摘要
目的基于潜在剖面分析探究心力衰竭易损期患者恐惧疾病进展程度及其影响因素。方法采用便利抽样法选取2023年1月—2024年3月广西壮族自治区南溪山医院、桂林医学院第二附属医院收治的心力衰竭易损期患者为调查对象。使用一般资料调查表、中文版恐惧疾病进展简化量表(FoP-Q-SF)、中文版心力衰竭特异性健康素养量表(HFS-HLS)及社会支持评定量表(SSRS)进行调查。基于潜在剖面分析探讨心力衰竭易损期患者恐惧疾病进展程度,心力衰竭易损期患者恐惧疾病进展程度的影响因素分析采用多分类Logistic回归分析。结果共发放问卷268份,回收有效问卷240份,有效回收率为89.6%。240例患者中文版FoP-Q-SF评分为26~45分,平均(32.7±3.5)分。潜在剖面分析结果显示,心力衰竭易损期患者恐惧疾病进展程度可分为3个潜在类别,根据该结果将患者分为低恐惧-疾病适应组60例(25.0%)、中恐惧-疾病困扰组87例(36.3%)、高恐惧-担忧复发组93例(38.7%)。三组年龄、合并慢性病数量、新发心力衰竭者占比、中文版HFS-HLS评分及SSRS评分比较,差异有统计学意义(P<0.05)。多分类Logistic回归分析结果显示,年龄、合并慢性病数量、新发心力衰竭者占比、中文版HFS-HLS评分、SSRS评分是心力衰竭易损期患者中恐惧-疾病困扰、高恐惧-担忧复发的独立影响因素(P<0.05)。结论心力衰竭易损期患者恐惧疾病进展程度可分为低恐惧-疾病适应、中恐惧-疾病困扰、高恐惧-担忧复发。年龄、合并慢性病、新发心力衰竭、健康素养水平、社会支持水平是心力衰竭易损期患者中恐惧-疾病困扰、高恐惧-担忧复发的独立影响因素。
Objective To explore the degree of fear of progression in patients with heart failure at the vulnerable stage based on potential profile analysis and its influencing factors.Methods Patients with heart failure at the vulnerable stage admitted to Nanxishan Hospital of Guangxi Zhuang Autonomous Region and the Second Affiliated Hospital of Guilin Medical University from January 2023 to March 2024 were selected as the survey subjects using the convenience sampling method.General Information Questionnaire,Chinese version of Fear of Progression Questionnair-Short Form(FoP-Q-SF),Chinese version of Heart Failure Specific-Health Literacy Scale(HFS-HLS)and Social Support Rating Scale(SSRS)were used to conduct an investigation.The degree of fear of progression in patients with heart failure at the vulnerable stage was investigated based on potential profile analysis.Multivariate Logistic regression analysis was used to analyze the influencing factors of degree of fear of progression in patients with heart failure at the vulnerable stage.Results A total of 268 questionnaires were sent out,and 240 were effectively collected,with an effective recovery rate of 89.6%.The Chinese version of FoP-Q-SF score of the 240 patients ranged from 26 to 45,with an average of(32.7±3.5)points.The results of potential profile analysis showed that the degree of fear of progression in patients with heart failure at the vulnerable stage can be divided into three potential categories,and the patients were divided into low fear-disease adaptation group(60 cases)(25.0%),medium fear-disease disturbance group(87 cases)(36.3%),and high fear-fear recurrence group(93 cases)(38.7%)based on above results.There were significant differences in age,complicated chronic disease,proportion of patients with new onset heart failure,Chinese version of HFS-HLS score and SSRS score among the three groups(P<0.05).Multivariate Logistic regression analysis showed that age,complicated chronic disease,new onset heart failure,Chinese version of HFS-HLS score and SSRS score were independent influencing factors of medium feardisease disturbance and high fear-fear recurrence in patients with heart failure at the vulnerable stage(P<0.05).Conclusion The degree of fear of progression in patients with heart failure at the vulnerable stage can be divided into low fear-disease adaptation,medium fear-disease disturbance and high fear-fear recurrence.Age,complicated chronic disease,new onset heart failure,health literacy level and social support level are independent influencing factors of medium fear-disease disturbance and high fear-fear recurrence in patients with heart failure at the vulnerable stage.
作者
唐秋兰
毛鸿丽
闫勇慧
陈小叶
蒋维连
贺捷
TANG Qiulan;MAO Hongli;YAN Yonghui;CHEN Xiaoye;JIANG Weilian;HE Jie(Department of Cardiovascular Medicine,Nanxishan Hospital of Guangxi Zhuang Autonomous Region/the Second People's Hospital of Guangxi Zhuang Autonomous Region,Guilin 541002,China;Operating Room,the Second Affiliated Hospital of Guilin Medical University,Guilin 541199,China;Department of Cardiovascular Medicine,the Second Affiliated Hospital of Guilin Medical University,Guilin 541199,China)
出处
《实用心脑肺血管病杂志》
2024年第12期118-123,共6页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200488)
桂林市科学研究与技术开发计划项目(20210227-8-1)。
关键词
心力衰竭
恐惧疾病进展
潜在剖面分析
影响因素分析
Heart failure
Fear of progression
Potential profile analysis
Root cause analysis
