终末期肾病患者运动行为感知潜在类别与运动行为改变的关系

doi:10.3761/j.issn.0254-1769.2024.15.007

摘要/Abstract

摘要：

目的识别终末期肾病（end-stage renal disease，ESRD）患者运动行为感知的潜在类别，并分析不同潜在类别与运动行为改变的关系，为针对性干预提供参考。方法采用便利抽样法，于2022年6月—2023年5月选取郑州市某三级甲等综合医院的265例ESRD患者作为调查对象。采用一般资料调查表、透析患者感知运动益处及障碍量表以及运动行为改变评定量表进行调查，采用潜在剖面分析提取运动行为感知的潜在类别，以一般资料和潜在类别为自变量，运动行为改变为因变量进行多元线性回归分析。结果共241例ESRD患者完成调查。ESRD患者的运动行为感知可分为3个潜在类别：感知益处型（27.80%）、感知障碍型（17.43%）和轻微感知障碍型（54.77%）。多元线性回归分析结果显示，文化程度、家庭人均月收入和运动行为感知潜在类别是ESRD患者运动行为改变的影响因素（P<0.05）。结论 ESRD患者的运动行为感知存在群体异质性，临床医护人员应根据患者的运动行为感知潜在类别给予针对性干预，以促进其运动行为改变的启动与长期维持。

关键词: 终末期肾病, 运动行为感知, 运动行为改变, 潜在剖面分析, 护理

Abstract:

Objective To investigate the potential categories of exercise perception in patients with end-stage renal disease（ESRD），and analyze the relationship between different latent categories and change in physical activity，so as to provide references for targeted intervention. The latent profile analysis was used to extract potential categories of exercise perception，and multiple linear regression analysis was conducted with potential categories as independent variables and change in physical activity as dependent variables. Methods A total of 265 ESRD patients from a tertiary hospital were selected from June 2022 to May 2023 by convenience sampling method. The general data questionnaire，the Dialysis Patient-perceived Exercise Benefits and Barriers Scale（DPEBBS） and the Measuring Change in Physical Activity Questionnaire（MCPAQ） were used for investigation. Results A total of 241 ESRD patients completed the survey. The results of multiple linear regression analysis showed that education level，family per capita monthly income and potential categories of exercise perception were the influencing factors of change in physical activity in ESRD patients（P<0.05）. Conclusion There was group heterogeneity in the exercise perception in patients with ESRD. Clinical workers should give targeted intervention according to the potential categories of patients’ exercise perception，so as to promote the initiation and long-term maintenance of the change in physical activity.

Key words: End-Stage Renal Disease, Exercise Perception, Change in Physical Activity, Latent Profile Analysis, Nursing Care

郝永辉, 华慧娟, 何丽君. 终末期肾病患者运动行为感知潜在类别与运动行为改变的关系[J]. 中华护理杂志, 2024, 59(15): 1840-1846.

HAO Yonghui, HUA Huijuan, HE Lijun. Latent profile analysis of exercise perception among end-stage renal disease patients and its relationship with change in physical activities[J]. Chinese Journal of Nursing, 2024, 59(15): 1840-1846.

图/表 4

表1 终末期肾病患者运动行为感知潜在剖面模型的拟合结果

Table 1 Fitting results of the potential profile model for exercise perception in end-stage renal disease patients

图1 终末期肾病患者的运动行为感知潜在类别注：Y表示感知运动益处分量表，Y1为日常生活维度、Y2为身体功能维度；Z表示感知运动障碍分量表，Z1为症状维度、Z2为护理需求维度、Z3为运动相关不良后果维度、Z4为信息维度。

Figure 1 Potential categories of exercise perception in end-stage renal disease patients

表2 分类变量赋值情况

Table 2 Assignment of categorical variables

表3 终末期肾病患者运动行为改变的多元线性回归分析

Table 3 Multiple linear regression analysis of change in physical activity in end-stage renal disease patients

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