Abstract:

Objective To understand the current status of fear of missing out（FoMO） social interaction in adole-scent patients with severe accidental trauma，and to explore its potential categorical characteristics，and analyze the influencing factors of different categories. Methods A convenience sampling method was employed to select 301 adolescent patients with severe accidental trauma admitted to the surgical and trauma ICU of a tertiary hospital in Chengdu City from January to December 2024. Data were collected using a general information survey，the Fear of Missing Out Scale，the Adolescent Learning Stress Scale，and the Self-Perceived Burden Scale. Latent profile analysis and multiple logistic regression analysis were used to determine different profiles and their influencing factors. Results A total of 245 adolescent patients with severe accidental trauma were ultimately included，with a Fear of Missing Out Scale score of（21.55±8.17），being categorized into 4 potential profiles of “independent type”（28.16%），“normal type”（19.59%），“social dependence type”（22.04%），and “information deficiency type”（30.20%）. The results of multiple logistic regression analysis showed that literacy，per capita monthly family income，level of academic stress，level of self-awareness of medical staff care，being an only child，level of self-perceived burden，and length of hospitalization were the factors influencing the potential profiles of FoMO social interaction in adolescent patients with unintentional trauma（all P<0.05）. Conclusion There is group heterogeneity in FoMO social interaction among adolescent patients with severe accidental trauma. Medical staff should develop targeted intervention measures based on the classification characteristics of different profiles of missing anxiety in adolescent accidental trauma patients to alleviate their levels of FoMO social interaction.

Key words: Adolescent, Severe Accidental Trauma, Fear of Missing Out, Latent Profile Analysis, Trauma Care

摘要：

目的 了解青少年重度意外创伤患者社交互动错失焦虑（fear of missing out，FoMO）的现状，探究其潜在剖面特征，分析不同类别的影响因素。方法 采用便利抽样法，选取2024年1—12月，于成都市某三级甲等医院外科与创伤ICU收治的301例青少年重度意外创伤患者为调查对象，采用一般资料调查表、FoMO量表、青少年学习压力量表、自我感受负担量表进行调查。对青少年重度意外创伤患者社交互动FoMO进行潜在剖面分析，并运用多元Logistic回归分析确定不同剖面及其影响因素。结果 共纳入245例青少年重度意外创伤患者，FoMO量表得分为（21.55±8.17）分，分为“独立型”（28.16%）、“常态型”（19.59%）、“社交依赖型”（22.04%）、“信息缺乏型”（30.20%）4个潜在剖面。多元Logistic回归分析结果显示，文化程度、家庭人均月收入、学习压力水平、自觉医护人员关爱程度、是否独生子女、自我感受负担水平、住院时间是青少年意外创伤患者社交互动FoMO潜在剖面的影响因素（均P<0.05）。结论 青少年重度意外创伤患者社交互动FoMO存在群体异质性，医护人员应根据不同剖面的分类特征制订针对性的干预措施，以减轻其社交互动FoMO水平。

关键词: 青少年, 重度意外创伤, 错失焦虑, 潜在剖面分析, 创伤护理