A mixed study of latent profile analysis and influencing factors of psychological responses to trauma in ICU patients
10.3761/j.issn.0254-1769.2025.07.012
- VernacularTitle:ICU患者创伤心理反应的潜在剖面及影响因素的混合研究
- Author:
Hongyi LI
1
;
Xue LI
;
Yuying FAN
;
Yisha ZHAO
;
Jingshu LI
Author Information
1. 150086 哈尔滨市 哈尔滨医科大学附属第二医院ICU
- Publication Type:Journal Article
- Keywords:
Latent Profile Analysis;
Intersive Care Unit;
Post-Traumatic Growth;
Acute Stress Disorder;
Mixed Studies;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(7):842-849
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics of the potential categories of traumatic psychological reactions in ICU patients and analyze the influencing factors of different potential categories,in order to provide ideas for the implementation of scientific and effective personalized intervention in the future.Methods A convenience sample of 300 patients treated in the ICU of a hospital from May 2023 to February 2024 was surveyed.The used instruments included a general information questionnaire,the Social Support Rating Scale,the Brief Resilience Scale,the Acute Stress Disorder Scale,and the Simplified Chinese version of the Post-Traumatic Growth Inventory.Data were analyzed using multivariate Logistic regression.Additionally,a purposive sampling method was used to conduct semi-structured interviews with 12 ICU patients,and the interview data were analyzed by interpretative phenomenological analysis.Results Quantitative research results showed that the traumatic psychological responses of ICU patients were categorized into 4 latent classes,including Trauma-Dependent Type(17.3％),Smooth-Transition Type(36.0％),External-Support Growth Type(25.3％),and Internal-Rooted Growth Type(21.3％).Factors influencing these responses included age,educational level,social support,psychological resilience,household income,and the number of used hormone medications(P＜0.05).Qualitative research results showed that 4 core themes were identified,including immersion in psychological trauma,rational cognition and acceptance of reality,seeking external support for personal growth,and independent exploration of inner self.Influencing factors included age,income level,history of major illness or ICU treatment,level of disease awareness,presence of underage children,and individual capacity for rumination.The quantitative and qualitative results were mutually corroborative and complemented each other.Conclusion The acute stress response of ICU patients is obvious,and there are multiple characteristics in the potential categories of traumatic psychological response,suggesting that medical and nursing staff can identify the characteristics of various types and influencing factors early,formulate personalized intervention programs,and promote their post-traumatic growth.
