目的 探讨原发性肝癌术后患者创伤后成长(post-traumatic growth,PTG)类别的潜在剖面及其影响因素。方法 2021年1月至2024年3月，采用便利抽样法选取在赣州市某三级甲等医院接受手术治疗的原发性肝癌患者作为研究对象，使用简体中文版创伤后成长问卷和简易应对方式问卷等工具进行评估，并进行潜在剖面分析确定PTG类别。同时，收集患者的临床资料，进行单因素和多因素Logistic回归分析。结果 204例患者的PTG分类可分为3个潜在类别：消极成长型（20.59%）、中成长—低他人关系型（42.16%）、积极成长型（37.25%）。婚姻状况、文化程度、家庭人均月收入、肝癌病程、癌症分期、术后联合放化疗、应对方式、抑郁程度、家庭支持和社会支持水平均为患者PTG分类差异的独立影响因素（均P＜0.05）。结论 原发性肝癌术后患者的PTG分类呈现一定异质性；医护人员可根据这些分类细化护理策略，制订个性化干预措施，以提升患者的PTG水平。

Objective To explore the latent profile classification of post-traumatic growth (PTG) and its influencing factors in postoperative patients with primary liver cancer.Methods A convenience sampling method was used to select patients who underwent surgical treatment for primary liver cancer in a tertiary A hospital from January 2021 to March 2024.The Simplified Chinese Post-Traumatic Growth Inventory was administered,and latent profile analysis was performed to classify PTG categories.Clinical data were collected and analyzed using univariate and multivariate logistic regression.Results Among the 204 eligible patients,PTG was classified into three latent categories:low-growth (20.59%),moderate-growth with low interpersonal relations (42.16%),and high-growth (37.25%).Marital status,education level,monthly household income,disease duration,cancer stage,adjuvant therapy,coping style,depression level,family support,and social support were identified as independent influencing factors (P<0.05).Conclusions PTG classification in postoperative primary liver cancer patients exhibits heterogeneity,influenced by marital status,disease severity,and coping strategies.Medical staff should tailor interventions based on these profiles to enhance PTG levels.

R473.73

江西省卫生健康委科技计划（202212482