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慢性心力衰竭患者个人掌控感的潜在剖面分析及其影响因素

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目的:探究慢性心力衰竭患者个人掌控感的潜在类别及其影响因素。方法:采用一般资料调查表、个人掌控感量表、恐惧疾病进展简化量表、社会支持评定量表对湖南省3所三甲医院的343名慢性心力衰竭患者进行调查，运用潜在剖面分析的方法探索慢性心力衰竭患者个人掌控感水平的潜在类别，并通过单因素分析和多元lo-gistic 回归分析识别其潜在剖面的影响因素。结果:慢性心力衰竭患者个人掌控感平均得分为21。33±4。591分，可分为低掌控组(C2:18。1％)、中掌控组-无力组(C1:23。3％)、中掌控组-无助组(C3:45。5％)、高掌控组(C4:13。1％)4 个类别。多元 logistic 回归分析结果显示，居住地(C1vsC4:OR=0。329，95％CI0。139～0。782;C2vsC4:OR=0。216，95％CI0。079～0。587;C3vsC4:OR=3。746，95％CI1。798～7。805;C3vsC2OR=2。452，95％CI1。391～4。323)、受教育程度(C1vsC4:OR=0。570，95％CI0。327～0。993;C2vsC4:OR=0。514，95％CI0。265～0。996;C3vsC4:OR=0。596，95％CI0。363～0。979)、家庭人均月收入(C3vsC4:OR=1。965，95％CI1。002～3。856)、疾病进展恐惧(C2vsC4:OR=1。164，95％CI1。100～1。232;C1vsC2:OR=0。896，95％CI0。857～0。936;C3vsC2:OR=0。893，95％CI0。857～0。931)以及社会支持(C1vsC4:OR=0。882，95％CI0。841～0。924;C2vsC4:OR=0。878，95％CI0。834～0。925;C3vsC4:OR=0。874，95％CI0。836～0。913)是慢性心力衰竭患者个人掌控感潜在类别的影响因素(P＜0。05)。结论:慢性心力衰竭患者个人掌控感存在异质性，可分为低掌控组、中掌控组-无力组、中掌控组-无助组、高掌控组4个类别。居住地、受教育程度、家庭人均月收入、疾病进展恐惧、社会支持是慢性心力衰竭患者个人掌控感潜在类别的影响因素。
Latent profile analysis and influencing factors of personal mastery in patients with chronic heart failure
Objective:To explore the potential categories and influencing factors of personal mastery in patients with chronic heart failure(CHF).Methods:A total of 343 patients with chronic heart failure were investigated by the General data Questionnaire,Personal Mastery Scale,Fear of Progression-Questionnaire-Short Form,Social Sup-port Rating Scale from three top three hospitals in Hunan Province.Potential profile analysis was used to explore the potential categories of personal mastery in patients with chronic heart failure.The influencing factors of its potential profile were identified by single factor analysis and multiple logistic regression analysis.Results:The average score of the patients with chronic heart failure was 21.33±4.591,which could be divided into 4 categories:Low control group(18.1％),medium control group-weak group(23.3％),medium control group-helpless group(45.5％)and high control group(13.1％).Multiple logistic regression analysis showed that residence(C1vsC4:OR=0.329,95％CI0.139～0.782;C2vsC4:OR=0.216,95％CI0.079～0.587;C3vsC4:OR=3.746,95％CI1.798～7.805;C3vsC2OR=2.452,95％CI1.391～4.323),educati-on level(C1vsC4:OR=0.570,95％CI0.327～0.993;C2vsC4:OR=0.514,95％CI 0.265～0.996;C3vsC4:OR=0.596,95％CI0.363～0.979),family per capita monthly income(C3vsC4:OR=1.965,95％CI1.002～3.856),fear of disease progression(C2vsC4:OR=1.164,95％CI1.100～1.232;C1vsC2:OR=0.896,95％CI0.857～0.936;C3vsC2:OR=0.893,95％CI0.857～0.931)and social support(C1vsC4:OR=0.882,95％CI 0.841～0.924;C2vsC4:OR=0.878,95％CI0.834～0.925;C3vsC4:OR=0.874,95％CI0.836～0.913)were the factors influencing the potential categories of personal mastery in patients with chronic heart failure(P＜0.05).Conclusion:There is heterogeneity in the sense of personal control in patients with chronic heart failure,which can be divided into 4 categories.According to the classification characteristics,nursing staff can develop personalized intervention strate-gies to improve the level of personal control,so as to improve the level of patients'disease self-management ability.

Chronic heart failurePersonal masterySocial supportFear of development of diseaseLatent profile analysis

邱思慧、何平平、邱晓慧、林露、陈江萍、王锦

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南华大学护理学院(湖南衡阳)421000

湖南师范大学医学院

慢性心力衰竭 个人掌控感 社会支持 疾病进展恐惧 潜在剖面分析

2025

10.13342/j.cnki.cjhp.2025.01.013

中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子：1.264
ISSN：1005-1252
年,卷(期)：2025.33(1)