心力衰竭患者自我表露潜在类别及与自我管理行为的关系
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taoxiu128@126.com

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国家自然科学基金项目(72074124);江苏省研究生科研与实践创新计划项目(SJCX24_0811);江苏省人民医院临床能力提升工程护理项目(JSPH-NC-2022-6);南京医科大学第一附属医院国家自然科学基金青年基金培育项目(PY202406)


The potential categories of self-disclosure in patients with heart failure and its relationship with self-management behaviors
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    目的 探究心力衰竭患者自我表露潜在类别特征,分析患者自我表露剖面类别与自我管理行为之间的关系,为采取针对性措施提高患者自我管理水平提供参考。方法 以便利抽样法选取350例心力衰竭住院患者为调查对象,采用一般资料调查表、中文版痛苦表露指数量表、心力衰竭患者自我管理量表进行调查。结果 心力衰竭患者自我表露得分为(33.87±8.36)分,可分为低表露-缄默不言型(40.6%)、中表露-聊天解闷型(36.6%)及高表露-倾诉消愁型(22.8%)3个潜在类别。不同自我表露剖面类别的心力衰竭患者自我管理得分比较,差异有统计学意义(P<0.05)。结论 心力衰竭患者自我表露处于中等水平,且不同个体存在明显的异质性;不同自我表露剖面类别的心力衰竭患者自我管理水平存在差异。医护人员应针对患者自我表露不同类别特征制订针对性干预措施,增强患者的自我表露意愿,促进患者自我管理水平的提升。

    Abstract:

    Objective To explore the latent profile characteristics of self-disclosure in patients with heart failure, and to analyze its relationships with self-management behaviors, so as to provide a reference for taking targeted interventions to improve patients′ self-management levels.Methods A convenience sampling was used to select 350 inpatients with heart failure, then they were investigated by using a general information questionnaire, the Distress Disclosure Index Scale,and the Self-Management Scale of Heart Fai-lure Patients.Results The self-disclosure score of the participants was (33.87±8.36) points, which was classified into three latent profiles:low disclosure-silent type (40.6%), moderate disclosure-chatting for diversion type(36.6%), and high disclosure-confi-ding to relieve sorrow type (22.8%).There were statistically significant differences in self-management scores among patients in different self-disclosure profiles (P<0.05).Conclusion The self-disclosure in patients with heart failure exhibits a moderate level with significant heterogeneity, and the self-management behaviors vary among patients in different self-disclosure profile categories.Medical staff should develop targeted intervention strategies based on the characteristics of different profiles of self-disclosure, so as to enhance patients′ self-disclosure willingness, and promote their self-management level.

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陶秀,孙姝怡,吴凡,卢静,游展鸿,李芸霞,王琴,孙国珍,高敏.心力衰竭患者自我表露潜在类别及与自我管理行为的关系[J].护理学杂志,2025,(19):16-20

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  • 收稿日期:2025-05-19
  • 最后修改日期:2025-07-13
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  • 在线发布日期: 2025-11-11