Latent profile analysis of self-care behavior in patients with chronic heart failure
10.3760/cma.j.cn211501-20240207-00331
- VernacularTitle:慢性心力衰竭患者自我护理行为的潜在剖面分析
- Author:
Xinyue DONG
1
;
Ying LIN
;
Xiaoyan CHU
;
Zhiyun SHEN
;
Xiao CHEN
;
Xian ZHANG
;
Yike ZHU
;
Zhenning LU
;
Yuxia ZHANG
Author Information
1. 复旦大学附属中山医院护理部，上海 200032
- Keywords:
Heart failure;
Self-care;
Self-management;
Latent profile;
Heterogeneity;
Typology
- From:
Chinese Journal of Practical Nursing
2024;40(30):2321-2329
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics and typology of self-care behavior among patients with chronic heart failure (CHF), and analyze their influencing factors.Methods:A cross-sectional study was used. A total of 318 patients with CHF who were hospitalized in the Heart Center of Zhongshan Hospital, Fudan University from November 2022 to July 2023 were selected by continuous enrollment method. The General Information Questionnaire, Heart Failure Self-care Index Scale, Brief Illness Perception Questionnaire, Self-efficacy for Managing Chronic Disease 6-item Scale, Perceived Social Support Scale, Atlanta Heart Failure Knowledge Test-V2 and Self-Care Confidence Scale were used to investigate. Latent profile analysis was utilized to delineate the characteristics and subtypes of self-care behaviors in CHF patients and examine the influencing factors.Results:A total of 291 patients were included in this study, including 190 males and 101 females, aged 67 (61, 74) years old. The analysis identified three latent categories of self-care behaviors among CHF patients: 26 cases in high self-care group, 131 cases in moderate self-care with deficiencies in maintenance and symptom perception group, and 134 cases in low self-care group.Ordered multicategorical Logistic regression analysis revealed that age ( OR=1.023, 95% CI 1.001-1.046, P<0.05), self-care confidence ( OR=0.859, 95% CI 0.817-0.904, P<0.01), and social support ( OR=0.966, 95% CI 0.940-0.993, P<0.05) were the factors influencing the potential categories of self-care behavior in CHF patients. Conclusions:The study identifies distinct categorical characteristics of self-care behaviors in patients with CHF. Healthcare professionals can leverage these findings to identify the self-care behavior characteristics and influencing factors for each patient category at an early stage, thereby providing personalized and precise support strategies to help patients enhance self-care behaviors.
