关键词: 炎症性肠病, 心理韧性, 心理社会适应, 潜在剖面分析, 护理

Abstract:

Objective To explore the characteristics of latent profiles of psychological resilience among patients with inflammatory bowel disease，and to analyze the differences of the latent profiles of psychological resilience in sociodemographic information as well as the impacts of the profiles on patients’ psychosocial adaptability，and to propose nursing decisions. Methods From June to October 2022，a total of 230 outpatients with inflammatory bowel disease in a tertiary hospital in Shandong Province were selected as the survey subjects by cross-sectional survey method. The General Information Questionnaire，Resilience Scale for Inflammatory Bowel Disease and Psychosocial Adaptation Questionnaire for Inflammatory Bowel Disease were used for investigation. The latent profile analysis was conducted with the 6 dimensions of psychological resilience in patients with inflammatory bowel disease as the explicit indicators. Univariate analysis was used to explore the differences in potential profiles of psychological resilience，and regression mixture model was used to analyze the impacts of different profiles on psychosocial adaptation of patients. Results 222 valid questionnaires were collected，with the effective recovery rate of 96.5%. The status of psychological resilience of 222 patients with inflammatory bowel disease was divided into 3 profiles，including low resilience and low efficiency in active coping with difficulties group（9.00%），moderate resilience and moderate efficiency in active coping with difficulties group（41.90%），and high resilience and high efficiency in active coping with difficulties group（49.10%）. Housing arrangement was the influencing factor of the 3 profiles. The high resilience and high efficiency in active coping with difficulties group had the highest total score of psychosocial adaptation. Conclusion The psychological resilience of patients with inflammatory bowel disease was significantly heterogeneous，and there were significant differences in psychosocial adaptation among the profiles. Nursing personnel should formulate personalized intervention strategies based on the classification characteristics of psychological resilience of inflammatory bowel disease patients to improve their psychosocial adaptation.

Key words: Inflammatory Bowel Disease, Psychological Resilience, Psychosocial Adaptation, Latent Profile Analysis, Nursing Care