中老年颅内动脉瘤患者血管内治疗后外出障碍潜在类别剖面分析

Potential category profile analysis of out-migration disorder after endovascular treatment in middle-aged and elderly patients with intracranial aneurysms

摘要:

目的 探讨中老年颅内动脉瘤患者血管内治疗（EVT）后外出障碍潜在类别剖面特征及其影响因素。方法 本研究是一项横断面调查，便利选取2024年1月-12月本院收治的中老年颅内动脉瘤患者116例，采用一般资料问卷、外出障碍量表、运动锻炼自我效能量表、心理困扰量表、社会支持量表进行调查，运用潜在剖面分析识别中老年颅内动脉瘤患者EVT后外出障碍的潜在类型，采用多元Logistic回归分析评估不同潜在类别的影响因素。结果 中老年颅内动脉瘤患者EVT后外出障碍存在种潜在剖面，分别是高外出障碍-安全感缺失型（22例，19%）、中外出障碍-社交关系欠缺型（63例，54%）、低外出障碍（31例，27%）。多分类Logistics分析结果显示，住房类型、ESES得分、DT得分、社会支持程度是不同剖面老年颅内动脉瘤患者EVT后外出障碍的影响因素（P均<0.05）。结论 老年颅内动脉瘤患者EVT后外出障碍水平存在一定的个体差异，可分为高外出障碍-安全感缺失型、中外出障碍-社交关系欠缺型、低外出障碍3个潜在类别，与住房类型、运动自我效能、心理困扰、社会支持程度等因素有关，医护人员可依据影响因素制定针对性干预措施。

Abstract:

Objective To investigate the profile characteristics and influencing factors of the potential category of dysfunction after endovascular treatment in middle-aged and elderly patients with intracranial aneurysms.Methods This study was a cross-sectional survey. A total of 116 middle-aged and elderly patients with intracranial aneurysms admitted to our hospital from January to September 2024 were convenient selected. The general information questionnaire, the Outgoing Disorders Scale, the Exercise Self-Efficacy Scale, the Psychological Distress Scale, and the Social Support Scale were used to investigate. The latent profile analysis was used to identify the potential types of outgoing disorders in middle-aged and elderly patients with intracranial aneurysms after EVT.Multivariate Logistic regression analysis was used to evaluate the influencing factors of different potential categories.Results There was a potential profile of post-EVT exodus disorder in middle-aged and elderly patients with intracranial aneurysms, including high exodus disorder-insecurity ( 22 cases, 19 % ), middle exodus disorder-social relationship deficiency ( 63 cases, 54 % ), low exodus disorder ( 31 cases, 27 % ). The results of multi-category Logistics analysis showed that housing type, ESES score, DT score and social support degree were the influencing factors of out-migration disorder after EVT in elderly patients with intracranial aneurysms in different profiles ( P < 0.05 ).Conclusion There are certain individual differences in the level of out-migration barriers in elderly patients with intracranial aneurysms after EVT, which can be divided into three potential categories : high out-migration barriers-lack of security, middle out-migration barriers-lack of social relations, and low out-migration barriers. It is related to housing type, exercise self-efficacy, psychological distress, social support and other factors. Medical staff can formulate targeted interventions based on influencing factors.