ICU经历机械通气的中青年患者创伤后成长水平及潜在剖面分析

doi:10.3761/j.issn.2096-7446.2026.02.008

摘要/Abstract

摘要：

目的探索ICU中经历机械通气的中青年患者创伤后成长（post-traumatic growth，PTG）现状及潜在剖面，并分析其影响因素，为未来构建针对性的护理干预方案提供参考。方法采用便利抽样法选取242例ICU经历机械通气的中青年患者作为研究对象，采用一般资料问卷、简体中文版PTG问卷进行研究。基于潜在剖面分析识别患者PTG的潜在类别，并采用多元Logistic回归分析不同类别的影响因素。结果 ICU经历机械通气的中青年患者PTG得分为（49.18±14.05）分。潜在剖面分析结果显示，PTG可分为3个类别：高PTG-注重改变组、中PTG-高感悟组、低PTG-回避改变组。性别、婚姻状况、文化程度、职业、慢性病共病数以及是否经手术治疗是ICU经历机械通气的中青年患者PTG不同类别的影响因素（均P<0.05）。结论 ICU经历机械通气的中青年患者PTG存在异质性，医护人员应及时识别PTG水平，并根据不同类别患者的特征，实施针对性的干预措施，改善患者PTG水平，促进患者早期康复。

关键词: ICU, 机械通气, 中青年, 创伤后成长, 潜在剖面分析

Abstract:

Objective To explore the current status and latent profile analysis of post-traumatic growth（PTG） in young and middle-aged patients with mechanical ventilation in Intensive Care Unit（ICU），and analyze its influencing factors，so as to provide reference for future nursing intervention programs. Methods A total of 242 young and middle-aged ICU patients with mechanical ventilation were selected by convenience sampling method. General data questionnaire and simplified Chinese version of PTG questionnaire were used for the study. Potential categories of patients’ PTG were identified based on latent profile analysis，and the influencing factors of different categories were analyzed by multiple Logistic regression. Results The PTG score of the young and middle-aged patients with mechanical ventilation in ICU was 49.18±14.05. The results of the latent profile analysis indicated that PTG could be classified into three distinct categories： high PTG-attention to change group，medium PTG-high perception group and low PTG-avoidance of change group. Gender，marital status，education level，occupation，number of chronic diseases and whether or not they were treated by operation were the influencing factors of PTG among different categories of young and middle-aged patients with mechanical ventilation in ICU （all P<0.05）. Conclusion There is heterogeneity of PTG in young and middle-aged patients with mechanical ventilation in ICU. Medical staff should identify PTG level in time and implement targeted intervention measures according to the characteristics of different categories of patients to improve PTG level and promote early recovery of patients.

Key words: ICU, Mechanical Ventilation, Young and Middle-Aged, Post-Traumatic Growth, Latent Profile Analysis

石敏, 翟怀香, 张星星, 徐萍, 李晓青. ICU经历机械通气的中青年患者创伤后成长水平及潜在剖面分析[J]. 中华急危重症护理杂志, 2026, 7(2): 182-189.

SHI Min, ZHAI Huaixiang, ZHANG Xingxing, XU Ping, LI Xiaoqing. Current status and latent profile analysis of post-traumatic growth in young and middle-aged patients with mechanical ventilation in ICU[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 182-189.

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