眼科学报2026，Vol.41Issue(7)：534-544,11.DOI:10.12419/25081801
基于潜在剖面分析的青光眼患者积极度相关因素研究
A study on associated factors influencing activation levels in glaucoma patients:based on latent profile analysis
摘要
Abstract
Objective:To explore and analyze the latent profiles of glaucoma patient activation and their associated factors,providing empirical evidence for developing precise clinical intervention strategies.Methods:A cross-sectional survey was conducted,involving 202 glaucoma patients recruited from Zhongshan Ophthalmic Center,Sun Yat-sen University,between July and October 2024.The study utilized the General Information Questionnaire,the Patient Activation Measure,the General Self-Efficacy Scale,and the Perceived Social Support Scale.Latent profile analysis was performed using Mplus 8.3 software to identify distinct profiles of patient activation,and a multivariate regression model was employed to explore the sociodemographic,disease-related,and psychosocial factors associated with different profiles.Results:The patient activation in glaucoma patients was categorized into two latent profiles:"High Activation-Active Adaptation Type"(33.66%)and"Low Activation-Coping Dependent Type"(66.34%).Multivariate analysis revealed that patients who were urban residents,had higher monthly income,presented with advanced visual field defects,underwent three or more surgeries,reported higher general self-efficacy,and had better perceived social support were more likely to belong to the"High Activation-Active Adaptation Type"(P<0.05).Conclusions:The overall level of patient activation in glaucoma patients is moderate to low,predominantly characterized by the"Low Activation-Coping Dependent Type."This suggests that healthcare professionals should prioritize the assessment of patient activation in glaucoma care.Based on the identified latent profiles and their associated factors,personalized and targeted intervention strategies—such as enhancing self-efficacy,expanding social support,and strengthening health education—should be developed for different patient subtypes.These efforts are essential to effectively improve patient activation levels and disease self-management capabilities,thereby enhancing long-term treatment adherence and quality of life.关键词
青光眼患者/患者积极度/潜在剖面分析/相关因素Key words
glaucoma patients/patient activation/latent profile analysis/associated factors分类
医药卫生引用本文复制引用
曾馨,杨春艳,张宇,杨扬帆,黄文敏,黄秀谊,陈红红..基于潜在剖面分析的青光眼患者积极度相关因素研究[J].眼科学报,2026,41(7):534-544,11.基金项目
广东省岭南南丁格尔护理研究院(GDHLYJYM202417) （GDHLYJYM202417）
广东省护理学会2024年度护理创新发展研究课题(GDHLYJYB202404).This work was supported by 2024 Annual Nursing Innovation and Development Research Project of the Guangdong Lingnan Nightingale Nursing Research Institute(GDHLYJYM202417)and the Guangdong Nursing Association(GDHLYJYB202404). （GDHLYJYB202404）
