Analysis of symptom characteristics and influencing factors in maintenance hemodialysis patients based on latent class analysis
10.3969/j.issn.1671-8348.2024.21.021
- VernacularTitle:基于潜在类别分析的维持性血液透析患者症状特征及影响因素分析
- Author:
Ningning XIA
1
;
Jing LIU
;
Kuijing PAN
Author Information
1. 南京医科大学附属明基医院肾脏中心,南京 210019
- Keywords:
maintenance hemodialysis;
symptom burden;
characteristics;
latent class analysis;
influen-cing factors;
nursing
- From:
Chongqing Medicine
2024;53(21):3312-3317
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the latent class of the symptom characteristics in the patients with maintenance hemodialysis(MHD),and to analyze the factors affecting different latent class.Methods The convenience sampling method was adopted to select 380 cases of MHD in the Blood Purification Center of a class 3A hospital in Nanjing City from March to May 2022 as the respondents.The general data questionnaire,disease related data questionnaire and dialysis patient symptom assessment scale(DSI)were adopted to con-duct the questionnaire survey.The symptoms characteristics of the respondents conducted the latent class a-nalysis(LCA).Then the influencing factors of different latent categories were analyzed by the univariate anal-ysis and multivariate logistic regression.Results The symptom characteristics in the patients with MHD could be divided into 3 categories:symptom high incidence type(24.7％),sexual dysfunction type(31.3％)and symptom low incidence type(43.9％).Compared with the patients with symptom low incidence type,the patients with low age group and low income were more likely to be classified as the symptoms high incidence type.The patients with entering middle age(45-60 years old),having spouse,low income and short dialysis age were more likely to be classified as the sexual dysfunction type.Conclusion Medical staff should effective-ly identify the different symptoms characteristics in the same group of the patients,and give the personalized intervention management.
