中青年突发性聋患者自我调节疲乏潜在剖面分类及其对工作退缩行为的影响因素分析OA
Classification of potential profiles of self-regulated fatigue in young and middle-aged patients with sudden sensorineural hearing loss and analysis of influencing factors on work withdrawal behavior
目的 探讨中青年突发性聋(SSHL)患者自我调节疲乏的潜在类别,并分析其对工作退缩行为的影响.方法 选取 2023 年 8 月至 2025 年 1 月赣州市人民医院收治的 230 例中青年 SSHL 患者作为研究对象,采用自行设计临床资料调查表、自我调节疲劳量表(SRFS)及工作退缩行为量表(WWBS)对其进行调查,通过潜在剖面分析自我调节疲乏类别的最优数量并命名,通过单因素分析及多元线性回归分析 SSHL 患者工作退缩行为的影响因素.结果 230 例中青年 SSHL患者的 SRFS 总分为(52.15±9.53)分,WWBS得分为(37.16±5.47)分.自我调节疲乏可分为"低疲劳型""中等疲劳型""高疲劳型"3 个潜在类别.多因素分析结果显示,患者听力损失程度重度/极重度(β=0.169,B=1.152,95%CI:0.329～1.975)、有伴随症状(β=0.124,B=1.494,95%CI:0.024～2.965)、SSRS 得分≥45 分(β=-0.200,B=-3.967,95%CI:-6.388～-1.546)、自我调节疲劳潜在类别高疲劳型(β=0.202,B=1.456,95%CI:0.539～2.372)均是患者工作退缩行为的独立影响因素(P＜0.05).结论 中青年 SSHL 患者自我调节疲乏和工作退缩行为水平均处于中等偏上水平,自我调节疲乏存在异质性,且不同自我调节疲乏类别的工作退缩行为水平存在显著差异.临床医护人员应实施有效干预手段,改善患者自我调节疲乏状况,降低工作退缩行为的发生概率,促进其职业适应和身心健康的全面恢复,提升生活质量和社会融入度.
Objective To explore the potential categories of self-regulated fatigue in young and middle-aged patients with sudden sensorineural hearing loss(SSHL)and analyze its impact on work withdrawal behavior.Methods A total of 230 young and middle-aged SSHL patients admitted to Ganzhou People's Hospital from August 2023 to January 2025 were selected as the research objects,they were surveyed using the self-designed clinical data questionnaire,the self-regulated fatigue scale(SRFS),and the work withdrawal behavior scale(WWBS).The optimal number of self-regulated fatigue categories was determined through latent profile analysis,and the independent influencing factors of work withdrawal behavior in SSHL patients were analyzed through univariate analysis and multiple linear regression analysis.Results The total score of SRFS for the 230 young and middle-aged SSHL patients was(52.15±9.53)points,and the score of WWBS was(37.16±5.47)points.Self-regulated fatigue can be classified into three potential categories:"low fatigue type","medi-um fatigue type",and"high fatigue type".The results of multivariate analysis showed that the severe/extreme hearing loss(β=0.169,B=1.152,95%CI:0.329-1.975),accompanying symptoms(β=0.124,B=1.494,95%CI:0.024-2.965),SSHRS score≥45 points(β=-0.200,B=-3.967,95%CI:-6.388--1.546),and the high fatigue type of self-regulated fatigue category(β=0.202,B=1.456,95%CI:0.539-2.372)were independent influencing factors of work withdrawal behavior in SSHL patients(P＜0.05).Conclusion The levels of self-regulated fatigue and work withdrawal behavior in young and middle-aged SSHL patients are at a moderately high level.Self-regulated fatigue exists heterogeneity,and there are significant differences in the levels of work withdrawal behavior among different self-regulated fatigue categories.Clinical medical staff should implement effective intervention measures to improve the self-regulated fatigue status of patients,reduce the occurrence probability of work withdrawal behavior,promote their occupational adaptation and comprehensive recovery of physical and mental health,and improve their quality of life and social integration.
刘艳秀;管丽君;李欢;蔡云香;温芳芳
南方医科大学南方医院赣州医院(赣州市人民医院)耳鼻喉科,江西 赣州 341000南方医科大学南方医院赣州医院(赣州市人民医院)耳鼻喉科,江西 赣州 341000南方医科大学南方医院赣州医院(赣州市人民医院)耳鼻喉科,江西 赣州 341000南方医科大学南方医院赣州医院(赣州市人民医院)耳鼻喉科,江西 赣州 341000南方医科大学南方医院赣州医院(赣州市人民医院)耳鼻喉科,江西 赣州 341000
医药卫生
突发性聋自我调节疲乏工作退缩行为潜在剖面影响因素
Sudden sensorineural hearing lossSelf-regulated fatigueWork withdrawal behaviorPotential profileInflu-encing factor
《中国当代医药》 2026 (13)
13-17,28,6
江西省中医药管理局科技计划项目(2023A0182)江西省赣州市科技计划项目(2023LNS17460).
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