Influencing Factors And Path Analysis Of Self-Perceived Burden In Hospitalized Patients With Lower Extremity Deep Venous Thrombosis

Objectives To understand the level of self-perceived burden in hospitalized patients with lower extremity deep vein thrombosis,and analyze its influencing factors;In order to provide a basis for clinical intervention,further explore the action path between relevant influencing factors and patients’self-perceived burden.Methods Using the convenience sampling method,a total of 326 patients with deep vein thrombosis of the lower extremities who were hospitalized in the vascular surgery department of 3 tertiary hospitals in Cangzhou from September 2020 to September 2021were selected as the research objects.Self-perceived burden scale,perceived social support scale,venous insufficiency quality of life/symptoms questionnaire,medical coping style questionnaire,and disease uncertainty scale were used to investigate the inpatients with lower extremity deep vein thrombosis who met the inclusion criteria.All data were entered into Excel for sorting,and SPSS22.0 was used for statistical analysis.Univariate analysis,Pearson correlation analysis and hierarchical regression analysis were used to explore the influencing factors of patients’self-perceived burden level,and Amos23.0 was used to establish a structural equation model,to further explore the role of related factors on patients’self-perceived burden.Results 1 Status of self-perceived burden of inpatients with lower extremity deep vein thrombosis:the total score of self-perceived burden was（29.00±7.41）points,which was at a mild level.Patients with different degrees of self-perceived burden accounted for 84.4%,and the three dimensions were averaged and ranked in order economic burden（3.67±1.06）,emotional burden（2.78±0.76）,and physical burden（2.42±0.96）.2 The result of univariate analysis:age,marital status,education level,work status,payment method,per capita monthly household income,main caregiver,main caregiver health status,thrombosis type,bedtime,and number of complicated chronic diseases were related to patients’self-perceived burden level,and the difference was statistically significant（P<0.05）.3 The result of correlation analysis:the scores of venous insufficiency quality of life/symptoms,perceived social support,confrontation dimension were negatively correlated with the scores of patients’self-perceived burden（r₁=-0.232,r₂=-0.372,r₃=-0.407）;the scores of avoidance dimension,yield dimension,illness uncertainty were positively correlated with the scores of patient’s self-perceived burden（r₁=0.358,r₂=0.336,r₃=0.566）,and the difference was statistically significant（P<0.05）.4 The result of hierarchical regression analysis:work status,per capita monthly income of family,and bed rest time were the main influencing factors of patients’self-perceived burden,with a total explained variance of 34.7%;venous insufficiency quality of life/symptoms,coping styles（confrontation,yield,avoidance）,and the sense of uncertainty about the disease were the related influencing factors of patients’self-perceived burden,and the total explained variance was16.7%,and the difference was statistically significant（P<0.05）.5 The result of structural equation model:illness uncertainty has a direct effect on patients’self-perceived burden,perception of social support,coping styles（confrontation,yield,avoidance）,and quality of life/symptoms of venous insufficiency.There is a mediating effect between the burdens,and the effect is significant.Conclusions The self-perceived burden of hospitalized patients with deep venous thrombosis of lower limbs was generally mild.Working status,family per capita monthly income and bed time were the three main influencing factors of self-perceived burden.The scores of quality-life/symptoms,perceived social support and coping style of venous insufficiency could negatively predict the self-perceived burden level of patients.The score of disease uncertainty and coping style avoidance and submission dimensions positively predicted the self-perceived burden level of patients.Patients’sense of disease uncertainty can also indirectly affect the self-perceived burden level of patients through coping style,perceived social support and quality-life/symptoms of venous insufficiency.Figure 6;Table 20;Reference 127.