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Latent profile analysis and influencing factors of social isolation among patients with lung cancer
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Jinlei ZHANG1, Lijie JING2, Yaqing ZHANG1, Fengyan DONG2, Xiaoxiao YIN1, Xiaofan YANG1, Meilu ZHANG1, Tingting YU1, Chonggao YIN1
Chinese Nursing Research | 2026, 40(13) : 2312 - 2319
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Chinese Nursing Research | 2026, 40(13): 2312-2319
• Comprehensive Study •
Latent profile analysis and influencing factors of social isolation among patients with lung cancer
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Jinlei ZHANG1, Lijie JING2, Yaqing ZHANG1, Fengyan DONG2, Xiaoxiao YIN1, Xiaofan YANG1, Meilu ZHANG1, Tingting YU1, Chonggao YIN1
Affiliations
  • 1School of Nursing, Shandong Second Medical University, Shandong 261053 China
  • 2Affiliated Hospital of Shandong Second Medical University
Published: 2026-07-10 doi: 10.12102/j.issn.1009-6493.2026.13.017
Outline
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Objective

To explore the latent profiles of social isolation in lung cancer patients and their influencing factors,so as to provide evidence for personalized psychological interventions.

Methods

Using convenience sampling,a total of 332 lung cancer patients from a tertiary hospital in Weifang city,Shandong province(August 2024 to February 2025) were surveyed.General information questionnaire,General Alienation Scale,Perceived Social Support Scale,and Medical Coping Modes Questionnaire were used.Latent profile analysis identified social isolation profiles.Logistic regression and decision tree models analyzed influencing factors.

Results

Mean score of social isolation was (39.70±8.74),indicating moderate level.Three profiles were identified:high-level self-alienation type(58.2%),moderate-level isolation type(32.5%),and low-level meaninglessness-prominent type(9.3%).Logistic regression showed cancer stage,social support, confrontive coping,and avoidant coping were influencing factors(all P<0.05).Decision tree model further confirmed social support as the key factor.

Conclusions

Lung cancer patients showed significant heterogeneity in social isolation,influenced by social support,cancer stage,and other factors.Healthcare providers should develop individualized intervention strategies based on patients' social isolation types to improve their social and psychological well-being.

lung cancer  /  social isolation  /  social support  /  coping style  /  latent profile analysis  /  influencing factors  /  decision tree
张金蕾, 荆丽杰, 张雅晴, 董峰言, 尹晓晓, 杨晓帆, 张美璐, 于婷婷, 尹崇高. 肺癌病人社会疏离潜在剖面分析及影响因素. 护理研究, 2026 , 40 (13) : 2312 -2319 . DOI: 10.12102/j.issn.1009-6493.2026.13.017
Jinlei ZHANG, Lijie JING, Yaqing ZHANG, Fengyan DONG, Xiaoxiao YIN, Xiaofan YANG, Meilu ZHANG, Tingting YU, Chonggao YIN. Latent profile analysis and influencing factors of social isolation among patients with lung cancer[J]. Chinese Nursing Research, 2026 , 40 (13) : 2312 -2319 . DOI: 10.12102/j.issn.1009-6493.2026.13.017
Appendix
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Year 2026 volume 40 Issue 13
31
12
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.13.017
  • Receive Date：2025-09-01
  • Online Date：2026-10-30
  • Published：2026-07-10
Article Data
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History
  • Received：2025-09-01
  • Revised：2026-05-17
Affiliations
    1School of Nursing, Shandong Second Medical University, Shandong 261053 China
    2Affiliated Hospital of Shandong Second Medical University
References
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https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.13.017
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