摘要
目的分析^(125)I粒子植入术后患者出院准备度潜在剖面及不同剖面的影响因素。方法采用便利抽样法,选取2023年10月至2024年10月在浙江省肿瘤医院介入治疗科行^(125)I粒子植入术的221例患者作为研究对象,通过一般资料调查表、出院准备度量表及社会支持评定量表进行调查。采用Mplus8.3软件分析^(125)I粒子植入术后患者出院准备度潜在剖面,采用多元Logistic回归模型分析不同出院准备度剖面的影响因素。结果^(125)I粒子植入术后患者出院准备度分为“低出院准备–低生活自理组”(10.41%)、“中出院准备–低他人照顾组”(32.58%)和“高出院准备–高情感支持组”(57.01%)3个潜在剖面。Logistic回归分析结果显示短期并发症数量、社会支持水平是^(125)I粒子植入术后患者出院准备度潜在剖面的影响因素(P<0.05)。结论^(125)I粒子植入术后患者出院准备度存在异质性,应根据不同剖面制定个性化干预策略。
Objective To analyze the potential profiles of discharge readiness in patients after^(125)I seed implantation and the influencing factors of different profiles.Methods A total of 221 patients who underwent^(125)I seed implantation in the Interventional Therapy Department,Zhejiang Cancer Hospital from October 2023 to October 2024 were selected as the research objects by convenient sampling method.The general information questionnaire,discharge readiness scale and social support rating scale were used for investigation.Mplus8.3 software was used to conduct latent profile analysis on the discharge readiness of patients after^(125)I seed implantation,and multivariate Logistic regression model was used to analyze the influencing factors of different discharge readiness profiles.Results The discharge readiness of patients after^(125)I seed implantation was divided into three potential profiles,“low discharge readiness-low self-care group”(10.41%),“medium discharge readiness-low others care group”(32.58%)and“high discharge readiness-high emotional support group”(57.01%).Logistic regression analysis showed that the number of short-term complications and the level of social support were the influencing factors of the potential profiles of discharge readiness in patients after^(125)I seed implantation(P<0.05).Conclusion There is heterogeneity in the discharge readiness of patients after^(125)I seed implantation,and personalized intervention strategies should be formulated according to different profiles.
作者
陈羚
俞新燕
马雅敏
郑家平
CHEN Ling;YU Xinyan;MA Yamin;ZHENG Jiaping(Interventional Therapy Department,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang,China;Nursing Department,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang,China)
出处
《中国现代医生》
2025年第27期1-5,共5页
China Modern Doctor
基金
浙江省医药卫生科技项目(2022KY118)
浙江省中医药科技项目(2024ZF002)。