| 江婷.基于潜变量增长混合模型的慢性化脓性中耳炎术后患者生活质量发展轨迹及其预测因素分析[J].上海护理,2026,26(6): |
| 基于潜变量增长混合模型的慢性化脓性中耳炎术后患者生活质量发展轨迹及其预测因素分析 |
| Analysis of the development trajectories and predictive factors of quality of life in patients with chronic suppurative otitis media after surgery based on latent growth mixture models |
| 投稿时间：2025-06-30 修订日期：2026-05-28 |
| DOI： |
| 中文关键词: 慢性化脓性中耳炎 手术治疗 生活质量 发展轨迹 影响因素 |
| 英文关键词:Chronic suppurative otitis media Surgical treatment Quality of life Development trajectory Influencing factors |
| 基金项目:项目基金：深圳耳鼻咽喉疾病医学临床研究中心；项目编号：20220819120540004-007 |
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| 中文摘要: |
| 目的 探讨慢性化脓性中耳炎患者术后生活质量发展轨迹的潜在类别，并分析类别差异的影响因素。方法 采用便利抽样法选取2022年2月至2024年9月本院收治的慢性化脓性中耳炎患者术后200例为研究对象，分别于术后第1d（T1）、术后1个月（T2）、术后3个月（T3）、术后6个月（T4）采用一般资料调查表、慢性化脓性中耳炎生活质量量表（CSOM-QOL）、疾病不确定感量表（MUIS）、心理弹性量表（CD-RISC）及社会支持量表（SSRS）对患者进行问卷调查，采用潜类别增长模型识别患者术后生活质量变化轨迹的潜在类别，并通过多分类logistic回归分析其影响因素。结果 参与调查的200例慢性化脓性中耳炎患者术后生活质量得分在不同时间点总体趋势呈上升趋势。潜类别增长模型分析结果显示，慢性化脓性中耳炎患者术后生活质量可分为快速恢复组95例（C1组，47.50%），平稳渐进组66例（C2组，33.00%）和缓慢波动组39例（C3组，19.50%）。logistic回归分析结果显示，年龄、术后伴有耳鸣、累及耳别、术后并发症、中耳炎类型、MUIS评分、CD-RISC评分、SSRS评分是慢性化脓性中耳炎患者术后生活质量不同发展轨迹的影响因素（均P＜0.05）。结论 慢性化脓性中耳炎患者术后生活质量存在3种不同的发展轨迹，具有群体异质性。临床工作中应关注高龄、术后伴有耳鸣、并发症等的患者，并通过针对性的干预措施其提高心理弹性水平，减轻其疾病不确定感，以改善患者生活质量水平。 |
| 英文摘要: |
| Objective: To explore the potential latent classes of the development trajectory of postoperative quality of life in patients with chronic suppurative otitis media and analyze the influencing factors of category differences. Methods: A total of 200 patients who underwent surgery for chronic suppurative otitis media in our hospital from February 2022 to September 2024 were selected as the research subjects by convenience sampling method. General information questionnaires, the Chronic Suppurative Otitis Media Quality of Life Scale (CSOM - QOL), the mishel uncertainty in illness scale(MUIS), the Connor - Davidson Resilience Scale (CD - RISC), and the Social Support Rating Scale (SSRS) were used to conduct questionnaire surveys on the patients at postoperative day 1 (T1), 1 month after operation (T2), 3 months after operation (T3), and 6 months after operation (T4). The latent class growth model was used to identify the latent classes of the postoperative quality - of - life change trajectory in patients, and a multinomial logistic regression analysis was performed to analyze its influencing factors. Results: The scores of postoperative quality of life of the 200 patients with chronic suppurative otitis media showed an overall upward trend at different time points. The results of the latent class growth model analysis showed that the postoperative quality of life of patients with chronic suppurative otitis media could be divided into three latent classes: a rapid recovery group with 95 cases (C1 group, 47.50%), a stable progressive group with 66 cases (C2 group, 33.00%), and a slow - fluctuating group with 39 cases (C3 group, 19.50%). The results of the logistic regression analysis showed that age, postoperative tinnitus, affected ear, postoperative complications, types of otitis media, MUIS score, CD - RISC score, and SSRS score were the influencing factors of different development trajectories of postoperative quality of life in patients with chronic suppurative otitis media (all P < 0.05). Conclusion: There are three different development trajectories of postoperative quality of life in patients with chronic suppurative otitis media, showing group heterogeneity. In clinical work, attention should be paid to patients who are elderly, have postoperative tinnitus, and have complications. Targeted intervention measures should be taken to improve their psychological resilience level and reduce their illness uncertainty, so as to improve the quality of life of patients. |
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