老年慢性病病人存在无意义焦虑的潜在类别及其影响因素OA
Latent profile analysis and influencing factors of anxiety of the existential meaninglessness in elderly patients with chronic diseases
目的:分析老年慢性病病人存在无意义焦虑类别及其影响因素.方法:采用方便抽样法于2024年7月—9月选取湖南省6所三级甲等医院的493例老年慢性病病人为研究对象.采用一般资料问卷、存在无意义焦虑量表、中文版自我超越量表、老年慢性病患者健康赋权量表进行问卷调查,采用潜在剖面分析和无序多分类Logistic回归模型探索老年慢性病病人存在无意义焦虑类别及其影响因素.结果:老年慢性病病人的存在无意义焦虑可分为 3 个类别,即低无意义焦虑组(48.48%)、中等无意义焦虑混合组(43.41%)、高无意义焦虑组(8.11%).Logistic回归分析结果显示,经济来源、家庭月收入、对待生活的态度、医保类型、健康赋权是老年慢性病病人存在无意义焦虑类别的影响因素(均P<0.05).结论:老年慢性病病人存在无意义焦虑存在群体异质性,临床护理中可根据不同类别采取针对性干预,降低老年慢性病病人的存在无意义焦虑.
Objective:To analyze the categories and influencing factors of anxiety of the existential meaninglessness in elderly patients with chronic diseases.Methods:A total of 493 elderly patients with chronic diseases from six tertiary grade A hospitals in Hunan province were selected as research subjects by convenience sampling from July to September 2024.A questionnaire survey was conducted using the General Information Questionnaire,Anxiety Measure of the Existential Meaninglessness Scale,Chinese Self-Transcendence Scale,and Health empowerment scale for elderly patients with chronic disease.Latent profile analysis and multinomial Logistic regression were used to explore the categories and influencing factors of anxiety of the existential meaninglessness in elderly patients with chronic diseases.Results:Anxiety of the existential meaninglessness in elderly patients with chronic diseases could be divided into three categories,namely low existential meaninglessness anxiety group(48.48%),moderate existential meaninglessness anxiety mixed group(43.41%),and high existential meaninglessness anxiety group(8.11%).Logistic regression analysis showed that economic resources,monthly family income,attitude towards life,type of medical insurance,and health empowerment were influencing factors for the categories of anxiety of the existential meaninglessness in elderly patients with chronic diseases(all P<0.05).Conclusions:Anxiety of the existential meaninglessness in elderly patients with chronic diseases exhibits group heterogeneity.Targeted interventions based on different categories could be implemented in clinical nursing to reduce the anxiety of existential meaninglessness in elderly patients with chronic diseases.
朱文希;苏曼芳;彭晓雅;李圆;曹晓浪
长沙医学院,湖南 410219长沙医学院,湖南 410219长沙医学院,湖南 410219长沙医学院,湖南 410219长沙医学院,湖南 410219
老年人慢性病存在无意义焦虑潜在剖面分析影响因素健康赋权
the elderlychronic diseasesanxiety of the existential meaninglessnesslatent profile analysisinfluencing factorshealth empowerment
《护理研究》 2026 (6)
916-922,7
湖南省教育厅大学生创新训练计划项目,编号:湘教通[2024]191号-5258
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