Quality of life profiles and their association with clinical and demographic characteristics and physical activity in people with a stoma: a latent profile analysis.

Quality of life profiles and their association with clinical and demographic characteristics and physical activity in people with a stoma: a latent profile analysis.
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DOI:
10.1007/s11136-022-03102-5
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发表时间:
2022-08
影响因子:
3.5
通讯作者:
Beeken, Rebecca J.
Beeken, Rebecca J.
中科院分区:
医学2区
文献类型:
--
作者:
Goodman, William;Downing, Amy;Allsop, Matthew;Munro, Julie;Taylor, Claire;Hubbard, Gill;Beeken, Rebecca J.

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生活质量可能会受到造口形成的负面影响,并受到许多因素的影响。迄今为止的研究将造口患者视为基于其生活质量的同质群体。我们试图根据自我报告的生活质量来确定亚组,并探索与组成员资格相关的变量。本研究是对1419例造口患者的横断面样本进行的二次分析。参与者完成了经过验证的生活质量,身体活动以及临床和人口统计学特征的问卷调查。使用潜在特征分析确定亚组(特征)的最佳数量,并进行多项式回归建模以确定与特征成员关系相关的变量。该分析揭示了造口患者的4种不同特征:“一贯良好的生活质量”[N = 891(62.8%)],“一些生活质量问题”[N = 184(13.0%)],“低生活质量”[N = 181(12.8%)]和“经济问题”[N = 163(11.5%)]。模型显示,最近造口的人(形成前< 2年),患有疝气并且身体活动较少的人更有可能属于“生活质量低”的人。此外,16-55岁的人更有可能出现财务问题。这项研究是第一个确定这一人群中的潜在特征,并评估某些变量是否与成员资格有关。未来的研究应以此为基础,以确定与这些特征相关的其他变量,这有助于为针对特定的造口患者亚群制定和调整未来的干预措施提供基础。在线版本包含补充材料,可通过10.1007/s11136-022-03102-5获得。
Quality of life can be negatively impacted by the formation of a stoma and is influenced by a number of factors. Research to date treats people with a stoma as a homogenous group based on their quality of life. We attempted to identify subgroups based upon self-reported quality of life and explored variables associated with group membership. The present study is a secondary analysis of a cross-sectional sample of 1419 people with a stoma. Participants completed validated questionnaires for quality of life, physical activity and clinical and demographic characteristics. Latent profile analysis was used to identify the optimal number of subgroups (profiles) and multinomial regression modelling was conducted to identify variables associated with profile membership. The analysis revealed 4 distinct profiles of people with a stoma: ‘consistently good quality of life’ [N = 891 (62.8%)], ‘some quality of life concerns’ [N = 184 (13.0%)], ‘low quality of life’ [N = 181 (12.8%)] and ‘financial concerns’ [N = 163 (11.5%)]. Modelling revealed that people with a recent stoma (formed < 2 years previously), who have a hernia and are less physically active were more likely to belong to the ‘low quality of life’ profile. Furthermore, those aged 16–55 were more likely to have financial concerns. This study was the first to identify latent profiles within this population and assess whether certain variables are associated with membership. Future research should build upon this to identify additional variables associated with these profiles, which can help to provide the basis for targeting and tailoring future interventions to specific subgroups of people with a stoma. The online version contains supplementary material available at 10.1007/s11136-022-03102-5.
直肠癌术后永久性造口患者的生活质量。
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发表时间: 2017-01
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