老年慢性病患者存在无意义焦虑的潜在剖面分析  

Potential profile analysis of senile chronic disease patients with meaningless anxiety

作　　者：郭欣如 张会君 林可心 GUO Xinru;ZHANG Huijun;LIN Kexin(School of Nursing,Jinzhou Medical University,Jinzhou 121000,China)

机构地区：[1]锦州医科大学护理学院,辽宁锦州121000

出　　处：《老年医学研究》2025年第1期8-14,共7页Geriatrics Research

摘　　要：目的 探讨老年慢性病患者存在无意义焦虑的潜在类别及影响因素。方法 采用便利抽样法,以辽宁省锦州市锦州医科大学附属第一医院、凌河区以及古塔区公园内,共272例≥60岁的老年慢性病患者为研究对象。采用老年慢性病患者存在无意义焦虑量表、家庭关怀度指数问卷和阿森斯失眠量表进行调查。采用潜在剖面分析探讨存在无意义焦虑的潜在类别,使用多元logistic回归分析不同类别的影响因素。结果 老年慢性病患者的存在无意义焦虑存在3个潜在类别,分别命名为低存在无意义焦虑型(11.8%)、中生命无意义高不理解型(26.5%)、高生命无意义中不理解型(61.7%)。logistic回归分析显示,性别、居住地、文化程度、婚姻状况、家庭月收入、医疗支付方式、慢性病种类、患病时间、家庭关怀度和失眠是老年慢性病患者存在无意义焦虑潜在类别的影响因素(P均<0.05)。结论 老年慢性病患者存在无意义焦虑可分为低存在无意义焦虑、中生命无意义高不理解与高生命无意义中不理解3种特征性表现,且在性别、婚姻状况、慢性病种类、患病时间、家庭关怀度和失眠等方面表现各不相同。Objective To analyze the potential category and influencing factors of the presence of meaningless anxi-ety in elderly patients with chronic diseases.Methods A total of 272 elderly chronic disease patients≥60 years old in the First Hospital of Jinzhou Medical University,and the park of Linghe District,Guta District in Jinzhou City,Liaoning Province were studied by convenience sampling method.The Presence of Meaningless Anxiety Scale,the Family Caring In-dex Questionnaire,and the Asens Insomnia Scale(AIS)were used to investigate the elderly patients with chronic diseas-es.Potential profile analysis was used to explore the potential categories of meaningless anxiety,and multiple logistic re-gression was used to analyze the influencing factors of different categories.Results Three potential categories of existen-tial meaninglessness anxiety existed in elderly patients with chronic diseases,named as low existential meaninglessness anxiety(11.8%),medium life meaninglessness high unintelligibility(26.5%),and high life meaninglessness medium unintelligibility(61.7%).Logistic regression analysis showed that gender,place of residence,literacy level,marital sta-tus,monthly household income,and healthcare payment method,type of chronic disease,duration of illness,family care,and insomnia were influential factors in the potential category of the presence of meaninglessness anxiety in elderly patients with chronic diseases(all P<0.05).Conclusions The presence of meaninglessness anxiety in elderly patients with chronic diseases can be categorized into three characteristic manifestations:low presence of meaninglessness anxiety,medium life meaninglessness with high incomprehension and high life meaninglessness with medium incomprehension,and the manifestations vary in terms of gender,marital status,type of chronic disease,duration of illness,family caring degree and insomnia.

关 键 词：慢性病 存在无意义焦虑 家庭关怀度 老年人 潜在剖面分析 

分 类 号：R47[医药卫生—护理学] R592[医药卫生—临床医学]