冠心病共病病人治疗负担的潜在类别及其影响因素  

Latent class and its influencing factors of treatment burden in patients with coronary heart disease plus multimorbidity

作　　者：张美美 李爱仙 朱月兰 樊丽芳 周会 汪亚男 刘沈馨雨 ZHANG Meimei;LI Aixian;ZHU Yuelan;FAN Lifang;ZHOU Hui;WANG Ya′nan;LIU Shenxinyu(The First People′s Hospital of Kunshan,Jiangsu 215300 China)

机构地区：[1]昆山市第一人民医院,江苏215300

出　　处：《护理研究》2024年第22期3949-3958,共10页Chinese Nursing Research

基　　金：苏州市医学重点扶持学科建设项目,编号:SZFCXK202106。

摘　　要：目的:探究冠心病共病病人治疗负担的潜在类别及其特征差异,分析相关影响因素。方法:采用便利抽样法,选取2022年8月—2023年2月在昆山市某三级甲等医院心血管内科住院的505例冠心病共病病人作为研究对象,采用一般资料调查表、中文版慢性病共存治疗负担问卷、中文版心脏健康自我效能和自我管理量表进行调查。对冠心病共病病人治疗负担进行分类,采用Logistic回归分析探究不同类别的影响因素。结果:冠心病共病病人的治疗负担可分为3个类别,其中综合高治疗负担组共150例病人(29.7%),中等治疗负担-高用药及花费负担组共182例病人(36.0%),低治疗负担-高生活方式负担组共173例病人(34.3%)。回归分析结果显示,性别、年龄、冠心病病程、人均月收入、查尔森合并症指数分级、自我效能是冠心病共病病人治疗负担类别的影响因素。结论:冠心病共病病人的治疗负担存在明显的分类,医护人员应关注不同病人的治疗负担特征,实施针对性的干预措施。Objective:To explore latent class of treatment burden and characteristic differences of patients with coronary heart disease plus multimorbidity,and analyze the relevant influencing factors.Methods:A total of 505 patients with coronary heart disease plus multimorbidity admitted to the cardiovascular department of a tertiary grade A hospital in Kunshan were selected as the research subjects by convenience sampling from August 2022 to February 2023.General information survey,Chinese version of the Multi-Morbidity Treatment Burden Questionnaire,and Chinese version of Heart Health Self-Efficacy and Self-Management were used for investigation.Explored the potential categories of treatment burden in patients with coronary heart disease plus multimorbidity,and factors influencing the different categories were analysed using Logistic regression.Results:The treatment burden in patients with coronary heart disease plus multimorbidity could be divided into 3 categories,included the comprehensive high treatment burden group with 150 patients(29.7%),the moderate treatment burden high medication and cost burden group with 182 patients(36.0%),and the low treatment burden high lifestyle burden group with 173 patients(34.3%).The regression analysis results showed that gender,age,duration of coronary heart disease,per-capita monthly income of the family,Charlson comorbidity index grading,and self-efficacy were influencing factors of class of treatment burden in patients with coronary heart disease plus multimorbidity.Conclusion:The treatment burden in patients with coronary heart disease plus multimorbidity has obvious classification,and medical staff should pay attention to the treatment burden characteristics of different patients and implement targeted intervention measures.

关 键 词：冠心病共病 治疗负担 潜在类别分析 自我效能 自我管理 影响因素 

分 类 号：R473.5[医药卫生—护理学]