失能老人家庭照顾者积极感受的潜在类别及其影响因素分析  

Latent Class Analysis of Positive Feelings of Family Caregivers of Disabled Older Adults and the Influencing Factors

作　　者：牛雨田 柏晓玲 楼婷[3] 余娜 杨曾桢 黄婧靓 NIU Yutian;BAI Xiaoling;LOU Ting;YU Na;YANG Zengzhen;HUANG Jingjing(School of Nursing,Guiyang Healthcare Vocational University,Guiyang 550081,Guizhou Province,China;School of Nursing,Guizhou Nursing Vocational college,Guiyang 550025,Guizhou Province,China;Department of Cadre Medicine,Guizhou Provincial People’s Hospital,Guiyang 550002,Guizhou Province,China;Department of Preventive Health Care,The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550003,Guizhou Province,China;Department of Psychiatry,The Second People’s Hospital of Guizhou Province,Guiyang 550004,Guizhou Province,China)

机构地区：[1]贵阳康养职业大学护理学院,贵州贵阳550081 [2]贵州护理职业技术学院护理系,贵州贵阳550025 [3]贵州省人民医院干部医疗科,贵州贵阳550002 [4]贵州中医药大学第二附属医院预防保健科,贵州贵阳550003 [5]贵州省第二人民医院精神科,贵州贵阳550004

出　　处：《军事护理》2025年第4期22-25,29,共5页MILITARY NURSING

基　　金：贵州省基础研究计划项目(黔科合基础-ZK[2023]一般127)。

摘　　要：目的分析失能老人家庭照顾者积极感受的潜在类别及其影响因素。方法便利抽样法选取贵阳市某社区内的182名失能老人家庭主要照顾者为研究对象,采用照顾者积极感受量表、简易应对方式问卷等对其进行调查。采用潜在类别分析、单因素分析和无序多分类Logistic回归探索家庭照顾者积极感受的潜在类别及其影响因素。结果失能老人家庭照顾者的积极感受分为3个潜在类别:高水平积极感受组(35.71%),高自我肯定-低生活展望组(23.63%)和低水平积极感受组(40.66%)。照顾者的性别、与失能老人的关系和照顾者的应对方式是积极感受潜在类别的预测因素(均P<0.05)。结论失能老人家庭照顾者的积极感受具有明显的群体差异性。医疗卫生保健工作者应根据不同潜在类别家庭照顾者的积极感受特征,制订针对性的干预措施。Objective To explore the latent class of positive feelings of family caregivers of disabled older adults and the influencing factors.Methods 182 such family caregivers in a certain community in Guiyang were selected by convenience sampling and surveyed by positive aspect of caregiving(PAC)scale and simplified coping style questionnaire(SCSQ).Latent class analysis,univariate analysis,and unordered multinomial logistic regression were used to explore the latent classes of PAC among family caregivers and the influencing factors.Results PAC among family caregivers was classified into 3 latent classes:high-level PAC class(35.71%),high self-affirmation but low life outlook class(23.63%),and low-level PAC class(40.66%).Gender,relationship with the elderly,and coping style were predictive factors of latent classes of PAC(all P<0.05).Conclusions PAC among family caregivers shows significant differences.Medical and health care personnel should develop targeted intervention based on different classes and their influencing factors.

关 键 词：失能老人 家庭照顾者 积极感受 潜在类别分析 影响因素 

分 类 号：R473.59[医药卫生—护理学]