摘要
目的 探讨阿尔茨海默病(Alzheimer’s Disease,AD)患者家庭抗逆力的潜在类别,并分析其影响因素。方法 采用便利抽样法选取2023年5月至2025年5月期间,本院收治的AD患者的主要照护者250例作为研究对象。采用一般资料调查表、家庭抗逆力量表(Family Resilience Scale,FRS)、Zarit照护负担量表(Zarit Burden Interview,ZBI)、家庭功能评定量表(Family Assessment Device,FAD)及社会支持评定量表(Social Support Rating Scale,SSRS)进行调查。采用潜在剖面分析AD患者家庭抗逆力的潜在类别,并通过多元Logistic回归分析探讨AD患者家庭抗逆力潜在类别的独立影响因素。结果 本次调查共发放问卷286份,回收有效问卷共250份,有效回收率为87.41%。250名AD患者家庭抗逆力的平均得分为(88.42±10.83)分。AD患者的家庭抗逆力分为3种潜在类别,分别为积极心态主导型、社会资源依赖型及沟通解决型。与积极心态主导型相比,AD病程长及主要照护者社会支持水平高的患者家庭更易进入沟通解决型(均P<0.05)。与积极心态主导型相比,家庭功能越差、家庭月均收入>10 000元及联合家庭的患者家庭更不易进入社会资源依赖型(均P<0.05)。与社会资源依赖型相比,照护负担越重的患者家庭更不易进入沟通解决型(P<0.05)。结论 AD患者的家庭抗逆力分为3种潜在类别,分别为积极心态主导型、社会资源依赖型及沟通解决型。护理人员可针对潜在类别的独立影响因素制定个性化的干预措施,以帮助患者提升家庭抗逆力,促进患者家庭的和谐与稳定。
Objective To explore the latent classes of family resilience in Alzheimer's disease(AD)patients and to analyze its influencing factors.Methods Using convenience sampling,250 primary caregivers of AD patients admitted to our hospital between May 2023 and May 2025 were selected.Data were collected using general information questionnaires,Family Resilience Scale(FRS),Zarit Burden Interview(ZBI),Family Assessment Device(FAD),and Social Support Rating Scale(SSRS).Latent profile analysis identified the latent classes of family resilience,and multinomial Logistic regression analyzed the influencing factors.Results Of 286 questionnaires distributed,250 valid responses(87.41%return rate)were received.The average family resilience score was 88.42±10.83.Three latent classes were identified:positive minded type,social resource dependent type,and communication problem solving type.Compared to the positive minded type,families with longer AD duration and higher social support were more likely to be in the communication problem solving type(both P<0.05).Compared to the positive minded type,families with poorer function,monthly income exceeding 10,000 yuan,or joint family structure were less likely to be in the social resource dependent type(all P<0.05).Compared to the social resource dependent type,families with heavier caregiving burdens were less likely to be in the communication problem solving type(P<0.05).Conclusion The three latent classes of family resilience in AD patients are positive minded,social resource dependent,and communication problem solving types.Nurses can develop personalized interventions based on these factors to enhance family resilience and promote family harmony and stability.
作者
欧阳倩
吴婷
OU Yangqian(Pingxiang Mining Group Co.,Ltd.General Hospital,Pingxiang 337000 Jiangxi,China)
出处
《牡丹江医科大学学报》
2026年第1期67-72,152,共7页
Journal of Mudanjiang Medical University
关键词
阿尔茨海默病
家庭抗逆力
潜在剖面分析
影响因素
Alzheimer's disease
Family resilience
Latent profile analysis
Influencing factors
