Trajectories of self-care agency and associated factors in lung transplant recipients over the first 12 months following transplantation.
Trajectories of self-care agency and associated factors in lung transplant recipients over the first 12 months following transplantation.
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DOI：
10.1111/ctr.13030
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发表时间：
2017-09
影响因子：
2.1
通讯作者：
Sereika SM
中科院分区：
文献类型：
--
作者：
Hu L;Lingler JH;DeVito Dabbs A;Dew MA;Sereika SM
自我照顾能力（SCA），定义为一个人从事自我照顾行为的能力和意愿，可以影响肺移植受者（LTR）的自我照顾行为的实际表现。随着时间的推移，了解SCA的模式可以为干预措施的设计提供信息，以促进LTR的自我护理。使用基于组的轨迹建模，我们试图在移植后的前12个月内确定94个LTR中SCA的模式和相关性。社会人口学、临床和心理社会因素的基线测量以及纵向评估的心理困扰与预测轨迹组成员资格的相关性进行了检查。三个不同的稳定（即，零斜率）SCA轨迹确定如下：持续低，持续中等，持续高。基于最终的多变量模型，移植后需要重新插管（P= 0.043），出院到机构而不是家（P= 0.048），报告较高水平的基线焦虑（P= 0.001）与较低的SCA显著相关。线性混合模型显示，在12个月的时间内，持续中度和低SCA组中，较高水平的焦虑和抑郁与较低的SCA相关（Ps<.05）。LTR在移植后需要重新插管并出院到家庭以外的设施，并报告高度心理困扰，可能需要额外的帮助来参与移植后的自我护理行为。
Self-care agency (SCA), defined as one’s ability and willingness to engage in self-care behaviors, can influence actual performance of self-care behaviors in lung transplant recipients (LTRs). Understanding patterns of SCA over time may inform the design of interventions to promote self-care in LTRs. Using group-based trajectory modeling, we sought to identify patterns and correlates of SCA among 94 LTRs over the first 12 months post-transplant. Baseline measures of sociodemographic, clinical, and psychosocial factors, and longitudinally assessed psychological distress were examined for their associations with predicted trajectory group membership. Three distinct stable (ie, zero slope) SCA trajectories were identified as follows: persistently low, persistently moderate, and persistently high. Based on the final multivariate model, requiring a re-intubation after transplant (P=.043), discharged to a facility rather than home (P=.048), and reporting a higher level of baseline anxiety (P=.001) were significantly associated with lower SCA. Linear mixed models revealed that higher levels of anxiety and depression were associated with lower SCA in the persistently moderate and low SCA groups over the 12-month time period (Ps<.05). LTRs who require a re-intubation after transplant and are discharged to a facility other than home, and report high psychological distress, may need additional assistance to engage in post-transplant self-care behaviors.
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影响因子：
1.9
作者：
Devito Dabbs A;Song MK;De Geest S;Davidson PM
通讯作者：
Davidson PM
影响因子：
8.9
作者：
Bosma, Otto H.;Vermeulen, Karin M.;van der Bij, Wim
通讯作者：
van der Bij, Wim
影响因子：
3.6
作者：
Steyerberg, EW;Eijkemans, MJC;Habbema, JDF
通讯作者：
Habbema, JDF
影响因子：
2.1
作者：
DeVito Dabbs A;Dew MA;Myers B;Begey A;Hawkins R;Ren D;Dunbar-Jacob J;Oconnell E;McCurry KR
通讯作者：
McCurry KR
DOI：
10.2307/350547
发表时间：
1976-01-01
期刊：
JOURNAL OF MARRIAGE AND THE FAMILY
影响因子：
--
作者：
SPANIER, GB
通讯作者：
SPANIER, GB