摘要
Abstract
Objective:To analyze the progression trajectory and key influencing factors of fear of disease progression(FoP)in patients with chronic heart failure(CHF)using the latent growth model(LGM).Methods:A total of 154 patients with CHF admitted to Suzhou Municipal Hospital,Jiangsu province between January 2021 and January 2024 were selected in the study.A general information questionnaire,the Hospital Comprehensive Anxiety and Depression Scale(HADS),the Social Support Rating Scale(SSRS),and the General Self-Efficacy Scale(GSES)were used to investigate their status quo.The Fear of Progression Questionnaire-Short Form(FoP-Q-SF)was used to assess the FoP on the day of discharge,3 months,and 6 months after discharge.Latent categories of the trajectory of FoP were identified based on the LGM model,and logistic regression analysis was used to identify influencing factors.Results:The FoP score was(37.19±6.72)at T1,(33.63±6.48)at T2,and(28.88±5.75)at T3.The total score and each dimension of FoP showed a gradual downward trend at different stages after surgery.The FoP trajectory of patients could be divided into group C1(high fear group-slow decrease group),group C2(moderate fear group-rapid decrease group),and group C3(low fear group).Compared with group C3,influencing factors for patients in group C1 included NYHA class,number of hospitalizations,anxiety and depression,self-efficacy,and social support Influencing factors for patients in group C2 included age,number of hospitalizations,anxiety and depression,self-efficacy,and social support(P<0.05).Conclusion:CHF patients exhibit different trajectories and latent categories of FoP,and the influencing factors varied within each category.This suggests that clinicians should provide personalized health guidance based on patients'physiological characteristics,psychological status,and overall social background.关键词
潜变量增长模型/慢性心力衰竭/疾病恐惧进展/变化轨迹/核心因素Key words
latent growth model/chronic heart failure/fear of disease progression/trajectory of change/core factors
