Latent profile analysis and influencing factors of perceived health competence among rural elderly patients with chronic disea-ses

ZUO Ling; ZOU Ruyi; CHEN Xiangjun; LIU Liping; WANG Wenjie; SHI Zhangjie; WANG Donghua

doi:10.3969/j.issn.1671-315x.2025.04.014

Abstract：Objective To analyze the latent profile of perceived health competence of elderly patients with chronic diseases in rural ar-eas and influencing factors of different categories.Methods A total of 422 rural elderly patients with chronic diseases in 6 villages in Hu'nan and Guangdong Province were surveyed using the general information questionnaire,the Perceived Health Competence Scale,the Marital Of-fence-Specific Forgiveness Scale and Sense of Agency Scale.Three latent categories of perceived health competence of rural elderly patients with chronic diseases were established by latent profile analysis,and disordered multivariate Logistic regression analysis was used to explore the influencing factors of latent categories of perceived health competence of rural elderly patients with chronic diseases.Results The perceived health competence of rural elderly patients with chronic diseases was divided into three latent categories:"medium perceived health compe-tence group"(13.74%),"unbalanced perceived health competence group"(19.43%)and "high perceived health competence group"(66.82%).The influencing factors were age,education level,marital status,occupation,number of medications,marital forgiveness and sense of agency.Conclusion There are significant individual differences in the perceived health competence among rural elderly patients with chro-nic diseases,suggesting that medical staff can formulate targeted interventions according to the perceived health competence levels of different types of rural elderly patients with chronic diseases,pay attention to the importance of spouses in the process of disease rehabilitation of elder-ly patients with chronic diseases,strengthen the management and knowledge popularization of chronic diseases in rural areas,and enhance pa-tients'ability and sense of belief in managing their own health.