慢性病患者疾病获益感纵向变化轨迹的研究进展
Research Progress on Longitudinal Trajectory of Benefit Finding in Patients with Chronic Diseases
DOI: 10.12677/ns.2025.1411299, PDF,   
作者: 刘蓉蓉:深圳大学医学部护理学院,广东 深圳;遵义医科大学珠海校区护理学院,广东 珠海;孙丽媛*:深圳大学医学部护理学院,广东 深圳
关键词: 慢性病疾病获益感纵向研究综述Chronic Disease Benefit Finding Longitudinal Study Review
摘要: 本研究系统梳理了慢性病患者疾病获益感(BF)的核心概念与临床意义,重点剖析纵向研究中研究对象特征、资料分析方法、测量时间点设计及变化趋势的现有成果。通过整合国内外文献发现,BF作为积极心理适应过程,其动态变化受到多种因素的影响且呈现多样化轨迹。研究旨在为后续纵向研究的方法论优化及临床干预策略的精准制定提供理论依据,同时指出现有研究在样本异质性、时间点理论支撑及混合研究方法应用方面的不足。
Abstract: This study systematically sorted out the core concept and clinical significance of Benefit Finding (BF) in patients with chronic diseases, focusing on analyzing the existing results of the characteristics of study objects, data analysis methods, measurement time point design and change trends in longitudinal studies. Through integrating domestic and foreign literature, it is found that BF, as a positive psychological adaptation process, its dynamic changes are affected by multiple factors and present diverse trajectories. The study aims to provide a theoretical basis for methodological optimization of subsequent longitudinal studies and accurate formulation of clinical intervention strategies, and also points out the shortcomings of existing studies in terms of sample heterogeneity, theoretical support at time points, and application of mixed research methods.
文章引用:刘蓉蓉, 孙丽媛. 慢性病患者疾病获益感纵向变化轨迹的研究进展[J]. 护理学, 2025, 14(11): 2250-2256. https://doi.org/10.12677/ns.2025.1411299

参考文献

[1] 国家统计局. 中国统计年鉴2023年[M]. 北京: 中国统计出版社, 2023.
[2] Tsai, M.H., Wu, Y.H. and Bevel, M.S. (2023) The Relationship of Chronic Disease Conditions to Mental and Physical Health among Cancer Survivors. Supportive Care in Cancer, 31, Article No. 364. [Google Scholar] [CrossRef] [PubMed]
[3] 岳雪洁, 许翠萍, 张静, 等. 慢性病患者照顾者生活质量和负担质性研究的Meta整合[J]. 齐鲁护理杂志, 2024, 30(20): 83-86.
[4] Qian, Y., Zheng, L. and Li, J. (2024) Benefit Finding and Its Influencing Factors in Patients with Thyroid Cancer: A Retrospective Study. Asia-Pacific Journal of Oncology Nursing, 11, Article ID: 100584. [Google Scholar] [CrossRef] [PubMed]
[5] Sheikh-Wu, S.F., Anglade, D., Gattamorta, K. and Downs, C.A. (2023) Relationships between Colorectal Cancer Survivors’ Positive Psychology, Symptoms, and Quality of Life. Clinical Nursing Research, 32, 171-184. [Google Scholar] [CrossRef] [PubMed]
[6] 彭琳, 张秀霞. 疾病获益感在慢性病管理中的研究进展[J]. 职业与健康, 2023, 39(18): 2573-2578.
[7] Van Laere, E., Vanderhaegen, J., Prikken, S., Lemiere, J., Uyttebroeck, A. and Luyckx, K. (2025) Longitudinal Dyadic Associations in Benefit Finding and in Fear of Cancer Recurrence between Childhood Cancer Survivors and Their Parents: Examining Actor and Partner Effects. Psycho-Oncology, 34, e70113. [Google Scholar] [CrossRef] [PubMed]
[8] Affleck, G. and Tennen, H. (1996) Construing Benefits from Adversity: Adaptotional Significance and Disposltional Underpinnings. Journal of Personality, 64, 899-922. [Google Scholar] [CrossRef] [PubMed]
[9] 李志为, 刘谆谆, 张兰凤. 早期结直肠癌患者疾病获益感现状及其影响因素分析[J]. 中国全科医学, 2020, 23(35): 4459-4464.
[10] 谭健烽, 王永存, 郑秀莹, 等. 乳腺癌青年患者康复心理体验与益处发现的质性研究[J]. 护理学报, 2023, 30(23): 73-78.
[11] 陈泽霖, 谭卫华, 郑立羽. 重新发现“意义”: 生命历程视野的临终关怀[J]. 医学与哲学, 2021, 42(1): 29-33.
[12] Liu, Z., Thong, M.S.Y., Doege, D., Koch-Gallenkamp, L., Weisser, L., Bertram, H., et al. (2023) Benefit Finding, Posttraumatic Growth and Health-Related Quality of Life in Long-Term Cancer Survivors: A Prospective Population-Based Study. Acta Oncologica, 62, 1124-1131. [Google Scholar] [CrossRef] [PubMed]
[13] Rankin, K., Le, D. and Sweeny, K. (2020) Preemptively Finding Benefit in a Breast Cancer Diagnosis. Psychology & Health, 35, 613-628. [Google Scholar] [CrossRef] [PubMed]
[14] Negri, L., Bassi, M., Accardi, R. and Delle Fave, A. (2023) Post-Traumatic Stress Symptoms and Benefit Finding: A Longitudinal Study among Italian Health Workers during the COVID-19 Pandemic. Social Psychiatry and Psychiatric Epidemiology, 58, 1549-1559. [Google Scholar] [CrossRef] [PubMed]
[15] 龚艳琳, 郜欣悦, 陈静, 等. 维持性血液透析患者益处发现体验的质性研究[J]. 中华护理杂志, 2024, 59(2): 164-169.
[16] 高淑平, 凡颖, 邢利民, 等. 慢性阻塞性肺疾病患者疾病获益感分型及影响因素研究[J]. 护理学杂志, 2023, 38(14): 86-91.
[17] St Fleur, R.G., Ream, M., Walsh, E.A. and Antoni, M.H. (2025) Cognitive Behavioral Stress Management Affects Different Dimensions of Benefit Finding in Breast Cancer Survivors: A Multilevel Mediation Model. Psychology & Health, 40, 47-66. [Google Scholar] [CrossRef] [PubMed]
[18] 张转转, 李霞, 王哲, 等. 宫颈癌患者及其配偶疾病获益感的影响因素及路径分析[J]. 中华护理杂志, 2024, 59(18): 2214-2221.
[19] Zimmaro, L.A., Deng, M., Handorf, E., Fang, C.Y., Denlinger, C.S. and Reese, J.B. (2020) Understanding Benefit Finding among Patients with Colorectal Cancer: A Longitudinal Study. Supportive Care in Cancer, 29, 2355-2362. [Google Scholar] [CrossRef] [PubMed]
[20] Sanjuán, P., García-Zamora, C., Ruiz, M.Á., Rueda, B., Arranz, H. and Castro, A. (2016) Benefit Finding in Cardiac Patients: Relationships with Emotional Well-Being and Resources after Controlling for Physical Functional Impairment. The Spanish Journal of Psychology, 19, E50. [Google Scholar] [CrossRef] [PubMed]
[21] Rassart, J., Luyckx, K., Berg, C.A., Oris, L. and Wiebe, D.J. (2017) Longitudinal Trajectories of Benefit Finding in Adolescents with Type 1 Diabetes. Health Psychology, 36, 977-986. [Google Scholar] [CrossRef] [PubMed]
[22] de Vries, A.M., Helgeson, V.S., Schulz, T., Almansa, J., Westerhuis, R., Niesing, J., et al. (2018) Benefit Finding in Renal Transplantation and Its Association with Psychological and Clinical Correlates: A Prospective Study. British Journal of Health Psychology, 24, 175-191. [Google Scholar] [CrossRef] [PubMed]
[23] 李兢兢. 先天性心脏病手术患儿照顾者获益感及其影响因素的纵向研究[D]: [硕士学位论文]. 大连: 大连医科大学, 2021.
[24] Prikken, S., Raymaekers, K., Lemiere, J., Vercruysse, T., Uyttebroeck, A. and Luyckx, K. (2022) Worries and Benefit Finding in Cancer Survivors and Parents: A Longitudinal Study. Journal of Pediatric Psychology, 47, 641-651. [Google Scholar] [CrossRef] [PubMed]
[25] Karavasileiadou, S., Almegewly, W., Alanazi, A., Alyami, H. and Chatzimichailidou, S. (2022) Self-Management and Self-Efficacy of Women with Gestational Diabetes Mellitus: A Systematic Review. Global Health Action, 15, Article ID: 2087298. [Google Scholar] [CrossRef] [PubMed]
[26] Cheng, S.T., Chan, W.C. and Lam, L.C.W. (2019) Long-Term Outcomes of the Benefit-Finding Group Intervention for Alzheimer Family Caregivers: A Cluster-Randomized Double-Blind Controlled Trial. The American Journal of Geriatric Psychiatry, 27, 984-994. [Google Scholar] [CrossRef] [PubMed]
[27] Bi, W., Wang, H., Yang, G. and Zhu, C. (2021) A Longitudinal Cohort Study on Benefit Finding Evolution in Chinese Women Breast Cancer Survivals. Scientific Reports, 11, Article 20640. [Google Scholar] [CrossRef] [PubMed]
[28] Herts, K.L., Jorge-Miller, A., Beran, T.M., McCannel, T.A., Wiley, J.F. and Stanton, A.L. (2020) A Prospective Study of Cancer-Related Benefit Finding in Uveal Melanoma Patients. Journal of Behavioral Medicine, 44, 131-137. [Google Scholar] [CrossRef] [PubMed]
[29] Conley, C.C., Small, B.J., Christie, J., Hoogland, A.I., Augusto, B.M., Garcia, J.D., et al. (2020) Patterns and Covariates of Benefit Finding in Young Black Breast Cancer Survivors: A Longitudinal, Observational Study. Psycho-Oncology, 29, 1115-1122. [Google Scholar] [CrossRef] [PubMed]
[30] Straehla, J.P., Barton, K.S., Yi-Frazier, J.P., Wharton, C., Baker, K.S., Bona, K., et al. (2017) The Benefits and Burdens of Cancer: A Prospective Longitudinal Cohort Study of Adolescents and Young Adults. Journal of Palliative Medicine, 20, 494-501. [Google Scholar] [CrossRef] [PubMed]
[31] 梅雅琪. 乳腺癌患者益处发现的中介因素及变化趋势研究[D]: [硕士学位论文]. 合肥: 安徽医科大学, 2017.
[32] 覃彦珠. 叙事护理对鼻咽癌放疗患者疾病获益感的影响[D]: [硕士学位论文]. 南宁: 广西医科大学, 2020.
[33] 陈颂歌, 殷月, 刘娜, 等. 首次PCI术后患者益处发现与生活质量的纵向研究[J]. 中国临床护理, 2022, 14(3): 171-174.
[34] 王瑜萍. 女性乳腺癌患者益处发现的发展轨迹与功能[D]: [博士学位论文]. 长沙: 中南大学, 2014.
[35] Schwarzer, R., Luszczynska, A., Boehmer, S., Taubert, S. and Knoll, N. (2006) Changes in Finding Benefit after Cancer Surgery and the Prediction of Well-Being One Year Later. Social Science & Medicine, 63, 1614-1624. [Google Scholar] [CrossRef] [PubMed]
[36] Zhu, L., Ranchor, A.V., Helgeson, V.S., van der Lee, M., Garssen, B., Stewart, R.E., et al. (2017) Benefit Finding Trajectories in Cancer Patients Receiving Psychological Care: Predictors and Relations to Depressive and Anxiety Symptoms. British Journal of Health Psychology, 23, 238-252. [Google Scholar] [CrossRef] [PubMed]