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  

Latent Class Analysis of Health Behaviors for Patients after Percutaneous Coronary Intervention

作　　者：燕芳红 杨梦齐 史素杰[1] 梁雪萍 温玉洁[2] 马玉霞[1] 蒋文慧 YAN Fanghong;YANG Mengqi;SHI Sujie;LIANG Xueping;WEN Yujie;MA Yuxia;JIANG Wenhui(Evidence-based Nursing Centre,School of Nursing,Lanzhou University,Lanzhou 730000,Gansu Province,China;Department of Cardiology,Gansu Provincial People’s Hospital,Lanzhou 730000,Gansu Province,China;Department of Nursing,Xi’an Jiaotong University School of Medicine,Xi’an 710061,Shaanxi Province,China)

机构地区：[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

出　　处：《解放军护理杂志》2022年第5期22-25,30,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：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)。

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。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.

关 键 词：健康行为 经皮冠状动脉介入治疗 潜在类别分析 

分 类 号：R473.54[医药卫生—护理学]