The Journal of Practical Medicine >
Latent profiles analysis and influencing factors of Health⁃Promoting Lifestyle in patients with conservative treatment of Lumbar Disc Herniation
Received date: 2025-07-17
Online published: 2025-10-10
Objective To explore the latent profile of health-promoting lifestyle in patients with lumbar disc herniation treated conservatively and analyze its influencing factors, so as to provide reference for the development of targeted interventions. Methods Patients with conservative treatment of Lumbar Disc Herniation at the orthopedic outpatient clinic of a tertiary hospital in Guangzhou from March to December 2024 were selected as study subjects. General Information Questionnaire, Health-Promoting Lifestyle Profile Revised-Ⅱ,Visual Analogue Scale,Oswestry Disability Index and Social Support Rating Scale were used for the investigation. Latent profile analysis was used to explore the potential categories of health-promoting lifestyle in patients with lumbar disc herniation and the influencing factors were identified by univariate analysis and disordered multiple logistic regression analysis. Results A total of 422 lumbar disc herniation patients treated conservatively were included and the score of Health-Promoting Lifestyle Profile Revised-Ⅱ Scale was(102.44 ± 13.19)points. The health-promoting lifestyle of patients with lumbar disc herniation can be divided into three potential profile: low health promotion group-low responsibility and less exercise type (18.7%), balanced health promotion group (51.7%) and high health promotion group-spiritual social leading type (29.6%).The results of logistic regression analysis showed that course of disease, oswestry disability index, social support level and take regular physical exercise are the influencing factors of health-promoting lifestyle in patients with conservative treatment of lumbar disc herniation (P < 0.05). Conclusions There is heterogeneity in the health-promoting lifestyle in patients with conservative treatment of lumbar disc herniation. Nursing staff can carry out targeted interventions according to the latent profile type of health-promoting lifestyle in lumbar disc herniation patients treated conservatively to improve their health-promoting lifestyle.
Shuting ZHENG , Xixi LIU , Shiyang CHEN , Peiqian LAI , Chunhong GUO , Shaohua. CHEN . Latent profiles analysis and influencing factors of Health⁃Promoting Lifestyle in patients with conservative treatment of Lumbar Disc Herniation[J]. The Journal of Practical Medicine, 2025 , 41(19) : 3052 -3059 . DOI: 10.3969/j.issn.1006-5725.2025.19.014
| [1] | ZHANG A S, XU A, ANSARI K, et al. Lumbar Disc Herniation: Diagnosis and Management [J]. Am J Med, 2023, 136(7): 645-651. doi:10.1016/j.amjmed.2023.03.024 |
| [2] | 中华医学会疼痛学分会脊柱源性疼痛学组. 腰椎间盘突出症诊疗中国疼痛专家共识 [J]. 中国疼痛医学杂志, 2020, 26(1): 2-6. doi:10.3969/j.issn.1006-9852.2020.01.002 |
| [3] | incidence Global, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: A systematic analysis for the Global Burden of Disease Study 2021 [J]. Lancet, 2024, 403(10440): 2133-2161. |
| [4] | 冯磊, 厉伟, 杨伟豪, 等. 复发型腰椎间盘突出症的危险因素及治疗进展 [J]. 中国脊柱脊髓杂志, 2023, 33(5): 468-472. |
| [5] | KONG M, XU D, GAO C, et al. Risk Factors for Recurrent L4-5 Disc Herniation After Percutaneous Endoscopic Transforaminal Discectomy: A Retrospective Analysis of 654 Cases [J]. Risk Manag Healthc Policy, 2020, 13: 3051-3065. doi:10.2147/rmhp.s287976 |
| [6] | WALKER S N, SECHRIST K R, PENDER N J. The Health-Promoting Lifestyle Profile: Development and psychometric characteristics [J]. Nurs Res, 1987, 36(2): 76-81. doi:10.1097/00006199-198703000-00002 |
| [7] | ROBERTS K E, BECKENKAMP P R, FERREIRA M L, et al. Positive lifestyle behaviours and emotional health factors are associated with low back pain resilience [J]. Eur Spine J, 2022, 31(12): 3616-3626. doi:10.1007/s00586-022-07404-7 |
| [8] | 吴玉珍, 吴思滨, 袁闽红. 腰椎间盘突出症保守治疗患者院外功能锻炼依从性潜在类别发展轨迹及影响因素 [J]. 中国医学创新, 2025, 22(4): 116-120. |
| [9] | 彭红叶, 荆雅楠, 王莹, 等. 生活方式医学国内外发展现况及其中国化的挑战 [J]. 中国全科医学, 2025, 28(7): 797-806. |
| [10] | 尹奎, 彭坚, 张君. 潜在剖面分析在组织行为领域中的应用 [J]. 心理科学进展, 2020, 28(7): 1056-1070. |
| [11] | 葛龙, 李镜, 尚文茹, 等. 非手术疗法治疗腰椎间盘突出症的循证实践指南 [J]. 中国循证医学杂志, 2024, 24(2): 125-148. |
| [12] | 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计 [J]. 中华护理杂志, 2010, 45(4): 378-380. |
| [13] | 曹文君, 郭颖, 平卫伟, 等. HPLP-Ⅱ健康促进生活方式量表中文版的研制及其性能测试 [J]. 中华疾病控制杂志, 2016, 20(3): 286-289. |
| [14] | 万丽, 赵晴, 陈军, 等. 疼痛评估量表应用的中国专家共识(2020版) [J]. 中华疼痛学杂志, 2020, 16(3): 177-187. |
| [15] | FAIRBANK J C, PYNSENT P B. The Oswestry Disability Index [J]. Spine (Phila Pa 1976), 2000, 25(22): 2940-2952. doi:10.1097/00007632-200011150-00017 |
| [16] | 郑光新,赵晓鸥, 刘广林, 等. Oswestry功能障碍指数评定腰痛患者的可信性 [J]. 中国脊柱脊髓杂志, 2002, 12(1): 13-15. |
| [17] | 肖水源. 《社会支持评定量表》的理论基础与研究应用 [J]. 临床精神医学杂志, 1994, 4(2): 98-100. |
| [18] | 危娟, 冯燕英, 郭佩芬, 等. 慢性下腰痛患者健康促进生活方式现状及影响因素分析 [J]. 中华现代护理杂志, 2020, 26(33): 4607-4613. |
| [19] | 高梦珂, 张艳, 田雨同, 等. 河南省部分农村老人健康促进生活方式现状及影响因素研究 [J]. 现代预防医学, 2022, 49(2): 263-267. |
| [20] | 雷娅辉, 张琪, 李铮, 等. 慢性病共病老年患者健康素养潜剖面分析及对健康促进生活方式的影响 [J]. 中国实用护理杂志, 2024, 40(19): 1462-1469. |
| [21] | 沈阳, 严晓腾, 罗书引, 等. 糖尿病视网膜病变患者健康促进行为影响因素分析 [J]. 中华保健医学杂志, 2024, 26(5): 667-670. |
| [22] | J?LSTAD B. Adaptation and illness severity: The significance of suffering [J]. Med Health Care Philos, 2023, 26(3): 413-423. doi:10.1007/s11019-023-10155-x |
| [23] | 孟吉平, 崔妙然, 刘红秀, 等. 中青年腰椎间盘突出症患者自我管理能力的现状及影响因素调查分析 [J]. 海南医学, 2024, 35(24): 3627-3631. |
| [24] | 吴梦雯, 何丽芳, 肖春秀, 等. 中青年腰椎间盘突出症患者的腰椎间盘自护行为水平及影响因素分析 [J]. 中国护理管理, 2020, 20(4): 529-534. |
| [25] | 李继华, 江华基, 陈煜辉, 等. 非特异性下腰痛对青少年生理功能影响及其医疗求助行为的调查研究 [J]. 实用医学杂志, 2019, 35(13): 2166-2170. |
| [26] | 马潇斌, 郝习君, 陈长香, 等. 多元支持对社区老年人健康促进生活方式的影响 [J]. 中国老年学杂志, 2022, 42(10): 2509-2512. |
| [27] | KNEZEVIC N N, CANDIDO K D, VLAEYEN J W S, et al. Low back pain [J]. Lancet, 2021, 398(10294): 78-92. doi:10.1016/s0140-6736(21)00733-9 |
| [28] | 刘菲, 尹小兵, 朱晓萍. 慢性腰痛恐动症患者对康复运动的心理体验 [J]. 中国护理管理, 2021, 21(12): 1796-1800. |
| [29] | 周乔, 阮景云. 老年LDH患者心理韧性、社会支持与术后康复遵医行为的关系 [J]. 中国老年学杂志, 2024, 44(21): 5351-5354. |
| [30] | 曾国华, 王万里, 秦雪征. 健康行为干预理论与机制研究进展 [J]. 护理研究, 2021, 35(8): 1428-1434. |
| [31] | 刘倩, 于晓丽, 费燕, 等. 心理韧性和领悟社会支持在首发缺血性脑卒中患者感恩与健康促进行为间的中介效应 [J]. 解放军护理杂志, 2021, 38(11): 12-16. |
| [32] | LETHEM J, SLADE P D, TROUP J D, et al. Outline of a Fear-Avoidance Model of exaggerated pain perception--I [J]. Behav Res Ther, 1983, 21(4): 401-408. doi:10.1016/0005-7967(83)90009-8 |
| [33] | 杜世正, 胡玲莉, 柏亚妹, 等. 自我效能和恐惧-回避信念与应对方式对慢性腰背痛患者生命质量的影响路径研究 [J]. 中国全科医学, 2017, 20(35): 4397-4403, 4411. |
| [34] | 赵溢洋, 孙月霞. 社交媒体赋权中青少年体育运动与健康促进生活方式的连锁——基于锻炼者图式的整合 [J]. 沈阳体育学院学报, 2022, 41(6): 78-84. |
/
| 〈 |
|
〉 |