肠造口患者自我管理特征的潜在剖面分析及其影响因素  

Latent profiles of self-management characteristics and the influencing factors among patients after enterostomy

作　　者：辛学玲 毛学惠 Xin Xueling;Mao Xuehui(Department of Gastrointestinal Surgery,Shandong Provincial Hospital,Shandong First Medical University,Jinan 250021,Shandong Province,China)

机构地区：[1]山东第一医科大学附属省立医院胃肠外科,山东济南250021

出　　处：《现代临床护理》2025年第1期1-8,共8页Modern Clinical Nursing

基　　金：山东省自然科学基金项目,项目编号为ZR2022MH264。

摘　　要：目的 探究肠造口患者自我管理不同类别特征及其影响因素。方法 选取2022年5月—12月本院胃肠外科门诊就诊及病房复诊的202例肠造口患者作为研究对象。采用一般资料问卷、肠造口患者自我管理问卷对其进行问卷调查,基于潜在剖面分析来探讨肠造口患者自我管理特征的潜在类别,并分析不同类别的影响因素。结果 肠造口患者的自我管理特征存在着3个类别,分别命名为低等型、中等型、高等型,占比分别为21.78%(n=44)、42.57%(n=86)、35.64%(n=72)。结果显示,年龄、性别、文化程度、造口时间、家庭人均月收入是影响肠造口患者自我管理特征类别的因素,差异具有统计学意义(均P<0.05)。结论 肠造口患者自我管理特征存在着不同类别特征,医护人员可早期识别各类别特征的患者,针对影响因素给予精准化护理或实施干预。Objective To explore different categories of self-management in patients after enterostomy and analyse the factors of such patients.Methods A total of 202 patients who had enterostomy and visited the outpatient clinic or the ward of Department of Gastrointestinal Surgery in our hospital for postoperative review between May and December 2022 were selected as the research subjects.Questionnaire surveys were conducted using a general information questionnaire and an enterostomy patient self-management questionnaire.Latent profile analysis was applied to explore the potential categories of the characteristics in self-management among the patients and to analyse the influencing factors of different categories.Results Self-management characteristics of the patients after enterostomy were found in 3 categories of low,moderate and high for 21.78%(n=44),42.57%(n=86),and 35.64%(n=72),respectively.Latent profile analysis showed that age,sex,education,time after enterostomy and per capita monthly family income were the factors that influenced the categories of self-management characteristics among the patients after enterostomy,and the differences were statistically significant(P<0.05).Conclusion There are different categories of characteristics in self-management among the patients after enterostomy.Medical staff should make early identification of the patients in various categories of characteristics and provide targeted care or interventions based on the influencing factors.

关 键 词：肠造口 自我管理 潜在剖面分析 横断面研究 

分 类 号：R47[医药卫生—护理学]