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中国护士健康相关生活质量的潜在类别分析。

Latent class analysis for health-related quality of life in nurses in China.

作者信息

Zhao Yan, Yang Bei, Chu Jianying

机构信息

Department of General Surgery, Qilu Hospital of Shandong University, Jinan, China.

Department of Plastic, Aesthetic, Reparative and Reconstructive Unit Nursing, West China Second Hospital, Sichuan University/West China School of Nursing, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.

出版信息

Front Public Health. 2024 Dec 11;12:1433018. doi: 10.3389/fpubh.2024.1433018. eCollection 2024.

Abstract

BACKGROUND

This study aimed to identify the types of quality of life (QoL) based on the five dimensions of the EQ-5D and predict factors affecting QoL.

METHODS

A multistage stratified cluster sampling survey was conducted among the staff of 12 general hospitals, 1,965 nurses completed the survey, and the data were analyzed using SPSS 26.0 and Mplus 8.3 for latent analysis.

RESULTS

Three latent classes of QoL were identified: low-level (2.8%), pain and discomfort (7.6%), medium-level (47.1%), and high-level (42.5%). The types and characteristics of QoL differed among these latent classes. The low-level group had the lowest EQ visual analog scale (EQ-VAS) score ( = 75.217, < 0.001) and the highest K10 score ( = 61.90, < 0.001). Moreover, increased age ( = 0.819, 95% : 0.817-0.973), never having drunk alcohol (OR = 0.107, 95% CI: 0.023, 0.488), and increased EQ-VAS scores ( = 0.935, 95% : 0.919, 0.952) were protective factors for quality of life, while working in obstetrics and gynecology ( = 6.457, 95% :1.852, 22.512) and higher K10 scores ( = 1.153, 95% : 1.100, 1.209) were risk factors for quality of life.

CONCLUSION

The results indicated significant heterogeneity in the types of QoL and identified predictors of QoL. These findings provide basic information for the development of nursing interventions to improve quality of life and identified specific characteristics that should be considered during intervention development.

摘要

背景

本研究旨在基于EQ-5D的五个维度确定生活质量(QoL)的类型,并预测影响生活质量的因素。

方法

对12家综合医院的工作人员进行多阶段分层整群抽样调查,1965名护士完成了调查,数据使用SPSS 26.0和Mplus 8.3进行潜在分析。

结果

确定了三种生活质量潜在类别:低水平(2.8%)、疼痛与不适(7.6%)、中等水平(47.1%)和高水平(42.5%)。这些潜在类别中生活质量的类型和特征各不相同。低水平组的EQ视觉模拟量表(EQ-VAS)得分最低(=75.217,<0.001),K10得分最高(=61.90,<0.001)。此外,年龄增加(=0.819,95%:0.817-0.973)、从不饮酒(OR=0.107,95%CI:0.023,0.488)和EQ-VAS得分增加(=0.935,95%:0.919,0.952)是生活质量的保护因素,而在妇产科工作(=6.457,95%:1.852,22.512)和较高的K10得分(=1.153,95%:1.100,1.209)是生活质量的危险因素。

结论

结果表明生活质量类型存在显著异质性,并确定了生活质量的预测因素。这些发现为制定改善生活质量的护理干预措施提供了基础信息,并确定了干预措施制定过程中应考虑的具体特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d4b/11669063/eb89d8c80d6a/fpubh-12-1433018-g0001.jpg

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