首页|中青年脑卒中患者重返工作自我效能潜在剖面分析及影响因素研究

中青年脑卒中患者重返工作自我效能潜在剖面分析及影响因素研究

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目的 探讨中青年脑卒中患者重返工作自我效能(return-to-work self-efficacy,RTW-SE)的潜在分型并分析不同类别中青年脑卒中患者的特征差异。方法 2020 年 11 月至 2021 年 4 月,选取郑州市两个社区中共 350 例中青年脑卒中患者为研究对象,采用一般资料调查表、改良版 Rankin量表、RTW-SE量表、疲劳严重程度量表、患者健康问卷-9、广泛性焦虑量表对其进行调查。采用潜在剖面分析患者 RTW-SE 的潜在分型,采用多元 Logistic 回归分析评估各种因素对不同分型的影响。结果 中青年脑卒中患者 RTW-SE分为 3 个类别:高内在应对-低工作应对组(19。9%);高工作应对-低内在应对组(55。8%);广泛中等水平组(24。3%)。婚姻状况、家庭人均月收入、职业类型、患病前是否为家庭主要经济支持、卒中后疲劳程度、功能障碍是影响中青年脑卒中患者 RTW-SE潜在剖面分类的预测因素(均P<0。05)。结论 中青年脑卒中患者 RTW-SE具有 3 个潜在类别,医护人员应注意不同患者的 RTW-SE特征,实施有针对性的干预措施,帮助其尽快重返社会。
Latent Profile Analysis and Influencing Factors of Return-to-work Self-efficacy Among Young and Middle-aged Patients with Stroke
Objective To explore the latent classification of return-to-work self-efficacy among young and middle-aged patients with stroke and to analyze the differences in the characteristics of different classes of young and middle-aged patients with stroke.Methods 350 young and middle-aged patients with stroke in two communities in Zhengzhou were selected as the research objects from November 2020 to April 2021.The general information questionnaire,modified Rankin Scale,Return-To-Work Self-Efficacy Scale,Fatigue Severity Scale,Patient Health Questionnaire 9-item Scale,and Generalized Anxiety Disorder-7 were used for investigation.Latent profile analysis was used to analyze the latent classification of patients'return-to-work self-efficacy and multivariable logistic regression analysis was used to evaluate the effect of different factors on different classes.Results RTW-SE of young and middle-aged patients with stroke was divided into three classes,including high intrinsic coping-low work coping group(19.9%),high work coping-low intrinsic coping group(55.8%),and broad intermediate group(24.3%).Marital status,monthly household income per person,occupation type,whether the patient provided the main financial support for the family before stroke,fatigue after stroke and physical dysfunction were predictors of the latent classification of re-turn-to-work self-efficacy among young and middle-aged patients with stroke(all P<0.05).Conclusions There are three latent classes of return-to-work self-efficacy among young and middle-aged patients with stroke.Medical staff should pay attention to the characteristics of return-to-work self-efficacy and imple-ment targeted interventions to help them return to society as soon as possible.

strokeyoung and middle-aged patientreturn-to-work self-efficacylatent profile analysisinfluencing factor

李世瑞、王倩、王佳佳、张振香、孙倩倩、江湖

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郑州大学 护理与健康学院,河南 郑州 450001

郑州颐和医院 预防接种门诊,河南 郑州 450047

郑州大学第三附属医院 体检科,河南 郑州 450052

脑卒中 中青年 重返工作自我效能 潜在剖面分析 影响因素

国家自然科学基金面上项目

72174184

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(1)
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