Influencing factors and nursing enlightenment of the fear of progression in patients with inflammatory bowel disease:a latent profile analysis
10.3761/j.issn.0254-1769.2024.03.009
- VernacularTitle:炎症性肠病患者恐惧疾病进展潜在类别的影响因素分析及护理启示
- Author:
Qingyu WANG
1
;
Zheng LIN
;
Yang LEI
;
Meijing ZHOU
;
Mi WANG
;
Caiyun SUN
;
Junyi GU
;
Zhanhui ZHU
;
Lichen TANG
;
Qiugui BIAN
Author Information
1. 210000 南京市 南京医科大学护理学院
- Keywords:
Inflammatory Bowel Diseases;
Fear of Progression;
Latent Profile Analysis;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(3):308-316
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the potential categories and influencing factors of the fear of progression in patients with inflammatory bowel diseases(IBD).Methods IBD patients who received inpatient treatment in a tertiary hospital in Nanjing from July 2022 to July 2023 were selected as the study subjects by convenience sampling method.The General Demographic Information Questionnaire,the Chinese version of the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),the Chinese version of Inflammatory Bowel Disease Self-efficacy Scale(IBD-SES),and Social Support Rating Scale(SSRS)were administered to the participants.We applied one-way ANOVA and Logistic regression analysis to identify the factors associated with the potential categories of the fear of progression.Results A total of 303 retumed questionnaires(out of the 310)were valid,resulting an effective response rate of 97.74％.According to the results of latent profile analysis,we classified the respondents into 3 categories by the fear of progression,namely"low risk fear of disease adaptation group"(n=127,41.91％),"medium risk fear of illness distress group"(n=139,45.88％),"high risk fear of dysfunction group"(n=37,12.21％).3 groups showed statistically significant differences in permanent address,self-rated financial pressure,current disease status and self-efficacy(P＜0.05).Conclusion Patients with IBD had obvious differences in characteristics on the fear of progression.Nursing personnel should formulate personalized intervention strategies based on the classification characteristics of the fear of progression of IBD patients.Moreover,nurses should focus on improving patients'self-efficacy and promoting patients to treat medical care,stress and emotion management correctly.
