Potential profile analysis and influencing factors of self-management in patients with sudden deafness
10.3969/j.issn.1006-7299.2025.05.006
- VernacularTitle:突发性聋患者自我管理的潜在剖面分析及影响因素研究
- Author:
Jing LIU
1
;
Nuo ZHAO
;
Zhihong LI
;
Yi SU
;
Caixia DU
;
Dayong WANG
Author Information
1. 解放军总医院第六医学中心耳鼻咽喉头颈外科医学部耳鼻咽喉内科国家耳鼻咽喉疾病临床医学研究中心解放军总医院耳鼻咽喉研究所(北京 100048);解放军总医院第二医学中心心血管内科(北京 100853);解放军医学院研究生院(北京 100853)
- Publication Type:Journal Article
- Keywords:
Sudden deafness;
Self-management;
Latent profile analysis
- From:
Journal of Audiology and Speech Pathology
2025;33(5):438-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the potential profile of self-management behavior in patients with sudden deafness,the characteristics and influencing factors of different categories of patients,and provide reference for clin-ical management.Methods A total of 205 patients with sudden deafness who were hospitalized in the Department of Otology of a Grade 3 hospital in Beijing were selected by convenience sampling method from August 2023 to June 2024.Date were collected using the general situation questionnaire,self-management status assessment scale for sudden deafness patient and social support rating scale.Mplus 8.0 was used for potential profile analysis,and SPSS 26.0 was used for single factor analysis and multiple logistic regression analysis.Results A total of 200 valid ques-tionnaires were collected.Patients were divided into 3 categories according to their self-management level,which were respectively named as"high management—good self-efficacy group"(n=52,26.00％),"moderate manage-ment—symptoms of special concern group"(n=101,50.50％),and"low management-lack of information acquisi-tion group"(n=47,23.50％).Multiple logistic regression analysis showed that education level,sleep disorder and social support level were the influencing factors of different self-management categories in patients with sudden deaf-ness.Conclusion The overall self-management ability of patients with sudden deafness is at a moderate level and with significant heterogeneity.Education level,sleep disorders,and social support serve as stratification criteria for categorizing different patient groups and formulating corresponding intervention strategies.Priority should be given to providing information support to the"low-management group with information deficiency",implementing targe-ted interventions for the"moderate-management group with symptom focus",and fully leveraging the self-efficacy of the"high-management group with good self-efficacy"to regulate their self-management level.
