老年肺栓塞患者心理痛苦动态变化轨迹及影响因素分析OA

Objective:To analyze the developmental trajectory of psychological distress in elderly patients with pulmonary embolism and explore its influencing factors based on a latent variable mixed growth model.Methods:A total of 230 elderly patients with pulmonary embolism admitted to the Affiliated Hospital of Putian University in Fujian Province from June 2023 to April 2025 were selected as the research subjects.General information questionnaires and psychological distress thermometers were used to investigate the patients.A latent variable growth mixed model was constructed for patients' psychological distress,and logistic regression analysis was employed to analyze the factors influencing psychological distress in elderly patients with pulmonary embolism.Results:According to the results of the latent variable growth mixed model,three latent categories were identified:the persistently high psychological distress group(32 cases,13.91％),the decreasing psychological distress group(112 cases,48.70％),and the no psychological distress group(86 cases,37.39％).Multivariate logistic regression analysis revealed that age,education level,payment type,and monthly income were influencing factors for persistently high psychological distress(OR(95％CI)values were:1.318(1.141-1.522),3.414(1.018-11.450),3.250(1.048-10.075),3.763(1.052-13.461),respectively)and decreasing psychological distress(OR(95％CI)values were:1.120(1.045-1.199),2.147(1.143-4.032),1.912(1.037-3.527),1.913(1.029-3.555),respectively)in elderly patients with pulmonary embolism.Conclusion:There are three different developmental trajectories of psychological distress in elderly patients with pulmonary embolism.Among them,age,education level,payment type,and monthly income are all influencing factors for patients' sustained high psychological distress and the decrease in psychological distress.