冠心病共病病人治療負(fù)擔(dān)的潛在類別及其影響因素

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Latent class and its influencing factors of treatment burden in  patients  with  coronary  heart  disease plus multimorbidity

ZHANG Meimei， LI Aixian*， ZHU Yuelan， FAN Lifang， ZHOU Hui， WANG Ya'nan， LIU Shenxinyu

The First People's Hospital of Kunshan， Jiangsu 215300 China

*Corresponding Author  LI Aixian， E?mail： [email protected]

Abstract  Objective：To explore latent class of treatment burden and characteristic  differences of patients with coronary heart disease plus multimorbidity，and analyze the relevant influencing factors.Methods：A total of 505 patients with coronary heart disease plus multimorbidity admitted to the cardiovascular department of a tertiary grade A hospital in Kunshan were selected as the research subjects by convenience sampling from August 2022 to February 2023.General information survey，Chinese version of the Multi?Morbidity Treatment  Burden Questionnaire，and Chinese version of Heart Health Self?Efficacy and Self?Management were used for investigation.Explored the potential categories of treatment burden in patients with coronary heart disease plus multimorbidity，and factors influencing the different categories were analysed using Logistic regression.Results：The treatment burden in patients with coronary heart disease plus multimorbidity could be divided into 3 categories，included the comprehensive high treatment burden group with 150 patients（29.7%），the moderate treatment burden high medication and cost burden group with 182 patients（36.0%），and the low treatment burden high lifestyle burden group with 173 patients（34.3%）.The regression analysis results showed that gender，age，duration of coronary heart disease，per?capita monthly income of the family，Charlson comorbidity index grading，and self?efficacy were influencing factors of  class of treatment burden in patients with coronary heart disease plus multimorbidity.Conclusion：The treatment burden in patients with coronary heart disease plus multimorbidity has obvious classification，and medical staff should pay attention  to the  treatment burden  characteristics  of  different  patients and implement targeted intervention measures.

Keywords    coronary heart disease plus multimorbidity； treatment burden； latent class analysis； self?efficacy； self?management； influence factor

摘要  目的：探究冠心病共病病人治療負(fù)擔(dān)的潛在類別及其特征差異，分析相關(guān)影響因素。（剩余15318字）