肝硬化患者自我管理行为的潜在剖面特征及影响因素

Objective To explore the potential profile characteristics of self-management behavior in patients with liver cirrhosis and analyze the influencing factors. Methods A convenience sampling method was used to select patients with liver cirrhosis admitted to the Department of Hepatology, Xi'an Tertiary-Level Hospital from May to October 2025 as research subjects. Data were collected using a general data questionnaire, liver cirrhosis self-management behavior scale, simple disease perception questionnaire, and medical coping style questionnaire. The four dimensions of the selfmanagement behavior scale(daily life management, diet management, medication management, and disease monitoring management) served as explicit indicators for potential profile analysis. Disordered Multinomial Logistic regression analysis was employed to explore the influencing factors of different potential profiles of self-management behavior in patients with liver cirrhosis. Results A total of 450 questionnaires were distributed, and 411 valid questionnaires were recovered, yielding an effective recovery rate of 91.3%. The self-management behaviors of patients with liver cirrhosis were categorized into three potential profiles: weak management, basic maintenance, and active management. The results of multinomial Logistic regression analysis indicated that cirrhosis treatment duration, disease perception, and coping style were the correlated factors of the potential profile of self-management behavior in patients with cirrhosis(P<0.05). Conclusion Self-management behaviors in patients with liver cirrhosis are heterogeneous. Medical staff can identify the characteristics and related factors of each potential profile, thereby providing a basis for formulating targeted interventions.