银屑病患者心理社会适应潜在剖面分析及其社会疏离感差异比较  

Comparison of potential profiles analysis of psychosocial adaptation and social alienation differences in psoriasis patients

作　　者：钱俊英 乔锰 王舒 陈丽华 刘孟秋 魏荣 辛琳琳 QIAN Junying;QIAO Meng;WANG Shu;CHEN Lihua;LIU Mengqiu;WEI Rong;XIN Linlin(Department of Nursing,the First Affiliated Hospital of Shandong First Medical University,Jinan,Shandong 250014,China;Department of Dermatology,the First Affiliated Hospital of Shandong First Medical University,Jinan,Shandong 250014,China)

机构地区：[1]山东第一医科大学第一附属医院护理部,济南250014 [2]山东第一医科大学第一附属医院皮肤科,济南250014

出　　处：《重庆医学》2025年第4期824-829,共6页Chongqing Medical Journal

基　　金：国家自然科学基金项目(82073430);山东第一医科大学青年科学基金培育资助计划项目(2022020-030)。

摘　　要：目的探讨银屑病患者心理社会适应的潜在类别及其社会疏离感的差异。方法采用横断面调查法,便利选取2022年9-12月山东省多个医院376例银屑病患者为调查对象,采用一般资料调查表、疾病心理社会适应量表(PAIS-SR)、接纳与行动问卷第2版(AAQ-2)、一般社会疏离感量表(GAS)对其进行问卷调查。采用Mplus8.0软件对心理社会适应进行潜在剖面分析,SPSS25.0软件比较不同心理社会适应类别患者的社会疏离感差异。结果银屑病患者心理社会适应可分为2个潜在剖面:中水平心理社会适应(中水平组,31.38%)、低水平心理社会适应(低水平组,68.62%);支付方式、是否复发、银屑病分型、病程、有无家族史、皮损是否暴露、AAQ-2得分是心理社会适应潜在剖面的主要影响因素(P<0.05);2个潜在剖面患者GAS得分比较,差异有统计学意义(P<0.05)。结论银屑病患者心理社会适应存在异质性,可分为2个潜在剖面,应根据患者不同心理社会适应潜在剖面的特征进行针对性干预以提高其心理社会适应水平。Objective To explore the potential categories of psychosocial adaptation in psoriasis patients and their differences in social alienation.Methods Using a cross-sectional survey design,convenience sampling was used to select 376 psoriasis patients from multiple hospitals in Shandong Province from September to December 2022.Participants completed the general information questionnaire,Psychosocial Adaptation to Illness Scale(PAIS-SR),Acceptance and Action Questionnaire-Ⅱ(AAQ-2),and General Alienation Scale(GAS).Latent profile analysis was performed using Mplus8.0 software to identify psychosocial adaptation patterns of psoriasis patients,and SPSS25.0 was used to compare social alienation differences among different adaptation groups.Results Psoriasis patients could be divided into two latent profiles:moderate psychosocial adaptation group(31.38%)and low psychosocial adaptation group(68.62%).Medical payment method,disease recurrence,psoriasis subtype,disease duration,family history,skin lesion exposure,and AAQ-2 scores were identified as main influencing factors(P<0.05).Significant differences in total GAS scores were found between the two groups(P<0.05).Conclusion The psychosocial adaptation of psoriasis patients shows heterogeneity and could be classified into two latent profiles.Targeted interventions should be implemented to improve psychosocial adaptation levels.

关 键 词：银屑病 疾病心理社会适应 心理灵活性 社会疏离 潜在剖面分析 心理护理 

分 类 号：R758.63[医药卫生—皮肤病学与性病学]