Chinese General Practice ›› 2024, Vol. 27 ›› Issue (02): 168-176.DOI: 10.12114/j.issn.1007-9572.2023.0426
• Original Research • Previous Articles Next Articles
Received:
2023-06-06
Revised:
2023-09-10
Published:
2024-01-15
Online:
2023-10-23
Contact:
WANG Qin
通讯作者:
王琴
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0426
变量 | 例数 | ≤80% | 81%~99% | ≥100% |
---|---|---|---|---|
基线 | 202 | 99(49.0) | 23(11.4) | 80(39.6) |
运动3个月 | 201 | 64(31.8) | 14(7.0) | 123(61.2) |
运动6个月 | 185 | 63(34.1) | 14(7.6) | 108(58.4) |
运动9个月 | 174 | 64(36.8) | 23(13.2) | 87(50.0) |
运动12个月 | 159 | 59(37.1) | 18(11.3) | 82(51.6) |
Table 1 Grading of strength-duration adherence to exercise rehabilitation at different periods
变量 | 例数 | ≤80% | 81%~99% | ≥100% |
---|---|---|---|---|
基线 | 202 | 99(49.0) | 23(11.4) | 80(39.6) |
运动3个月 | 201 | 64(31.8) | 14(7.0) | 123(61.2) |
运动6个月 | 185 | 63(34.1) | 14(7.6) | 108(58.4) |
运动9个月 | 174 | 64(36.8) | 23(13.2) | 87(50.0) |
运动12个月 | 159 | 59(37.1) | 18(11.3) | 82(51.6) |
模型 | k | G2/LL | AIC | BIC | aBIC | Entropy | BLRT | 类别概率 |
---|---|---|---|---|---|---|---|---|
线性估计 | ||||||||
2个 | 10 | -776.513 | 1 573.027 | 1 606.109 | 1 574.427 | 0.733 | <0.000 1 | 0.599/0.401 |
3个 | 13 | -758.911 | 1 543.823 | 1 586.830 | 1 545.644 | 0.782 | <0.000 1 | 0.601/0.087/0.312 |
4个 | 16 | -751.994 | 1 535.988 | 1 588.921 | 1 538.229 | 0.671 | <0.000 1 | 0.277/0.422/0.260/0.041 |
二次估计 | ||||||||
2个 | 13 | -750.123 | 1 526.246 | 1 569.254 | 1 528.067 | 0.632 | <0.000 1 | 0.589/0.412 |
3个 | 17 | -743.038 | 1 520.075 | 1 576.316 | 1 522.456 | 0.579 | 0.035 2 | 0.324/0.311/0.365 |
4个 | 21 | -734.990 | 1 511.981 | 1 581.454 | 1 514.922 | 0.623 | <0.000 1 | 0.358/0.272/0.153/0.217 |
自由估计 | ||||||||
2个 | 12 | -773.884 | 1 571.768 | 1 611.467 | 1 573.448 | 0.743 | <0.000 1 | 0.410/0.590 |
3个 | 15 | -756.822 | 1 543.644 | 1 593.268 | 1 545.745 | 0.814 | <0.000 1 | 0.346/0.071/0.583 |
4个 | 18 | -756.822 | 1 549.644 | 1 609.192 | 1 552.165 | 0.853 | <0.000 1 | 0.346/0.071/0.583/0 |
Table 2 Fitting indices of the latent class growth model for analyzing development trajectory of strength-duration adherence to home-based exercise rehabilitation among patients with AF after RFCA
模型 | k | G2/LL | AIC | BIC | aBIC | Entropy | BLRT | 类别概率 |
---|---|---|---|---|---|---|---|---|
线性估计 | ||||||||
2个 | 10 | -776.513 | 1 573.027 | 1 606.109 | 1 574.427 | 0.733 | <0.000 1 | 0.599/0.401 |
3个 | 13 | -758.911 | 1 543.823 | 1 586.830 | 1 545.644 | 0.782 | <0.000 1 | 0.601/0.087/0.312 |
4个 | 16 | -751.994 | 1 535.988 | 1 588.921 | 1 538.229 | 0.671 | <0.000 1 | 0.277/0.422/0.260/0.041 |
二次估计 | ||||||||
2个 | 13 | -750.123 | 1 526.246 | 1 569.254 | 1 528.067 | 0.632 | <0.000 1 | 0.589/0.412 |
3个 | 17 | -743.038 | 1 520.075 | 1 576.316 | 1 522.456 | 0.579 | 0.035 2 | 0.324/0.311/0.365 |
4个 | 21 | -734.990 | 1 511.981 | 1 581.454 | 1 514.922 | 0.623 | <0.000 1 | 0.358/0.272/0.153/0.217 |
自由估计 | ||||||||
2个 | 12 | -773.884 | 1 571.768 | 1 611.467 | 1 573.448 | 0.743 | <0.000 1 | 0.410/0.590 |
3个 | 15 | -756.822 | 1 543.644 | 1 593.268 | 1 545.745 | 0.814 | <0.000 1 | 0.346/0.071/0.583 |
4个 | 18 | -756.822 | 1 549.644 | 1 609.192 | 1 552.165 | 0.853 | <0.000 1 | 0.346/0.071/0.583/0 |
组别 | 例数 | 年龄[M(P25,P75),岁] | 性别[例(%)] | BMI[例(%),kg/m2] | 受教育程度[例(%)] | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
男 | 女 | 18.5~24.0 | >24.0~28.0 | >28.0 | 小学及以下 | 初中 | 中专或高中 | 大专 | 本科及以上 | |||
缓慢下降-低水平组 | 69 | 58(49,66) | 29(42.0) | 40(58.0) | 38(55.1) | 20(29.0) | 11(15.9) | 6(8.7) | 9(13.0) | 17(24.6) | 14(20.3) | 23(33.4) |
快速上升-高水平组 | 14 | 71(64,76) | 13(92.9) | 1(7.1) | 8(57.2) | 3(21.4) | 3(21.4) | 0 | 1(7.1) | 4(28.6) | 4(28.6) | 5(35.7) |
持续依从组 | 119 | 64(58,71) | 83(69.7) | 36(30.3) | 69(58.0) | 46(38.7) | 4(3.3) | 1(0.8) | 22(18.5) | 31(26.1) | 28(23.5) | 37(31.1) |
χ2(H)值 | 12.546a | 20.352 | 12.485 | 8.890 | ||||||||
P值 | 0.002 | <0.001 | 0.011 | 0.318 | ||||||||
组别 | 医保情况[例(%)] | 工作状态[例(%)] | 个人月收入[例(%),元] | 房颤类型[例(%)] | ||||||||
有 | 无 | 有工作 | 无工作(含退休) | <2 000 | 2 000~4 000 | >4 000 | 阵发性 | 持续性 | 永久性 | |||
缓慢下降-低水平组 | 65(94.2) | 4(5.8) | 27(39.1) | 42(60.9) | 10(14.5) | 20(29.0) | 39(56.5) | 51(73.9) | 18(26.1) | 0(0.0) | ||
快速上升-高水平组 | 13(92.9) | 1(7.1) | 5(35.7) | 9(64.3) | 0 | 1(7.1) | 13(92.9) | 10(71.5) | 3(21.4) | 1(7.1) | ||
持续依从组 | 115(96.6) | 4(3.4) | 31(26.1) | 88(73.9) | 7(5.9) | 21(17.6) | 91(76.5) | 85(71.4) | 32(26.9) | 2(1.7) | ||
χ2(H)值 | 1.484 | 3.706 | 11.273 | 3.735 | ||||||||
P值 | 0.442 | 0.164 | 0.017 | 0.431 | ||||||||
组别 | RFCA次数[例(%),次] | 吸烟史[例(%)] | 饮酒史[例(%)] | 高血压[例(%)] | ||||||||
1 | 2 | ≥3 | 有 | 无 | 有 | 无 | 是 | 否 | ||||
缓慢下降-低水平组 | 49(71.0) | 11(16.0) | 9(13.0) | 9(13.0) | 60(87.0) | 15(21.7) | 54(78.3) | 22(31.9) | 47(68.1) | |||
快速上升-高水平组 | 10(71.5) | 3(21.4) | 1(7.1) | 11(78.6) | 3(21.4) | 9(64.3) | 5(35.7) | 8(57.1) | 6(42.9) | |||
持续依从组 | 89(74.8) | 21(17.6) | 9(7.6) | 39(32.8) | 80(67.2) | 52(43.7) | 67(56.3) | 64(53.8) | 55(46.2) | |||
χ2(H)值 | 1.928 | 24.821 | 13.530 | 9.098 | ||||||||
P值 | 0.751 | <0.001 | 0.001 | 0.011 | ||||||||
组别 | 糖尿病[例(%)] | 冠心病[例(%)] | 规律服药[例(%)] | 房颤复发[例(%)] | ||||||||
是 | 否 | 是 | 否 | 是 | 否 | 不适用 | 是 | 否 | ||||
缓慢下降-低水平组 | 12(17.4) | 57(82.6) | 9(13.0) | 60(87.0) | 38(55.1) | 7(10.1) | 24(34.8) | 18(26.1) | 51(73.9) | |||
快速上升-高水平组 | 0 | 14(100.0) | 4(28.6) | 10(71.4) | 10(71.5) | 0 | 4(28.5) | 4(28.5) | 10(71.5) | |||
持续依从组 | 9(7.6) | 110(92.4) | 33(27.7) | 86(72.3) | 75(63.0) | 6(5.0) | 38(32.0) | 9(7.6) | 110(92.4) | |||
χ2(H)值 | 5.345 | 5.957 | 2.930 | 13.746 | ||||||||
P值 | 0.054 | 0.048 | 0.545 | 0.001 | ||||||||
组别 | 6MWT[M(P25,P75),m] | 社会支持[M(P25,P75),分] | 家庭支持[M(P25,P75),分] | 朋友支持[M(P25,P75),分] | 其他支持[M(P25,P75),分] | 运动自我效能[M(P25,P75),分] | 积极度[M(P25,P75),分] | 运动恐惧[M(P25,P75),分] | ||||
缓慢下降-低水平组 | 384(360,420) | 71(66,82) | 24(23,28) | 23(22,27) | 24(22,28) | 57(46,78) | 56(46,61) | 51.0(51.0,58.1) | ||||
快速上升-高水平组 | 390(387,417) | 72(69,79) | 24(23,28) | 24(22,26) | 24(23,25) | 73(59,88) | 47(42,54) | 55.65(53.2,67.8) | ||||
持续依从组 | 396(380,425) | 72(67,84) | 24(23,28) | 24(22,28) | 24(22,28) | 72(57,83) | 54(47,59) | 58.1(53.2,63.1) | ||||
χ2(H)值 | 9.020a | 1.306a | 0.511a | 0.678a | 0.387a | 10.352a | 5.690a | 21.037a | ||||
P值 | 0.011 | 0.520 | 0.775 | 0.712 | 0.824 | 0.006 | <0.001 | 0.048 |
Table 3 Univariate analysis of the different strength-duration adherence trajectory groups
组别 | 例数 | 年龄[M(P25,P75),岁] | 性别[例(%)] | BMI[例(%),kg/m2] | 受教育程度[例(%)] | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
男 | 女 | 18.5~24.0 | >24.0~28.0 | >28.0 | 小学及以下 | 初中 | 中专或高中 | 大专 | 本科及以上 | |||
缓慢下降-低水平组 | 69 | 58(49,66) | 29(42.0) | 40(58.0) | 38(55.1) | 20(29.0) | 11(15.9) | 6(8.7) | 9(13.0) | 17(24.6) | 14(20.3) | 23(33.4) |
快速上升-高水平组 | 14 | 71(64,76) | 13(92.9) | 1(7.1) | 8(57.2) | 3(21.4) | 3(21.4) | 0 | 1(7.1) | 4(28.6) | 4(28.6) | 5(35.7) |
持续依从组 | 119 | 64(58,71) | 83(69.7) | 36(30.3) | 69(58.0) | 46(38.7) | 4(3.3) | 1(0.8) | 22(18.5) | 31(26.1) | 28(23.5) | 37(31.1) |
χ2(H)值 | 12.546a | 20.352 | 12.485 | 8.890 | ||||||||
P值 | 0.002 | <0.001 | 0.011 | 0.318 | ||||||||
组别 | 医保情况[例(%)] | 工作状态[例(%)] | 个人月收入[例(%),元] | 房颤类型[例(%)] | ||||||||
有 | 无 | 有工作 | 无工作(含退休) | <2 000 | 2 000~4 000 | >4 000 | 阵发性 | 持续性 | 永久性 | |||
缓慢下降-低水平组 | 65(94.2) | 4(5.8) | 27(39.1) | 42(60.9) | 10(14.5) | 20(29.0) | 39(56.5) | 51(73.9) | 18(26.1) | 0(0.0) | ||
快速上升-高水平组 | 13(92.9) | 1(7.1) | 5(35.7) | 9(64.3) | 0 | 1(7.1) | 13(92.9) | 10(71.5) | 3(21.4) | 1(7.1) | ||
持续依从组 | 115(96.6) | 4(3.4) | 31(26.1) | 88(73.9) | 7(5.9) | 21(17.6) | 91(76.5) | 85(71.4) | 32(26.9) | 2(1.7) | ||
χ2(H)值 | 1.484 | 3.706 | 11.273 | 3.735 | ||||||||
P值 | 0.442 | 0.164 | 0.017 | 0.431 | ||||||||
组别 | RFCA次数[例(%),次] | 吸烟史[例(%)] | 饮酒史[例(%)] | 高血压[例(%)] | ||||||||
1 | 2 | ≥3 | 有 | 无 | 有 | 无 | 是 | 否 | ||||
缓慢下降-低水平组 | 49(71.0) | 11(16.0) | 9(13.0) | 9(13.0) | 60(87.0) | 15(21.7) | 54(78.3) | 22(31.9) | 47(68.1) | |||
快速上升-高水平组 | 10(71.5) | 3(21.4) | 1(7.1) | 11(78.6) | 3(21.4) | 9(64.3) | 5(35.7) | 8(57.1) | 6(42.9) | |||
持续依从组 | 89(74.8) | 21(17.6) | 9(7.6) | 39(32.8) | 80(67.2) | 52(43.7) | 67(56.3) | 64(53.8) | 55(46.2) | |||
χ2(H)值 | 1.928 | 24.821 | 13.530 | 9.098 | ||||||||
P值 | 0.751 | <0.001 | 0.001 | 0.011 | ||||||||
组别 | 糖尿病[例(%)] | 冠心病[例(%)] | 规律服药[例(%)] | 房颤复发[例(%)] | ||||||||
是 | 否 | 是 | 否 | 是 | 否 | 不适用 | 是 | 否 | ||||
缓慢下降-低水平组 | 12(17.4) | 57(82.6) | 9(13.0) | 60(87.0) | 38(55.1) | 7(10.1) | 24(34.8) | 18(26.1) | 51(73.9) | |||
快速上升-高水平组 | 0 | 14(100.0) | 4(28.6) | 10(71.4) | 10(71.5) | 0 | 4(28.5) | 4(28.5) | 10(71.5) | |||
持续依从组 | 9(7.6) | 110(92.4) | 33(27.7) | 86(72.3) | 75(63.0) | 6(5.0) | 38(32.0) | 9(7.6) | 110(92.4) | |||
χ2(H)值 | 5.345 | 5.957 | 2.930 | 13.746 | ||||||||
P值 | 0.054 | 0.048 | 0.545 | 0.001 | ||||||||
组别 | 6MWT[M(P25,P75),m] | 社会支持[M(P25,P75),分] | 家庭支持[M(P25,P75),分] | 朋友支持[M(P25,P75),分] | 其他支持[M(P25,P75),分] | 运动自我效能[M(P25,P75),分] | 积极度[M(P25,P75),分] | 运动恐惧[M(P25,P75),分] | ||||
缓慢下降-低水平组 | 384(360,420) | 71(66,82) | 24(23,28) | 23(22,27) | 24(22,28) | 57(46,78) | 56(46,61) | 51.0(51.0,58.1) | ||||
快速上升-高水平组 | 390(387,417) | 72(69,79) | 24(23,28) | 24(22,26) | 24(23,25) | 73(59,88) | 47(42,54) | 55.65(53.2,67.8) | ||||
持续依从组 | 396(380,425) | 72(67,84) | 24(23,28) | 24(22,28) | 24(22,28) | 72(57,83) | 54(47,59) | 58.1(53.2,63.1) | ||||
χ2(H)值 | 9.020a | 1.306a | 0.511a | 0.678a | 0.387a | 10.352a | 5.690a | 21.037a | ||||
P值 | 0.011 | 0.520 | 0.775 | 0.712 | 0.824 | 0.006 | <0.001 | 0.048 |
自变量 | 赋值 |
---|---|
性别 | 女=0,男=1 |
BMI(kg/m2) | 18.5~24.0=1,>24.0~28.0=2,>28.0=3 |
个人月收入(元) | <2 000=1,2 000~4 000=2,>4000=3 |
吸烟 | 否=0,是=1 |
饮酒 | 否=0,是=1 |
高血压 | 否=0,是=1 |
冠心病 | 否=0,是=1 |
房颤复发 | 否=0,是=1 |
Table 4 Assignments of independent variables
自变量 | 赋值 |
---|---|
性别 | 女=0,男=1 |
BMI(kg/m2) | 18.5~24.0=1,>24.0~28.0=2,>28.0=3 |
个人月收入(元) | <2 000=1,2 000~4 000=2,>4000=3 |
吸烟 | 否=0,是=1 |
饮酒 | 否=0,是=1 |
高血压 | 否=0,是=1 |
冠心病 | 否=0,是=1 |
房颤复发 | 否=0,是=1 |
因变量 | 变量 | β | SE | Wald χ2值 | P值 | OR(95%CI) |
---|---|---|---|---|---|---|
快速上升-高水平组 | 截距 | -11.310 | 4.516 | 6.273 | 0.012 | |
积极度 | 0.026 | 0.029 | 0.809 | 0.369 | 1.027(0.969~1.087) | |
运动恐惧 | -0.114 | 0.039 | 8.685 | 0.003 | 0.892(0.827~0.962) | |
自我效能 | 0.058 | 0.021 | 7.422 | 0.006 | 1.060(1.016~1.105) | |
年龄 | 0.108 | 0.044 | 5.989 | 0.014 | 1.114(1.022~1.215) | |
男性 | 4.165 | 1.191 | 12.221 | <0.001 | 64.402(6.233~665.383) | |
持续依从组 | 截距 | -5.502 | 1.914 | 8.258 | 0.004 | |
积极度 | 0.034 | 0.016 | 4.555 | 0.033 | 1.035(1.003~1.068) | |
运动恐惧 | -0.019 | 0.020 | 0.853 | 0.356 | 0.981(0.943~1.021) | |
自我效能 | 0.023 | 0.009 | 5.773 | 0.016 | 1.023(1.004~1.042) | |
年龄 | 0.045 | 0.018 | 6.470 | 0.011 | 1.046(1.010~1.083) | |
男性 | 1.433 | 0.406 | 12.451 | <0.001 | 4.191(1.891~9.289) |
Table 5 Logistic regression analysis of the predictors of development trajectory of strength-duration adherence to home-based exercise rehabilitation among patients with AF after RFCA
因变量 | 变量 | β | SE | Wald χ2值 | P值 | OR(95%CI) |
---|---|---|---|---|---|---|
快速上升-高水平组 | 截距 | -11.310 | 4.516 | 6.273 | 0.012 | |
积极度 | 0.026 | 0.029 | 0.809 | 0.369 | 1.027(0.969~1.087) | |
运动恐惧 | -0.114 | 0.039 | 8.685 | 0.003 | 0.892(0.827~0.962) | |
自我效能 | 0.058 | 0.021 | 7.422 | 0.006 | 1.060(1.016~1.105) | |
年龄 | 0.108 | 0.044 | 5.989 | 0.014 | 1.114(1.022~1.215) | |
男性 | 4.165 | 1.191 | 12.221 | <0.001 | 64.402(6.233~665.383) | |
持续依从组 | 截距 | -5.502 | 1.914 | 8.258 | 0.004 | |
积极度 | 0.034 | 0.016 | 4.555 | 0.033 | 1.035(1.003~1.068) | |
运动恐惧 | -0.019 | 0.020 | 0.853 | 0.356 | 0.981(0.943~1.021) | |
自我效能 | 0.023 | 0.009 | 5.773 | 0.016 | 1.023(1.004~1.042) | |
年龄 | 0.045 | 0.018 | 6.470 | 0.011 | 1.046(1.010~1.083) | |
男性 | 1.433 | 0.406 | 12.451 | <0.001 | 4.191(1.891~9.289) |
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