Heterogeneity and Influencing Factors of Demoralization Syndrome in Elderly Maintenance Hemodialysis Patients: A Latent Profile Analysis.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S519281

Yao Huang, Hong Zhang, Lan Yang, Xinmei Xing, Xiangying Lv

{"title":"Heterogeneity and Influencing Factors of Demoralization Syndrome in Elderly Maintenance Hemodialysis Patients: A Latent Profile Analysis.","authors":"Yao Huang, Hong Zhang, Lan Yang, Xinmei Xing, Xiangying Lv","doi":"10.2147/RMHP.S519281","DOIUrl":null,"url":null,"abstract":"Objective: The purpose of this study is to explore the potential categories of demoralization syndrome (DS) in elderly maintenance hemodialysis (MHD) patients, analyze the characteristic differences among different categories of MHD patients, and identify the independent influencing determinants of these characteristic differences.Methods: From April to October 2024, a total of 350 elderly MHD patients from three hospitals in Baoding City, Hebei Province were selected using convenience sampling. General information questionnaires and the Chinese version of the DS scale were used for data collection. Latent profile analysis was conducted using Mplus 8.3, and differences in characteristics among different categories of these patients were compared using SPSS 27.0.Results: These elderly MHD patients with DS were classified into three potential categories: low-level group (18.26%), medium-level group (45.78%), and high-level group (35.96%). Average monthly household income, hemodialysis duration, complications, and self-management ability were found to be predictive determinants influencing the latent profile categories of DS in elderly MHD patients (all p<0.05).Conclusion: Elderly MHD patients with DS may be categorized into three groups, with distinct characteristic differences among these categories. Based on the three identified DS sub-types (low/moderate/high), we recommend stratified interventions tailored to each group's characteristics.","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1773-1782"},"PeriodicalIF":2.7000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12132496/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S519281","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: The purpose of this study is to explore the potential categories of demoralization syndrome (DS) in elderly maintenance hemodialysis (MHD) patients, analyze the characteristic differences among different categories of MHD patients, and identify the independent influencing determinants of these characteristic differences.

Methods: From April to October 2024, a total of 350 elderly MHD patients from three hospitals in Baoding City, Hebei Province were selected using convenience sampling. General information questionnaires and the Chinese version of the DS scale were used for data collection. Latent profile analysis was conducted using Mplus 8.3, and differences in characteristics among different categories of these patients were compared using SPSS 27.0.

Results: These elderly MHD patients with DS were classified into three potential categories: low-level group (18.26%), medium-level group (45.78%), and high-level group (35.96%). Average monthly household income, hemodialysis duration, complications, and self-management ability were found to be predictive determinants influencing the latent profile categories of DS in elderly MHD patients (all p<0.05).

Conclusion: Elderly MHD patients with DS may be categorized into three groups, with distinct characteristic differences among these categories. Based on the three identified DS sub-types (low/moderate/high), we recommend stratified interventions tailored to each group's characteristics.

查看原文本刊更多论文

老年维持性血液透析患者士气低落综合征的异质性及影响因素：一项潜在分析。

目的：探讨老年维持性血液透析（MHD）患者道德败坏综合征（DS）的潜在类别，分析不同类别MHD患者之间的特征差异，并确定这些特征差异的独立影响因素。方法：采用方便抽样方法，选取河北省保定市3家医院于2024年4 - 10月收治的老年MHD患者350例。采用一般信息问卷和中文版DS量表进行数据收集。使用Mplus 8.3软件进行潜伏剖面分析，使用SPSS 27.0软件比较不同类型患者的特征差异。结果：老年MHD合并DS患者可分为低水平组（18.26%）、中水平组（45.78%）和高水平组（35.96%）3种潜在类型。家庭月平均收入、血液透析时间、并发症和自我管理能力是影响老年MHD患者DS的潜在特征类别的预测因素（均p）结论：老年MHD患者合并DS可分为三组，这些类别之间具有明显的特征差异。基于三种确定的退行性痴呆亚型（低/中/高），我们建议针对每个群体的特征进行分层干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.