting lifestyle of gastric cancer patients was divided into good health-promoting type (48.7%),strong support and moderate active type(37.4%) and low health-promoting type (13.9%).From general information,age,place of residence,degree of disease understanding,and whether there were other diseases were the influencing factors of strong support and moderate active type or low health-promoting type(all P＜0.05). Conclusions There is heterogeneity in the health-promoting lifestyle of gastric cancer patients,which can be divided into three potential categories.Gastric cancer patients over 60 years old,living in rural areas,lacking disease understanding,and complicated with other chronic diseases are more likely to be classified as low health-promoting type.

R473.73

河南省科技厅项目（182102311192）；2021年度郑州市社科调研课题（zzsk0261）