过渡期炎症性肠病患者过渡准备潜在剖面分析及影响因素
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男,硕士,护士

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国家自然科学基金面上项目(72274135);上海交通大学医学院附属瑞金医院青年培育项目(2025PY289)


Latent profiles analysis and the influencing factor of transition readiness among patients with inflammatory bowel disease in transitional period
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    摘要:

    目的 探讨过渡期炎症性肠病患者过渡准备的潜在类别,分析不同潜在类别的影响因素,以制订干预方案促进患者顺利过渡。方法 2025年6-10月,采用便利抽样法选取上海市4所三级甲等医院就诊的过渡期炎症性肠病患者415例作为研究对象。采用一般资料调查表、中文版过渡期炎症性肠病患者准备度量表、患者积极度量表、炎症性肠病患者心理社会适应量表、健康信息搜寻行为量表、家庭功能量表进行调查。采用潜在剖面分析对患者过渡准备进行分类,多元logistic回归分析探讨不同潜在类别的影响因素。结果 炎症性肠病患者过渡准备可分为低准备-依赖型(n=162,39.0%)、中准备-低效能型(n=185,44.6%)和高准备-自主型(n=68,16.4%)3个类别。logistic回归分析结果显示,照顾者参与过渡程度、患者积极度、心理社会适应、健康信息搜寻行为、家庭功能是炎症性肠病患者过渡准备剖面类别的影响因素(均P<0.05)。结论 过渡期炎症性肠病患者过渡准备存在群体异质性。医护人员应注意鉴别不同类别患者的过渡准备水平,制订分层干预略策,实施精准管理,促进患者顺利过渡。

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    Objective To explore the potential categories of transition readiness among patients with inflammatory bowel disease (IBD) during the transitional period, and to analyze the influencing factors of different potential categories to facilitate a smooth transition for patients. Methods A convenience sampling method was used. From June to October 2025, 415 IBD patients in transitional period admitted to four tertiary grade A hospitals in Shanghai were recruited. Then they were investigated by using a general information questionnaire, Chinese version of the Transition Readiness Scale for IBD Patients, the Patient Activation Measure, the Psychosocial Adjustment Scale for IBD Patient, the Health Information Seeking Behavior Scale, and the Family Assessment Device. Latent profile analysis was employed to classify patients based on their transition readiness. Multinomial logistic regression analysis was conducted to explore the characteristics associated with different latent classes. Results Three distinct classes of transition readiness were identified:the low readiness-dependent class (n=162, 39.0%), the moderate readiness-low efficacy class (n=185, 44.6%), and the high readiness-autonomous class (n=68, 16.4%). Multinomial logistic regression analysis revealed that, caregiver involvement in transition, patient activation, psychosocial adjustment, health information-seeking behavior, and family functioning were significant influencing factors to classes of transition readiness (all P<0.05). Conclusion Transition readiness among IBD patients in transitional period is heterogeneous. Healthcare professionals should assess patients′ transition readiness levels, develop stratified intervention strategies and implement precision management,so as to facilitate a successful transition.

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徐军,沈锐,孙素亚,徐涯鑫,陈亚梅.过渡期炎症性肠病患者过渡准备潜在剖面分析及影响因素[J].护理学杂志,2026,41(12):92-97

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  • 收稿日期:2026-01-25
  • 最后修改日期:2026-03-20
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  • 在线发布日期: 2026-07-29