慢性阻塞性肺疾病患者疾病获益感分型及影响因素研究
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女,本科,主任护师,护理系主任

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襄阳市科学技术局医疗卫生领域科技计划项目(2021ZD18, 2021ZD19)


Study on the classification of benefit finding of chronic obstructive pulmonary disease patients and its influencing factors based on latent profile analysis
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    摘要:

    目的 调查慢性阻塞性肺疾病患者疾病获益感现状,并识别潜在亚组及其人群特征,为制定针对性及特异性的心理干预提供参考。方法 采取便利抽样法,对337例慢性阻塞性肺疾病患者采用一般资料调查表、疾病获益感量表、家庭亲密度量表、疾病应对方式问卷进行调查。采用潜在剖面分析建立亚组模型,并用单因素方差分析、有序logistic回归分析探讨患者疾病获益感潜在类别的影响因素。结果 患者疾病获益感可分为低获益组(24.93%)、中等获益组(57.86%)、高获益-个人成长组(17.21%)3种潜在类别。回归分析结果显示,性别、医疗保险、每周运动次数、病程、面对与屈服医学应对方式是患者疾病获益感的影响因素(均P<0.05)。结论 慢性阻塞性肺疾病患者疾病获益感存在3个潜在类别,医护人员可根据患者不同人口学特征及疾病获益感潜在类别制定针对性的干预措施,以提高疾病获益感水平。

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    Objective To investigate the status quo of benefit finding in patients with chronic obstructive pulmonary disease (COPD), and to identify potential subgroups and their population characteristics, so as to provide reference for the development of targeted and specific psychological interventions. Methods Convenience sampling was used to survey 337 patients with COPD using the general information questionnaire, Benefit Finding Scale, Family Cohesion Scale, and Disease Coping Style Questionnaire. The latent profile analysis was used to establish the subgroup model, and one-way analysis of variance and ordered logistic regression analysis were used to explore the influencing factors of potential categories of patients′ benefit finding. Results Patients′ benefit finding could be divided into three potential categories:low benefit group (24.93%), medium benefit group (57.86%) and high benefit-personal growth group (17.21%). Ordered Logistic regression showed that gender, medical insurance, frequency of exercise per week, course of disease, and medical coping style in facing and yielding were the influencing factors of patients′ benefit finding (all P<0.05). Conclusion There are three potential categories of benefit finding in patients with COPD. Medical workers can develop targeted interventions based on patients′ different demographic characteristics and potential categories of benefit finding to improve patients′ level of benefit finding, prognosis and quality of life.

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高淑平,凡颖,邢利民,王红丽,段雯杰,周玉梅.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,2023,28(14):86-91

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  • 收稿日期:2023-02-09
  • 最后修改日期:2023-04-29
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  • 在线发布日期: 2024-01-13