临床与病理杂志2024，Vol.44Issue(12)：1654-1662,9.DOI:10.11817/j.issn.2095-6959.2024.240974
老年慢性心力衰竭患者疾病进展恐惧潜在类别的影响因素及其与症状负担的相关性
Influencing factors of latent classes of fear of disease progression and its correlation with symptom burden in elderly patients with chronic heart failure
摘要
Abstract
Objective:Chronic heart failure(CHF)is a long-term condition with recurrent symptoms,and fear of progression has become a significant psychological concern for elderly patients.However,the heterogeneity of fear of disease progression and its relationship with symptom burden remain unclear.This study aims to identify latent classes of fear of progression using latent profile analysis,analyze their influencing factors,and explore the correlation between fear of progression and symptom burden. Methods:A total of 320 elderly CHF patients were conveniently sampled from 3 tertiary hospitals in Chengdu between March and October 2024.Data were collected using a general information questionnaire,the Short Form of the Fear of Progression Questionnaire,the Memorial Symptom Assessment Scale for Heart Failure,and the Self-Efficacy for Symptom Management Scale.Latent profile analysis was used to identify latent fear of progression classes.Pearson correlation analysis was conducted to explore the relationship between fear of progression and symptom burden across classes,and multivariate Logistic regression was used to determine the influencing factors of fear of progression classes. Results:Three latent classes were identified:Low fear-active coping group(n=141,43.9%),moderate fear-poor role adaptation group(n=88,27.7%),and high fear-poor disease adaptation group(n=91,28.4%).Pearson correlation analysis revealed that all dimensions of fear of progression were positively correlated with all dimensions of symptom burden(P<0.05).Influencing factors of fear of progression classes included place of residence,type of medical insurance,number of comorbidities,self-efficacy in symptom management,and symptom burden(all P<0.05). Conclusion:Fear of disease progression in elderly CHF patients is heterogeneous and positively correlated with symptom burden.Healthcare providers should pay special attention to patients living in rural areas,those covered by urban-rural resident insurance,patients with multiple comorbidities,low self-efficacy in symptom management,and higher symptom burden.Tailored psychological and symptom management interventions should be implemented to help reduce fear of progression.关键词
慢性心力衰竭/老年人/疾病进展恐惧/潜在剖面分析/症状负担Key words
chronic heart failure/elderly/fear of disease progression/latent profile analysis/symptom burden引用本文复制引用
朱茜,周艳,王沛坚,侯霁芯,王新全,黄琦,李慧..老年慢性心力衰竭患者疾病进展恐惧潜在类别的影响因素及其与症状负担的相关性[J].临床与病理杂志,2024,44(12):1654-1662,9.基金项目
四川省科技厅基金(2020ZYD036) （2020ZYD036）
自贡市哲学与社会科学重点研究基地-运动与健康创新研究中心项目(YDJKY23-03) （YDJKY23-03）
成都医学院-成都医学院第二附属医院联合科研基金(23LHHGYMP18) （23LHHGYMP18）
自贡市哲学与社会科学重点研究基地-医学与健康传播研究中心项目(YXJKCB-2023-08).This work was supported by the Fund of Science and Technology Department of Sichuan Province(2020ZYD036),Zigong Philosophy and Social Science Key Research Base-Movement and Health Innovation Research Center Project(YDJKY23-03),Chengdu Medical School-the Second Affiliated Hospital of Chengdu Medical College Joint Scientific Research Fund(23LHHGYMP18),and Zigong Philosophy and Social Science Key Research Base-Medical and Health Communication Research Center Project(YXJKCB-2023-08),China. （YXJKCB-2023-08）
