Potential profile analysis and nursing implications of self-management in elderly patients with venous leg ulcers
10.3761/j.issn.0254-1769.2024.12.003
- VernacularTitle:老年下肢静脉溃疡患者自我管理的潜在剖面分析及护理启示
- Author:
Anzi WANG
1
;
Wenfang MU
;
Fei GU
;
Xian WANG
;
Yan WANG
;
Zhiwei XU
;
Panpan ZHOU
Author Information
1. 200071 上海市 上海中医药大学附属市中医医院护理部
- Keywords:
Venous Leg Ulcers;
Elderly;
Self-Management;
Latent Profile Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(12):1429-1436
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the status quo and potential profile of self-management in elderly patients with venous leg ulcers,analyse the differences and influencing factors in different profiles,and provide references for clinical nursing.Methods Convenient sampling method was used to select patients who were followed up in the department of vascular surgery and vascular department of 3 tertiary A hospitals in Shanghai from October 2022 to May 2023 as the study subjects.General data questionnaire,Chronic Wound Patient Self-management Behavior Questionnaire,Health Literacy Management Scale,Brief Illness Perception Questionnaire,Social Support Rating Scale,Chronic Disease Self-Efficacy Scale and Geriatric Depression Scale-15 were used for investigation.Mplus 8.3 was used for potential profile analysis,and SPSS 25.0 was used for univariate analysis and multiple Logistic regression analysis.Results A total of 316 valid questionnaires were collected,and the patients were divided into 3 potential profiles according to their self-management level:low management-inefficient wound response,middle management-highly effective compliance and high management-efficient wound response,accounting for 25.63％,46.84％and 27.53％respectively.Multiple Logistic regression analysis showed that duration of illness,depression,health literacy,self-efficacy and illness perception were factors influencing the potential profile of self-management in elderly patients with venous leg ulcers.Conclusion The self-management level of elderly patients with venous leg ulcers is at a medium level and has obvious classification characteristics.Clinical nurses can take targeted nursing measures according to different characteristics of patients to improve their self-management ability.
