Classification prediction of exercise perception in elderly hip arthroplasty patients and nursing implications
10.3761/j.issn.0254-1769.2025.19.009
- VernacularTitle:老年髋关节置换术患者运动感知的分型预测及护理启示
- Author:
Qianming XIE
1
;
Chunyan LIAO
;
Guowei CHEN
;
Yanhong PENG
;
Guixiang JIANG
;
Huihua TANG
Author Information
1. 541001 桂林市 桂林医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Hip Arthroplasty;
Aged;
Exercise Benefits;
Exercise Barriers;
Latent Profile Analysis;
Deci-sion Tree;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(19):2364-2370
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the potential categories of exercise perception in elderly hip arthroplasty(HA)patients,analyze the prediction factors of different categories,and provide references for clinical nursing.Methods A convenience sampling method was used to select elderly HA patients treated in 6 orthopedic wards of 2 tertiary A hospitals in Guilin from October 2024 to February 2025.The general data questionnaire,Exercise Benefits and Barriers Perception Scale for Hip/Knee Throplasty Patients,Tampa Scale of Kinesiophobia,the 5-Factor Modified Frailty Index,and Self-Efficacy for Rehabilitation Outcome Scale were used for investigation.Latent profile analysis was used to identify the potential categories of exercise perception of elderly HA patients,and decision tree model was used to explore the core predictive factors of different profile.Results 222 valid questionnaires were collected,with an effective response rate of 96.52％.A total of 222 elderly HA patients were divided into 3 profiles:high benefit-low barrier group(19.82％),low benefit-high barrier group(22.07％),and mild barrier group(58.11％).Frailty,kinesophobia,rehabilitation self-efficacy,residence,educational level and daily exercise were significant predictors of latent profiles(P＜0.05),and the frailty was located in the root node of the decision tree model.Conclusion The level of exercise perception in elderly HA patients needs to be improved,and shows population heterogeneity.Medical staff should prioritize interventions for low benefit-high barrier and mild-barrier groups,implementing targeted strategies based on profile characteristics and predictive factors to improve their exercise perception.
