腹膜透析患者恐动症潜在剖面分析及影响因素研究

doi:10.3761/j.issn.0254-1769.2025.09.009

摘要/Abstract

摘要：

目的探讨腹膜透析患者恐动症的潜在类别特征，并分析不同类别的影响因素，为临床护理实践提供参考。方法采用便利抽样法，选取2023年12月—2024年3月在江苏省某7所三级甲等综合医院肾内科门诊及病房治疗的300例腹膜透析患者作为调查对象。采用一般资料调查表、恐动症评分量表、运动自我效能量表、锻炼社会支持量表及焦虑自评量表进行调查。通过潜在剖面分析探讨腹膜透析患者恐动症的潜在类别特征，并采用Logistic回归分析不同潜在类别的影响因素。结果共纳入291例，最终识别出3个恐动症的潜在类别，分别为低恐惧-积极运动组（20.96%）、高恐惧-回避运动组（24.06%）、中恐惧-一般运动组（54.98%）。运动自我效能、锻炼社会支持、焦虑、家庭人均月收入、婚姻状况及每日透析治疗剂量是腹膜透析患者恐动症潜在剖面的影响因素（P<0.05）。结论腹膜透析患者恐动症存在异质性，医护人员需及时判断恐动症所属类别及影响因素，采取针对性的干预措施，以降低患者恐动症水平。

关键词: 腹膜透析, 恐动症, 潜在剖面分析, 影响因素, 护理

Abstract:

Objective To explore the latent profiles of kinesiophobia among patients with peritoneal dialysis and analyze the influencing factors of different categories. Methods A convenience sampling method was used to select peritoneal dialysis patients treated in the outpatient and ward of nephrology department in 7 tertiary A hospitals in Jiangsu Province from December 2023 to March 2024. General data questionnaire，Tampa Kinesiophobia-11 Scale，Exercise Self-efficacy Scale，Exercise Social Support Scale and Self-Rating Anxiety Scale were used for investigation. Results A total of 291 cases were included，and 3 potential categories of kinesiophobia were finally identified，namely low kinesiophobia-active exercise group（20.96%），high kinesiophobia-exercise avoidance group（24.06%），and moderate kinesiophobia-general exercise group（54.98%）. Exercise self-efficacy，exercise social support，anxiety，monthly per capita household income，marital status and daily number of dialysis dose were influencing factors of kinesiophobia in peritoneal dialysis patients（P<0.05）. Conclusion There are significant category characteristics of kinesiophobia in patients with peritoneal dialysis. Medical staff should judge the category and influencing factors of kinesiophobia in time，and take targeted interventions to reduce the level of kinesiophobia in patients.

Key words: Peritoneal Dialysis, Kinesiophobia, Latent Profile Analysis, Influencing Factor, Nursing Care

谢敏, 漆文凯, 殷玲, 张旋, 赵如琴. 腹膜透析患者恐动症潜在剖面分析及影响因素研究[J]. 中华护理杂志, 2025, 60(9): 1080-1086.

XIE Min, QI Wenkai, YIN Ling, ZHANG Xuan, ZHAO Ruqin. Potential profile analysis and influencing factors of kinesiophobia in patients with peritoneal dialysis[J]. Chinese Journal of Nursing, 2025, 60(9): 1080-1086.

图/表 4

表1 调查对象的一般资料及恐动症潜在剖面的单因素分析

Table 1 Univariate analysis of respondents’ general information and potential categories of kinesiophobia

表2 腹膜透析患者恐动症潜在剖面分析模型拟合结果（n=291）

Table 2 Model fitting results of potential profile analysis model for kinesiophobia in patients with peritoneal dialysis（n=291）

图1 腹膜透析患者恐动症3个潜在剖面特征

Figure 1 Latent profiles of kinesiophobia in patients with peritoneal dialysis

表3 腹膜透析患者恐动症潜在类别的多元Logistic回归分析（n=291）

Table 3 Multivariate Logistic regression analysis of potential categories of kinesiophobia in peritoneal dialysis patients（n=291）

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