| 魏铭慧,张梦珂,李佳雪,等.膝骨关节炎病人非药物治疗知信行的潜在剖面及影响因素分析.骨科,2025,16(3): 250-255. |
| 膝骨关节炎病人非药物治疗知信行的潜在剖面及影响因素分析 |
| Latent profile analysis and influencing factors analysis of non pharmacological treatment knowledge, attitude, and behavior in patients with knee osteoarthritis |
| 投稿时间：2025-01-14 |
| DOI：10.3969/j.issn.1674-8573.2025.03.010 |
| 中文关键词: 膝骨关节炎 潜在剖面分析 知识 态度 行为 |
| 英文关键词: Knee osteoarthritis Latent profile analysis Knowledge Belief Behavior |
| 基金项目:“天山英才”医药卫生高层次人才培养计划（TSYC202301B091）；新疆护理学会2023年度科研课题（2023XH042）；新疆维吾尔自治区研究生创新项目（XJ2024G182） |
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| 中文摘要: |
| 目的 基于潜在剖面分析，调查膝骨关节炎（knee osteoarthritis，KOA）病人对非药物治疗的知识、态度、行为（知信行）。方法 选取2023年7月至2024年1月新疆医科大学第一附属医院收治的膝骨关节炎病人为研究对象，采用一般资料调查表和非药物治疗知信行问卷进行调查。基于Mplus 8.3软件识别膝骨关节炎病人非药物治疗知信行的潜在类别，并进行单因素分析和多因素Logistic回归分析不同类别的影响因素。结果 共发放调查问卷520份，回收有效问卷508份，有效回收率为97.69%。膝骨关节炎病人非药物治疗知信行分为3个类别，分别为知信行薄弱组（11.42%），知信行中等组（49.41%）和知信行良好组（39.17%）。单因素分析结果显示，不同类别病人在年龄、身体质量指数（BMI）、居住情况、每周锻炼时间、工作性质、是否患慢性肺疾病、是否患癌症，以及父亲、母亲、兄弟姐妹、祖父、祖母、外祖父和外祖母是否患膝骨关节炎方面比较，差异均有统计学意义（P均＜0.05）。多因素Logistic回归分析结果显示，每周锻炼时间、是否患慢性肺疾病、是否与伴侣同住、母亲是否患膝骨关节炎和祖母是否患膝骨关节炎是膝骨关节炎病人非药物治疗知信行不同潜在剖面的影响因素（P＜0.05）。结论 膝骨关节炎病人非药物治疗知信行水平存在异质性，提示医护人员可根据不同的潜在剖面及其影响因素制定针对性干预策略。 |
| 英文摘要: |
| Objective To investigate the knowledge, attitudes, and behaviors of patients with osteoarthritis of the knee toward non-pharmacological treatment based on latent profile analysis. Methods Knee osteoarthritis patients in the First Affiliated Hospital of Xinjiang Medical University from July 2023 to January 2024 were selected as the research subjects. General information questionnaire and non-pharmacological treatment know-trust behavior questionnaire were used. Based on Mplus 8.3 software, the potential categories of non pharmacological treatment knowledge, attitude, and behavior were identified in patients with knee osteoarthritis, and univariate analysis and multivariate Logistic regression analysis were conducted on the influencing factors of different categories. Results A total of 520 questionnaires were distributed, and 508 valid questionnaires were successfully recovered, with an effective response rate of 97.69%. Patients with knee osteoarthritis can be classified into three categories: the weak group of knowledge (11.42%), the moderate group of knowledge (49.41%), and the good group of knowledge (39.17%). The results of univariate analysis showed that there were statistically significant differences in age, body mass index (BMI), living conditions, weekly exercise time, work nature, whether they had chronic lung disease, whether they had cancer, and whether their father, mother, brothers, sisters, grandfather, grandmother, maternal grandfather, and maternal grandmother had knee osteoarthritis (P＜0.05). The results of multiple Logistic regression analysis showed that weekly physical exercise time, chronic lung disease, living with a partner, whether the mother had knee osteoarthritis, and whether the grandmother had knee osteoarthritis were potential influencing factors on the knowledge, attitude, and practice of non pharmacological treatment for knee osteoarthritis patients (P＜0.05). Conclusion There is heterogeneity in the knowledge, belief, and practice levels of non pharmacological treatment in patients with knee osteoarthritis, suggesting that medical staff can develop targeted intervention strategies based on different potential profiles and their influencing factors. |
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