首页|炎症性肠病患者心理韧性特征的潜在剖面分析及影响因素

炎症性肠病患者心理韧性特征的潜在剖面分析及影响因素

Potential profile analysis and influencing factors of the psychological resilience characteristics in patients with inflammatory bowel disease

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目的 探讨炎症性肠病(inflammatory bowel disease,IBD)患者心理韧性特征的潜在剖面并分析不同剖面的影响因素.方法 于2021年10月-2022年3月,采用方便抽样选取在天津市某综合医院住院或门诊就诊IBD患者125例作为研究对象,通过一般资料调查问卷、IBD心理韧性量表(resilence scale for IBD patients,RS-IBD)和IBD自我效能量表(IBD self efficacy scale,IBD-SES)的问卷调查,进行IBD患者的心理韧性特征的潜在剖面分析(latent profile analysis,LPA),并通过单因素分析和logistic回归分析识别其影响因素.结果 IBD患者的心理韧性分为3个潜在剖面,分别定义为低韧性-消极接受组(24%)、中韧性-低保护组(40.8%)、高韧性-积极应对组(35.2%).3组患者经多元分类logistics回归分析显示,医保支付方式中自费[OR=0.190,95%CI(-2.943,-0.384)]和医保[OR=0.220,95%CI(-2.639,-0.391)]为危险性因素,自我效能中的压力与情绪管理[OR=1.040,95%CI(0.008,0.071)]、症状与疾病管理[OR=1.047,95%CI(0.000,0.092)]、维持缓解[OR=1.126,95%CI(0.019,0.220)]是患者心理韧性不同潜在剖面的保护性因素(P<0.05).结论 IBD患者的心理韧性特征存在群体异质性,可分为3个潜在剖面,护理人员应早期识别患者心理韧性的剖面类别,根据影响因素制定个性化的干预策略并精准实施,以提高患者的心理韧性水平.
Objective To explore the potential profile of psychological resilience in patients with inflammatory bowel disease(IBD),and analyze the influencing factors of different profiles.Methods Using convenient sampling method,125 patients with IBD who were hospitalized or outpatient in a general hospital in Tianjin were selected as the study objects from October 2021 to March 2022,and were investigated by the general data questionnaire,resil-ence scale for IBD patients(RS-IBD),and IBD self-efficacy scale(IBD-SES),and the potential profile of their psy-chological toughness was analyzed,and the influencing factors were identified by univariate analysis and logistic re-gression analysis.Results The psychological resilience of patients with IBD was divided into 3 potential profiles,which were defined as low resilience-negative acceptance group(24%),medium resilience-low protection group(40.8%),and high resilience-active response group(35.2%).The multivariate logistics regression analysis of 3 groups of patients showed that out-of-pocket payment(OR=0.190,95%CI was from-2.943 to-0.384)and med-ical insurance payment(OR=0.220,95%CI was from-2.639 to-0.391)in the medical insurance payment meth-ods were risk factors,and stress and emotion management efficiency in self-ability(OR=1.040,95%CI was from 0.008 to 0.071),symptoms and disease management efficiency(OR=1.047,95%CI was from 0.000 to 0.092),and maintenance remission efficacy(OR=1.126,95%CI was from 0.019 to 0.220)were the protective factors for different potential profiles of patients'psychological resilience(P<0.05).Conclusion There is obvious group hetero-geneity in the characteristics of the psychological resilience of patients with IBD,which can be divided into 3 poten-tial profiles.Nursing staff should identify the profile categories of the psychological resilience of patients as soon as possible,and develop and accurately implement personalized intervention strategies on the basis of influencing factors to improve the level of the psychological resilience of patients.

inflammatory bowel diseasepsychological resiliencelatent profile analysisroot cause analysis

王莹、马颖丽、原志芳

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天津医科大学总医院消化内科,天津 300000

炎症性肠病 心理韧性 潜在剖面分析 影响因素分析

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(23)