Latent class analysis of post-stroke demoralization in patients with disabilities
10.3760/cma.j.cn115682-20240727-04197
- VernacularTitle:脑卒中后失能患者失志水平的潜在剖面分析
- Author:
Ziyi ZHANG
1
;
Mengli ZHANG
;
Jinpeng XU
;
Yongxia CHEN
;
Ningning ZHU
;
Xueqin SUN
Author Information
1. 蚌埠医科大学护理学院，蚌埠 233000
- Publication Type:Journal Article
- Keywords:
Stroke;
Disability;
Demoralization;
Latent class analysis
- From:
Chinese Journal of Modern Nursing
2025;31(1):60-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the latent class characteristics of demoralization in severely disabled stroke patients, and analyze the differences and influencing factors of each class by latent class analysis.Methods:Convenience sampling was used to select 335 patients in the Neurointensive Care Unit of three Class Ⅲ Grade A hospitals in Anhui Province from October 2023 to March 2024, and were confirmed to be with post-stroke disability through follow-up as research subjects. General Information Questionnaire and Demoralization Scale-Ⅱ were used for a survey. Latent class analysis was used to identify latent classes of demoralization, and multiple logistic regression was used to analyze the influencing factors of different latent classes.Results:A total of 335 questionnaires were distributed, and 321 valid questionnaires were retrieved. The effective recovery rate of the questionnaires was 95.8%. Demoralization of severe stroke patients with disability was classified into four categories of low demoralization (40.2%, 129/321), moderate demoralization with coping loss (12.1%, 39/321), moderate demoralization with goal loss (21.2%, 68/321), and high disability (26.5%, 85/321). Multiple Logistic regression analysis showed that age, gender, per capita monthly income of the family, whether was the economic pillar of the family, long-term residence, and relationship with cohabitants were the influencing factors of demoralization in severe stroke patients with disability (all P<0.05) . Conclusions:There are four latent classes of demoralization in stroke patients with disability, and age, gender, per capita monthly income of the family, whether they are the economic pillar of the family, long-term residence, and relationship with cohabitants are the influencing factors of demoralization in severe stroke patients with disability.
