基于潜类别增长模型的脑梗死患者功能独立性变化轨迹及影响因素分析  

Analysis of trajectory and influencing factors for functional independence of cerebral infarction patients by latent category growth model

作　　者：蒋希旺 侯雪 韩雪 王彤彤 JIANG Xiwang;HOU Xue;HAN Xue;WANG Tongtong(The First People’s Hospital of Huai’an,Huai’an 223001,China)

机构地区：[1]淮安市第一人民医院,江苏淮安223001

出　　处：《中国实用神经疾病杂志》2024年第7期863-868,共6页Chinese Journal of Practical Nervous Diseases

基　　金：江苏省老年健康科研项目(编号:LD2021035)。

摘　　要：目的基于潜类别增长模型和多元线性回归探讨脑梗死患者功能独立性的变化轨迹与影响因素。方法以国际功能、残疾和健康分类(ICF)框架为基础,采用潜类别增长模型分析脑梗死患者功能独立性变化轨迹。运用多元线性回归分析方法对患者的生理、个人和环境因素进行全方位评估,分析其对脑梗死患者功能独立性的影响。结果脑梗死患者功能独立稳定型占54.0%,功能独立成长型、功能独立衰退型分别占18.0%、28.0%。多元线性回归分析显示,脑梗死患者肌力、体重指数(BMI)、NIHSS评分、改良Barthel指数(MBI)、居住适应、出行便利、婚姻状况是脑梗死患者功能独立性水平的影响因素,差异均有统计学意义(P<0.05)。结论通过深入理解ICF框架,在制定脑梗死患者康复策略时,应充分考虑功能独立性的影响因素,并根据患者的功能独立性变化轨迹制定个性化、全方位的康复计划,不仅有助于提高脑梗死患者的功能独立性,还可有效改善其生活质量。Objective To investigate the trajectory and influencing factors for functional independence in patients with cerebral infarction by the potential category growth model and multiple linear regression.Methods Based on the International Classification of Functioning,Disability and Health(ICF)framework,the trajectory of functional independence in patients with cerebral infarction was analyzed by the latent category growth model.The effects of physiological,personal and environmental factors for functional independence of patients with cerebral infarction were evaluated by multiple linear regression analysis.Results The results showed that 54.0%of the patients was stable functionally independent,18.0%was growth functionally independent and 28.0%was decline functionally independent.Multiple linear regression analysis showed that muscle strength,body mass index(BMI),NIHSS score,modified Barthel index(MBI),housing adaptation,travel convenience and marital status were the influencing factors for functional independence of cerebral infarction patients,and the differences were statistically significant(P<0.05).Conclusion Through an in-depth understanding of the ICF framework,factors affecting functional independence should be fully considered when formulating rehabilitation strategies for patients with cerebral infarction,and personalized and comprehensive rehabilitation plans should be formulated according to the trajectory of functional independence of patients.This will not only help improve functional independence of patients with cerebral infarction,but also effectively improve their quality of life.

关 键 词：脑梗死 功能独立性 潜类别增长模型 国际功能、残疾和健康分类框架 影响因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]