Identifying Typologies of Symptoms and Functional Impairments in Chinese Children With Leukemia and Their Population Characteristics: A Latent Profile Analysis.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Jingting Wang, Xiaochen Wu, Wen Zhang, Xuanyi Bi, Yingwen Wang, Ling Yu, Huifang Wu, Qi Yang, Haiying Huang, Yanqing Wang, Changrong Yuan
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Abstract

Background: Symptom distress and functional impairments in children with leukemia directly affect their quality of life.

Objectives: To identify subgroups of symptom distress and functional impairments in Chinese children with leukemia and to examine the associations of the latent classes with individual characteristics.

Methods: This multicenter cross-sectional survey study recruited children with leukemia who received chemotherapy in 4 hospitals in Shanghai, Jiangsu, Zhejiang, and Guangdong Province. The participants were surveyed via PROMIS-25 (Patient-Reported Outcomes Measurement Information System Pediatric-25 Profile). Latent profile analysis and multinomial logistic regression model were performed to identify subgroups of symptom distress and function impairments among children with leukemia.

Results: Latent profile analysis results suggested the classification of 3 subgroups: profile 1: "moderate symptom distress, moderate mobility impairment with fair peer relationship function" group (69, 28.3%), profile 2: "mild symptom distress, no mobility impairment with good peer relationship function" group (97, 39.8%), and profile 3: "no symptom distress, no mobility impairment with good peer relationship function" group (78, 32.0%). Sociodemographic characteristics, including gender of the children, gender and marital status of the parents, average monthly income of the family, and reimbursement ratio of treatment expenses, had significant associations with the latent profile membership ( P < .05).

Conclusion: This study identified 3 distinct profiles of symptom distress and functional impairments in children with leukemia and found significant associations between these profiles and sociodemographic characteristics.

Implications for practice: The classification of the 3 latent profiles in children with leukemia helps to provide targeted supportive intervention to those children and their families.

识别中国白血病患儿的症状和功能障碍类型及其人群特征:潜在特征分析
背景:白血病患儿的症状困扰和功能障碍直接影响他们的生活质量:白血病患儿的症状困扰和功能障碍直接影响他们的生活质量:确定中国白血病患儿症状困扰和功能障碍的亚组,并研究潜类与个体特征的关联:这项多中心横断面调查研究招募了在上海市、江苏省、浙江省和广东省四家医院接受化疗的白血病患儿。参与者通过 PROMIS-25(患者报告结果测量信息系统儿科-25 资料)接受调查。通过潜特征分析和多项式逻辑回归模型来确定白血病患儿的症状困扰和功能障碍亚组:潜特征分析结果显示,白血病患儿可分为 3 个亚组:特征 1:"中度症状困扰、中度行动障碍、同伴关系功能一般 "组(69 人,占 28.3%);特征 2:"轻度症状困扰、无行动障碍、同伴关系功能良好 "组(97 人,占 39.8%);特征 3:"无症状困扰、无行动障碍、同伴关系功能良好 "组(78 人,占 32.0%)。社会人口学特征,包括儿童性别、父母性别和婚姻状况、家庭平均月收入和治疗费用报销比例,与潜在特征成员有显著关联(P < .05):本研究发现了白血病患儿症状困扰和功能障碍的三种不同特征,并发现这些特征与社会人口学特征之间存在显著关联:实践意义:对白血病患儿的三种潜在特征进行分类,有助于为这些患儿及其家庭提供有针对性的支持性干预。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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