Latent class growth analysis and factors influencing fatigue trajectories in elderly patients with chronic pneumonia
10.3760/cma.j.cn115682-20240717-03988
- VernacularTitle:老年慢性肺炎患者疲乏轨迹的潜在类别及影响因素分析
- Author:
Jingxi CAI
1
;
Jiajia CAI
1
;
Zongli ZHANG
1
;
Cuicui ZHAI
1
Author Information
1. 浙江省立同德医院老年四科，杭州 310012
- Publication Type:Journal Article
- Keywords:
Aged;
Chronic pneumonia;
Fatigue;
Trajectory;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(6):803-809
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the latent classes of fatigue trajectories and influencing factors in elderly patients with chronic pneumonia.Methods:A convenience sampling method was used to select 188 elderly patients with chronic pneumonia admitted to the Department of Geriatrics at Zhejiang Provincial Tongde Hospital from January 2023 to January 2024. General Data Questionnaires, Nutrition Risk Screening 2002, Athens Insomnia Scale, Hamilton Anxiety Scale, Community Commitment Scale, and Fatigue Scale were used to assess the patients. Patients were followed up for fatigue Scale at the time of consultation (T0) , and at the third (T1) and sixth (T2) months after consultation. Latent class growth analysis was used to model the trajectory of fatigue changes in elderly patients with chronic pneumonia.Results:A total of 188 questionnaires were distributed, with 165 valid responses, yielding an effective response rate of 87.8% (165/188) . The Fatigue Scale scores at T0, T1, and T2 were (4.63±1.74) , (5.54±1.90) , and (7.82±2.84) , respectively. The fatigue trajectories could be classified into three latent classes: low fatigue-slow increase group (74.5%, 123/165) , low fatigue-worsening group (10.3%, 17/165) , and high fatigue-slow increase group (15.2%, 25/165) . Multivariate logistic regression analysis showed that age, smoking index, number of chronic diseases, sleep, anxiety, and duration of cough and sputum were significant influencing factors for the fatigue trajectory in elderly patients with chronic pneumonia ( P<0.05) . Conclusions:Fatigue trajectories in elderly patients with chronic pneumonia exhibit group heterogeneity. Healthcare providers should develop targeted nursing measures based on different trajectory classes to alleviate fatigue and improve quality of life.
