[1]燕芳红,杨梦齐,史素杰,等.经皮冠状动脉介入治疗术后人群健康行为模式的潜在类别分析[J].军事护理,2022,39(05):22-26,30.[doi:10.3969/j.issn.1008-9993.2022.05.006]
 YAN Fanghong,YANG Mengqi,SHI Sujie,et al.Latent Class Analysis of Health Behaviors for Patients after Percutaneous Coronary Intervention[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(05):22-26,30.[doi:10.3969/j.issn.1008-9993.2022.05.006]
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经皮冠状动脉介入治疗术后人群健康行为模式的潜在类别分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年05期
页码:
22-26,30
栏目:
论著
出版日期:
2022-05-15

文章信息/Info

Title:
Latent Class Analysis of Health Behaviors for Patients after Percutaneous Coronary Intervention
文章编号:
1008-9993(2022)05-0022-05
作者:
燕芳红1杨梦齐1史素杰1梁雪萍1温玉洁2马玉霞1蒋文慧3
(1.兰州大学循证护理中心 兰州大学护理学院,甘肃 兰州 730000; 2.甘肃省人民医院 心内二科,甘肃 兰州 730000; 3.西安交通大学医学部 护理系,陕西 西安 710061)
Author(s):
YAN Fanghong1YANG Mengqi1SHI Sujie1LIANG Xueping1WEN Yujie2MA Yuxia1JIANG Wenhui3
(1.Evidence-based Nursing Centre,School of Nursing,Lanzhou University,Lanzhou 730000,Gansu Province,China; 2.Department of Cardiology,Gansu Provincial People's Hospital,Lanzhou 730000,Gansu Province,China; 3.Department of Nursing,Xi'an Jiaotong University School of Medicine,Xi'an 710061,Shaanxi Province,China)
关键词:
健康行为 经皮冠状动脉介入治疗 潜在类别分析
Keywords:
health behaviors percutaneous coronary intervention latent class analysis
分类号:
R473.54
DOI:
10.3969/j.issn.1008-9993.2022.05.006
文献标志码:
A
摘要:
目的 探索经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后人群健康行为模式的潜在类别,为制定具有针对性的干预方案提供依据。方法 采用便利抽样法选择644例PCI术后患者为研究对象,采用自制问卷对其进行调查,运用潜在类别分析(latent class analysis,LCA)方法识别PCI术后人群健康行为模式并评估人口学特征对分类的影响。结果 PCI术后健康行为模式可分为强控制弱支持型(8.54%)和弱控制弱支持型(91.46%); 2个类别中5个健康行为的条件概率存在差异; 与强控制弱支持型相比,弱控制弱支持型人群中在职比例较高(P<0.05),其他人口学因素的差异无统计学意义(P>0.05)。结论 PCI术后5个健康行为间相互关联,存在综合效应及不同质的群体差异,受到工作压力的影响; 提示今后不仅需要加强PCI术后患者的自我控制,还应推动多层面支持体系建设,从而促进其长期健康行为的养成。
Abstract:
Objective To comprehensively explore the latent class of health behaviors for patients after percutaneous coronary intervention(PCI),providing the basis for targeted intervention programs.Methods By convenience sampling method,a total of 644 patients after PCI were selected and investigated by a self-designed questionnaire.Latent class analysis(LCA)method was used to identify the class of health behavior for patients after PCI,and to evaluate the impact of demographic characteristics on different categories by impact of demographic factors on different classes.Results The health behavior patterns after PCI can be divided into strong control-weak support(SC-WS)(8.54%)and weak control-weak support(WC-WS)(91.46%).The conditional probabilities of 5 health behaviors in these 2 classes were different; compared with the SC-WS type,the proportion of employees in the WC-WS type was higher(P<0.05),and there was no significant difference in other demographic factors(P>0.05).Conclusions The 5 health behaviors after PCI are inter-related,with comprehensive effect and differences among different classes,affected by work pressure,suggesting that it is not only necessary to strengthen self-control of patients after PCI,but also to promote the construction of a multi-level support system in the future for promoting long-term adherence to health behaviors for patients after PCI.

参考文献/References:

[1] PHYSICIANS A,O'GARA P T,KUSHNER F G,et al.2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction:a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J].J AM COLL CARDIOL,2013,61(4):e78-e140.
[2] 霍勇.2018年中国大陆地区冠心病介入治疗数据[EB/OL].[2022-01-19].http://m.people.cn/n4/2019/0427/c3535-12637431.html.
[3] 中华医学会心血管病学分会介入心脏病学组.中国经皮冠状动脉介入治疗指南(2016)[J].中华心血管病杂志,2016,44(5):382-400.
[4] 张耕瑞,杨丽,段东奎,等.正念放松训练对经皮冠状动脉介入治疗患者心理应激反应及睡眠质量影响的研究[J].中华护理杂志,2018,53(12):1463-1467.
[5] MICHIE S,JOHNSTON M.Theories and techniques of behaviour change:developing a cumulative science of behaviour change[J].Health Psychol Rev,2012,6(1):1-6.
[6] 李路路,王煜.“健康”作为生活方式的模式:机会结构和个体能动性的双重建构——基于潜类别分析的研究 [J].江苏社会科学,2018,5(12):70-81.
[7] 杨若雪,王秀华,王瑶.农村丧偶独居老年女性应对状况的探索性潜在类别分析[J].,2020,37(8):10-14.
[8] 王孟成,毕向阳.潜变量建模与Mplus应用进阶篇[M].重庆:重庆大学出版社,2018:1-59.
[9] 张洁琼,张春,蔡闵敏,等.基于跨理论模型的家庭赋权心脏康复管理在中青年PCI术后患者中的应用[J].护理学杂志,2021,36(21):73-77.
[10]乔秋萍,徐娟娟,杨巧芳,等.居家护理平台在冠心病患者经皮冠状动脉介入治疗术后自我管理中的应用[J].中国护理管理,2020,20(8):1178-1182.
[11]燕芳红,孔淑贞,蒋文慧.基于项目反应理论的冠心病自我管理量表项目分析[J].,2020,37(8):40-45.
[12]王楠楠,赵秋利,信博,等.经皮冠状动脉介入治疗患者自我管理影响因素的质性研究[J].护理学杂志,2021,36(5):20-23.
[13]黎建斌.自我控制资源与认知资源相互影响的机制:整合模型[J].心理科学进展,2013,21(2):235-242.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-11-05 【 修回日期 】 2022-03-26
【 基金项目 】 国家社会科学基金项目(18BGL248、20CGL 253); 兰州大学中央高校基本科研业务项目(lzujbky-2020-10); 兰州大学护理学院2020年科研项目(LZUSON202008)
【 作者简介 】 燕芳红,讲师,硕士,从事老年护理研究
【 通信作者 】 蒋文慧,电话:029-82655011
更新日期/Last Update: 2022-05-15