中青年急性心肌梗死患者PCI术后自我调节疲劳潜在剖面分析
Latent Profile Analysis of Self-Regulatory Fatigue among Young and Middle-Aged Patients with Acute Myocardial Infarction after PCI
摘要: 目的：识别中青年急性心肌梗死(Acute Myocardial Infarction, AMI)患者经皮冠状动脉介入治疗(Percutaneous Coronary Intervention, PCI)术后自我调节疲劳的潜在剖面，并分析其相关因素。方法：采用便利抽样法，选取2025年7月至11月唐山市某三级甲等医院240例PCI术后中青年AMI患者，采用一般资料调查表、自我调节疲劳量表、医学应对方式问卷、领悟社会支持量表和简易疾病感知问卷进行调查。采用潜在剖面分析识别自我调节疲劳潜在剖面，并采用多分类Logistic回归分析其相关因素。结果：中青年AMI患者PCI术后自我调节疲劳总分为(49.93 ± 6.05)分，可分为低水平调节疲劳组(30.00%)、中等水平调节疲劳组(49.17%)和高水平调节疲劳组(20.83%)。多分类Logistic回归分析显示，以中等水平调节疲劳组为参照，个人月均收入、文化程度、运动习惯、社会支持、疾病感知、面对应对及屈服应对均为自我调节疲劳潜在剖面的相关因素(P < 0.05)。结论：中青年AMI患者PCI术后自我调节疲劳存在明显异质性，临床护理人员应关注患者的社会支持、疾病感知、应对方式、经济状况、文化程度及运动习惯，针对不同潜在剖面开展分层评估和个体化护理。
Abstract: Objective: To identify the latent profiles of self-regulatory fatigue (SRF) among young and middle-aged patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI), and to explore factors associated with profile membership. Methods: Using convenience sampling, 240 young and middle-aged patients with AMI after PCI were recruited from a tertiary Grade A hospital in Tangshan from July to November 2025. Participants were assessed using a general information questionnaire, the Self-Regulatory Fatigue Scale, the Medical Coping Modes Questionnaire, the Perceived Social Support Scale, and the Brief Illness Perception Questionnaire. Latent profile analysis was performed to identify distinct SRF profiles, and multinomial logistic regression was used to analyze associated factors. Results: The mean SRF score was 49.93 ± 6.05. It can be divided into three groups: the low-level adjustment fatigue group (30.00%), the moderate-level adjustment fatigue group (49.17%), and the high-level adjustment fatigue group (20.83%). With the symptom-burdened moderate SRF group as the reference category, personal monthly income, education level, exercise habits, perceived social support, illness perception, confrontation coping, and resignation coping were significantly associated with latent profile membership (P < 0.05). Conclusion: SRF among young and middle-aged patients with AMI after PCI demonstrates marked heterogeneity. Clinical nurses should pay attention to patients’ perceived social support, illness perception, coping styles, economic status, education level, and exercise habits, and provide stratified assessment and individualized nursing interventions according to different latent profiles.
文章引用：贾盼盼, 张书婷, 胡惠菊, 郝晶, 肖瑞, 张力文. 中青年急性心肌梗死患者PCI术后自我调节疲劳潜在剖面分析[J]. 护理学, 2026, 15(10): 289-298. https://doi.org/10.12677/ns.2026.1510353

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