Current status and latent profile analysis of nurses’ health promotion lifestyle in tertiary comprehensive hospitals

doi:10.3761/j.issn.0254-1769.2024.15.011

Abstract

Abstract:

Objective To understand the current status of nurses’ health promotion lifestyle in tertiary comprehensive hospitals，explore the category characteristics of nurses’ health promotion lifestyle，and analyze the influencing factors under different categories. Methods From March to April 2023，a multi-stage sampling method was used to select 1326 nurses from 10 tertiary comprehensive hospitals in Hunan Province as the research subjects. A cross-sectional survey was conducted by General Information Questionnaire，Health Promotion Lifestyle Profile Scale，Self-Rated Abilities for Health Practices Scale，Health Behavior Self-Efficacy Assessment Scale，and Nursing Work Environment Scale. Latent profile analysis（LPA） of nurses’ health promotion lifestyle was conducted，and the influencing factors of different profiles were explored through univariate analysis and logistic regression analysis. Results A total of 1220 nurses were included，and the score of Health Promotion Lifestyle Profile Scale was（62.61±18.67） points. Nurses’ health promotion lifestyle in tertiary comprehensive hospitals can be divided into 3 profiles，namely survival type（25.41%），vitality type（21.97%） and normal type （52.62%）. The results of logistic regression analysis showed that coping strategies for stress，non-occupational physical activity，perceived health status，health behavior self-efficacy，and nursing work environment are the influencing factors of nurses’ health promotion lifestyle in tertiary comprehensive hospitals（P<0.05）. Conclusion Nurses’ health promotion lifestyle in tertiary comprehensive hospitals exhibit significant heterogeneity. It is recommended that nursing managers carry out individualized interventions based on the characteristics of nurses in different categories. Health behavior self-efficacy can be used as the core of intervention to improve nurses’ health promotion lifestyles.

Key words: Nurse, Health Promotion Lifestyle, Latent Profile Analysis, Nursing Administration Research

摘要：

目的了解三级综合医院护士健康促进生活方式（health-promoting lifestyle，HPL）的现状，探究其类别特征，分析不同类别下的影响因素。方法于2023年3月—4月，采用多阶段抽样法，选取湖南省10所三级综合医院的1 326名护士作为调查对象。使用一般资料调查表、HPL量表、健康行为自我效能评定量表和护理工作环境量表进行调查，对护士HPL进行潜在剖面分析，并通过单因素分析和Logistic回归分析探究不同剖面的影响因素。结果最终纳入1 220名护士，HPL量表得分为（62.61±18.67）分。三级综合医院护士HPL可分为生存型（25.41%）、活力型（21.97%）和常态型（52.62%）3个剖面。Logistic回归分析结果显示，压力应对方式、每日非职业性体力活动情况、自觉健康状况、健康行为自我效能及护理工作环境是三级综合医院护士HPL的影响因素（P<0.05）。结论三级综合医院护士HPL存在明显的异质性，建议护理管理者依据不同类别护士的特征进行个体化干预，可将健康行为自我效能作为干预的核心，以提升其HPL水平。

关键词: 护士, 健康促进生活方式, 潜在剖面分析, 护理管理研究

LI Weijuan, ZHAO Yue, JIANG Jing, LIU Mengyuan, LUO Hui, FENG Xinyu, LI Yinglan. Current status and latent profile analysis of nurses’ health promotion lifestyle in tertiary comprehensive hospitals[J]. Chinese Journal of Nursing, 2024, 59(15): 1869-1876.

李卫娟, 赵越, 蒋敬, 刘梦媛, 罗慧, 冯心语, 李映兰. 三级综合医院护士健康促进生活方式现状及潜在剖面分析[J]. 中华护理杂志, 2024, 59(15): 1869-1876.

Figures/Tables 5

Table 1 Univariate analysis of 3 potential profiles of survey participants’ general information and health-promoting lifestyle [case（percent，%）]

Table 2 Fit indices for the potential profile model of 1 220 nurses health-promoting lifestyle in tertiary comprehensive hospitals

Figure 1 Potential distribution characteristics of nurses health-promoting lifestyle in tertiary comprehensive hospitals

Table 3 Assignment of independent variables

Table 4 Multiple Logistic regression analysis of the 3 potential profiles of nurses health-promoting lifestyle in tertiary comprehensive hospitals （n=1 220）

References 26

[1]	Melnyk BM, Tan AL, Hsieh AP, et al. Critical care nurses’ physical and mental health,worksite wellness support,and medical errors[J]. Am J Crit Care, 2021, 30(3):176-184.
[2]	薛婷, 姜文彬, 陈强, 等. 亚健康状况在新护士职业适应能力与留职意愿间的中介效应分析[J]. 护理学报, 2021, 28(9):48-53.
	Xue T, Jiang WB, Chen Q, et al. Mediating effect of sub-health on occupational adaptation and retention intention in new nurses[J]. J Nurs(China), 2021, 28(9):48-53.
[3]	Carthon JMB, Brom H, Poghosyan L, et al. Supportive clinical practice environments associated with patient-centered care[J]. J Nurse Pract, 2020, 16(4):294-298.
[4]	Pender N, Murdaugh C, Parsons M. Health promotion in nursing practice[M]. 5th ed. New Jersey: Pearson Prentice, 2006:37.
[5]	梁涛, 刘鑫, 王佳弘, 等. 国外护士健康队列研究现状及对我国的启示[J]. 中国护理管理, 2020, 20(6):816-820.
	Liang T, Liu X, Wang JH, et al. Current state of nurse cohorts in foreign countries and its enlightenment to China[J]. Chin Nurs Manag, 2020, 20(6):816-820.
[6]	吴凡, 绳宇. 社会支持网络、自我效能及健康促进行为对老年人影响的路径分析[J]. 中华护理杂志, 2019, 54(11):1701-1706. DOI
	Wu F, Sheng Y. Pathway analysis of impact of social support network,self-efficacy and health promotion behavior on healthy aging among older adults[J]. Chin J Nurs, 2019, 54(11):1701-1706. DOI
[7]	丁茱萸, 庄一渝, 张佳佳, 等. 浙江省三级综合医院ICU健康工作环境评估量表常模的构建[J]. 中华急危重症护理杂志, 2023, 4(11):993-999.
	Ding ZY, Zhuang YY, Zhang JJ, et al. Establishment of norms of ICU Healthy Work Environment Assessment Tool in the tertiary general hospitals of Zhejiang Province[J]. Chin J Emerg Crit Care Nurs, 2023, 4(11):993-999.
[8]	Little TD. The Oxford Handbook of quantitative methods in psychology:vol 2:statistical analysis[M]. Oxford: Oxford University Press, 2013.
[9]	倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4):378-380.
	Ni P, Chen JL, Liu N. The sample size estimation in quantitative nursing research[J]. Chin J Nurs, 2010, 45(4):378-380.
[10]	谷波, 赵上萍, 张骏. 四川省三级医院护士健康促进生活方式与职业压力的相关性[J]. 护理学杂志, 2019, 34(1):60-62.
	Gu B, Zhao SP, Zhang J. Correlation between health promoting lifestyle and occupational stress of nurses in tertiary hospitals in Sichuan[J]. J Nurs Sci, 2019, 34(1):60-62.
[11]	洪静芳. 临床实习护生健康促进生活方式及相关因素的研究[D]. 北京: 中国协和医科大学, 2006.
	Hong JF. Health-promoting lifestyles and its related factors among clinical practice nursing students[D]. Beijing: China Union Medical College, 2008.
[12]	毛晓群, 尤黎明, 古素娥, 等. 老年人自我效能和健康行为的相关性研究[J]. 护理研究, 2007, 21(16):1437-1439.
	Mao XQ, You LM, Gu SE, et al. A study on relativity between self-efficacy and health behaviors of senile people[J]. Chin Nurs Res, 2007, 21(16):1437-1439.
[13]	Becker H. Self-rated abilities for health practices:a health self-efficacy measure[J]. Heal Values:J Heal Behav Edu Prom, 1993, 17(5):42-50.
[14]	叶志弘, 邵静, 汤磊雯. 护理工作环境量表的研制及信效度研究[J]. 中华护理杂志, 2016, 51(2):142-147.
	Ye ZH, Shao J, Tang LW. The development of Nursing Work Environment Scale and its reliability and validity[J]. Chin J Nurs, 2016, 51(2):142-147.
[15]	张慧丽, 霍仙娜, 赵正焱, 等. 健康促进生活方式在护士工作压力与睡眠质量中的中介作用[J]. 中国健康心理学杂志, 2022,
	Zhang HL, Huo XN, Zhao ZY, et al. Mediating role of health-promoting lifestyle in nurses’ work stress and sleep quality[J]. China J Health Psychol, 2022, 30(3):401-405.
[16]	费雯雯. 青年护士健康促进生活方式与社会支持、应对方式的关系[J]. 当代护士(下旬刊), 2019, 26(9):21-23.
	Fei WW. Relationship between health promotion lifestyle,social support and coping style of young nurses[J]. Today Nurse, 2019, 26(9):21-23.
[17]	Zhou YT, Guo XL, Yin HY. A structural equation model of the relationship among occupational stress,coping styles,and mental health of pediatric nurses in China:a cross-sectional study[J]. BMC Psychiatry, 2022, 22(1):416.
[18]	Alkhawaldeh JM, Soh KL, Mukhtar F, et al. Stress management training program for stress reduction and coping improvement in public health nurses:a randomized controlled trial[J]. J Adv Nurs, 2020, 76(11):3123-3135.
[19]	邹茂. 重庆市健康促进医院医务人员健康促进生活方式现状及相关因素研究[D]. 重庆: 重庆医科大学, 2020.
	Zou M. Health-promoting lifestyle and the influence factors among medical staff of health-promoting hospitals in Chongqing[D]. Chongqing: Chongqing Medical University, 2020.
[20]	Schwarzer R, Lippke S, Luszczynska A. Mechanisms of health behavior change in persons with chronic illness or disability:the Health Action Process Approach(HAPA)[J]. Rehabil Psychol, 2011, 56(3):161-170. DOI PMID
[21]	An H, He RH, Zheng YR, et al. Cognitive-behavioral therapy[M]//Substance and Non-substance Addiction. Singapore:Springer, 2017:321-329.
[22]	World Health Organization. Physical activity[EB/OL]. (2022-10-05)[2023-10-30]. https://www.who.int/zh/news-room/fact-sheets/detail/physical-activity.
[23]	李晓敏, 彭保艳, 孙王乐贤, 等. 护理人员健康促进生活方式与自我效能感关系研究[J]. 中国职业医学, 2016, 43(3):337-340.
	Li XM, Peng BY, Sun WLX, et al. Relationship between health promotion lifestyle and self-efficacy of the nurses[J]. China Occup Med, 2016, 43(3):337-340.
[24]	Bandura A. Self-efficacy mechanism in human agency[J]. Am Psychol, 1982, 37(2):122-147.
[25]	孙素娟, 侯慧卿, 孔艳莉, 等. 对临床护理人员实施分层次多元化培训的实践效果[J]. 护理实践与研究, 2018, 15(4):87-89.
	Sun SJ, Hou HQ, Kong YL, et al. Practice effect of implementing multi-level and diversified training on clinical nursing staff[J]. Nurs Pract Res, 2018, 15(4):87-89.
[26]	Cho H, Han K. Associations among nursing work environment and health-promoting behaviors of nurses and nursing performance quality:a multilevel modeling approach[J]. J Nurs Scholarsh, 2018, 50(4):403-410.