保健医学研究与实践2024,Vol.21Issue(10) :112-118.DOI:10.11986/j.issn.1673-873X.2024.10.19

脑出血患者主要照顾者预期性悲伤的潜在剖面分析及影响因素研究

Latent profile analysis and influencing factors of anticipatory grief in primary caregivers of patients with intracerebral hemorrhage

陈莉莉 高俊丽 马秀琴 王敏 李华 谯进 张玲
保健医学研究与实践2024,Vol.21Issue(10) :112-118.DOI:10.11986/j.issn.1673-873X.2024.10.19

脑出血患者主要照顾者预期性悲伤的潜在剖面分析及影响因素研究

Latent profile analysis and influencing factors of anticipatory grief in primary caregivers of patients with intracerebral hemorrhage

陈莉莉 1高俊丽 2马秀琴 1王敏 3李华 1谯进 1张玲4
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作者信息

  • 1. 陕西省汉中市中心医院护理部,陕西 汉中 723000
  • 2. 陕西省汉中市中心医院康复医学科,陕西 汉中 723000
  • 3. 陕西省汉中市中心医院消化内科,陕西 汉中 723000
  • 4. 陕西省汉中市中心医院神经外科,陕西 汉中 723000
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摘要

目的 探讨脑出血患者主要照顾者预期性悲伤的潜在类别及其影响因素,为制定针对性的心理干预措施提供依据.方法 本研究为横断面研究,采用便利法选取2023年6月—2024年6月在汉中市中心医院神经外科就诊的200例脑出血患者及其主要照顾者作为研究对象.采用一般资料调查表、预期性悲伤量表、照顾者负担量表、应对方式问卷对脑出血患者及其主要照顾者进行调查,采用潜在剖面分析法对照顾者预期性悲伤进行特征分类,并结合单因素分析和二元回归分析其影响因素.结果 脑出血患者主要照顾者的预期性悲伤存在明显的潜在剖面差异,可分为高预期性悲伤组(n=91)和低预期性悲伤组(n=109).二元回归分析结果显示,照顾者年龄、文化程度、家庭月收入、照顾者负担得分是影响照顾者预期性悲伤的因素(P<0.05).结论 脑出血患者主要照顾者预期性悲伤存在2个潜在类别,医护人员应依据不同类型照顾者的潜在特征,采取有针对性的心理干预措施,以减少照顾者预期性悲伤的发生.

Abstract

Objective To explore the latent classes of anticipatory grief in primary caregivers of patients with intracerebral hemorrhage and their influencing factors,providing a basis for developing targeted psychological interventions.Methods This cross-sectional study adopted a convenience sampling method to select 200 patients with intracerebral hemorrhage and their primary caregivers who visited the Neurosurgery Department at Hanzhong Central Hospital from June 2023 to June 2024 as the study participants.General information questionnaires,anticipatory grief scales,caregiver burden scales,and coping style questionnaires were used to survey patients with intracerebral hemorrhage and their primary caregivers.Latent profile analysis was employed to classify the characteristics of anticipatory grief in caregivers,and single-factor analysis and binary regression were used to analyze influencing factors.Results There were significant latent profile differences in antici-patory grief among primary caregivers of patients with intracerebral hemorrhage,which could be allocated to a high anticipa-tory grief group(n=91)and a low anticipatory grief group(n=109).Binary regression analysis showed that caregiver age,education level,family monthly income,and caregiver burden scores were factors affecting anticipatory grief in caregivers(P<0.05).Conclusion There are two latent classes of anticipatory grief in primary caregivers of patients with intracere-bral hemorrhage.Medical staff should take targeted psychological intervention measures based on the latent characteristics of different types of caregivers to reduce the occurrence of anticipatory grief in caregivers.

关键词

脑出血/主要照顾者/预期性悲伤/潜在剖面分析

Key words

Intracerebral hemorrhage/Primary caregivers/Anticipatory grief/Latent profile analysis

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出版年

2024
保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
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