Latent profile analysis of disease uncertainty in atrial fibrillation patients undergoing radiofrequency ablation
10.3760/cma.j.cn115682-20241217-06917
- VernacularTitle:心房颤动患者射频消融术后疾病不确定感的潜在剖面分析
- Author:
Dong ZHAO
1
;
Hongwei ZHANG
1
;
Yahong CHEN
1
Author Information
1. 吉林大学中日联谊医院介入手术室,长春 130000
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
Radiofrequency ablation;
Disease uncertainty;
Latent profile analysis
- From:
Chinese Journal of Modern Nursing
2025;31(20):2729-2735
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore latent categories and influencing factors of disease uncertainty in atrial fibrillation patients undergoing radiofrequency ablation (RFA) .Methods:Convenience sampling was used to select 346 atrial fibrillation patients who underwent RFA from February 2022 to July 2024 at China-Japan Union Hospital of Jilin University. Patients were surveyed using the General Information Questionnaire, Mishel Uncertainty in Illness Scale-Adult Form (MUIS-A), Brief Illness Perception Questionnaire, Chinese version of the Sense of Coherence-13, and Family APGAR Index. Latent categories and influencing factors of disease uncertainty in atrial fibrillation patients with RFA were explored using latent profile analysis and Logistic regression analysis.Results:A total of 346 questionnaires were distributed and 328 valid questionnaires were recovered, with a valid recovery rate of 94.80% (328/346). The total MUIS-A score for 328 patients with atrial fibrillation was (97.06±9.41). Three latent categories of disease uncertainty existed in 328 atrial fibrillation patients with RFA, namely high-level disease uncertainty group ( n=138), intermediate-level disease uncertainty group ( n=120), and low-level disease uncertainty group ( n=70). Age, education level, number of RFA, type of atrial fibrillation, perception of disease, sense of coherence, and family care were the factors influencing the disease uncertainty in patients with atrial fibrillation ( P<0.05) . Conclusions:Disease uncertainty after RFA in patients with atrial fibrillation is above the intermediate level. Nursing staff should provide precise interventions for patients with different latent categories of disease uncertainty in conjunction with its influencing factors.