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合并症老年卒中患者的护理依赖:一项潜在类别分析

Care dependency in older stroke patients with comorbidities: a latent profile analysis.

作者信息

Lin Qinger, Dong Xiaohang, Huang Tianrong, Zhou Hongzhen

机构信息

Department of Nursing, Nanfang Hospital, Southern Medical University, Guangzhou, China.

School of Nursing, Southern Medical University, Guangzhou, China.

出版信息

Front Aging Neurosci. 2024 May 28;16:1366380. doi: 10.3389/fnagi.2024.1366380. eCollection 2024.

Abstract

OBJECTIVES

To explore latent profiles of care dependency in older stroke patients with comorbidities and to analyze the factors influencing different latent profiles.

METHODS

A total of 312 older ischemic stroke patients with comorbidities were included in the analysis. Latent Profile Analysis (LPA) was used to classify the participants into potential subgroups with different types of care dependency. The influencing factors of the classification of care dependency subgroups were determined using multivariate Logistic regression analysis.

RESULTS

The care dependency score of older ischemic stroke patients with comorbidities was (51.35 ± 13.19), and the patients could be classified into 3 profiles, namely Universal dependency (24.0%), Moderate activity-social-learning dependency (28.0%), and Mild activity-social-learning dependency (48.0%); caregiver, BI at admission, and functional impairments were independent factors influencing care dependency ( < 0.05).

CONCLUSION

There are three latent profiles of care dependency in older ischemic stroke patients with comorbidities. According to the characteristics of various populations, medical staff are able to implement specific interventions to lower the level of dependency and further improve the quality of life of patients.

摘要

目的

探讨合并症老年卒中患者护理依赖的潜在类型,并分析影响不同潜在类型的因素。

方法

共纳入312例合并症老年缺血性卒中患者进行分析。采用潜在类别分析(LPA)将参与者分为具有不同护理依赖类型的潜在亚组。使用多因素Logistic回归分析确定护理依赖亚组分类的影响因素。

结果

合并症老年缺血性卒中患者的护理依赖评分为(51.35±13.19),患者可分为3种类型,即普遍依赖(24.0%)、中度活动-社会学习依赖(28.0%)和轻度活动-社会学习依赖(48.0%);照顾者、入院时的巴氏指数和功能障碍是影响护理依赖的独立因素(<0.05)。

结论

合并症老年缺血性卒中患者存在三种护理依赖的潜在类型。医护人员可根据不同人群的特点实施针对性干预,以降低依赖程度,进一步提高患者生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4095/11165196/95957ba3798b/fnagi-16-1366380-g001.jpg

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