摘要
目的探索慢性乙肝病毒(HBV)感染者正念水平的潜在剖面,进一步分析不同剖面的人群特征及影响因素。方法采用连续抽样法抽取2020年4月至2021年1月山东省某传染病医院的慢性乙肝病毒感染者,使用一般资料调查问卷、正念注意觉知量表和社会支持评定量表进行调查。以正念注意觉知量表得分作为外显指标进行潜在剖面分析,并通过单因素分析和二元logistic回归分析探讨不同剖面正念水平的影响因素。结果慢性乙肝病毒感染者正念水平可分为低正念水平组(39.68%)和中高正念水平组(60.32%)。单因素分析显示,性别、健康状况自评、支持满意度、受歧视严重性以及社会支持(客观支持、主观支持和对支持利用度)对慢性HBV感染者正念水平的2个潜在类别有预测作用,差异具有统计学意义(P<0.05)。二元logistic回归显示,性别(OR=0.499,P=0.017)、健康状况自评(OR=1.789,P=0.001)、受歧视严重性(OR=0.718,P=0.025)和主观支持(OR=1.066,P=0.016)对慢性乙肝病毒感染者正念水平的潜在剖面产生影响。结论慢性乙肝病毒感染者正念水平存在异质性,医务工作者通过对慢性乙肝病毒感染者分类,识别不同剖面的人群特征和影响因素,为提高其正念水平提供更精准的干预方案。
Objective To explore the latent profiles of mindfulness levels among chronic HBV infected patients,and to analyze the population characteristics and influencing factors of different profiles.Methods From April 2020 to January 2021,chronic HBV infected patients from an infectious disease hospital in Shandong Province were selected by successive sampling method and investigated using a general information questionnaire,the Mindful Attention Awareness Scale and the Social Support Rating Scale.The latent profiles were analyzed using the Mindful Attention Awareness Scale score as an exogenous indicator,and the influencing factors of different profiles of mindfulness were explored by univariate analysis and binary logistic regression.Results Positive thinking level of chronic HBV-infected patients could be categorized into low positive thinking level group(39.68%)and medium-high positive thinking level group(60.32%).Univariate analysis of variance showed that gender,self-assessment of health status,satisfaction with support,severity of discrimination,and social support(objective support,subjective support,and utilization of support)were predictive of the 2 potential categories of positivity level in chronically HBV-infected patients with statistically significant differences(P<0.05).Binary logistic regression showed that gender(OR=0.499,P=0.017),self-assessment of health status(OR=1.789,P=0.001),severity of discrimination(OR=0.718,P=0.025),and subjective support(OR=1.066,P=0.016)would have an effect on the latent profiles of the level of positive thinking among people with chronic HBV infection.Conclusion Heterogeneity exists in the level of mindfulness among chronic HBV infected patients,and healthcare workers can identify population characteristics and influencing factors of different profiles by categorizing chronic HBV infected patients to provide more precise intervention programs to improve their mindfulness level.
作者
宫淑萍
于楠楠
侯绪娜
陈星儒
孙蕾
赵晓敏
Gong Shuping;Yu Nannan;Hou Xuna;Chen Xingru;Sun Lei;Zhao Xiaomin(School of Nursing,Binzhou Medical University,Yantai 264003,China;Cardiovascular Surgery,Yantai Yuhuangding Hospital,Yantai 264000,China;Nursing Department,Yantai Qishan Hospital,Yantai 264000,China)
出处
《中国医院统计》
2024年第1期1-6,10,共7页
Chinese Journal of Hospital Statistics
基金
山东省高校人文社科研究计划(J15WC11)。
关键词
正念
社会支持
潜在剖面分析
慢性乙肝感染者
mindfulness
social support
latent profile analysis
chronic HBV infected patient
