ZhongMei, YiHongmei, TuYue, HuangXiaoyan
Objective To explore the latent profile classification of postoperative rehabilitation characteristics in patients with cervical spondylotic radiculopathy (CSR) and analyze the influencing factors.Methods A convenience sampling method was used to select CSR patients at a hospital from January 2023 to January 2025 as research subjects. Three months postoperatively, patients were surveyed with general information questionnaires, the Cervical Spondylotic Radiculopathy Rehabilitation Evaluation Scale (RES-CSR), the General Self-Efficacy Scale (GSES), the Social Support Rating Scale (SSRS), and the Pittsburgh Sleep Quality Index (PSQI). The 4 dimensions of the RES-CSR were used as manifest indicators for latent profile analysis. Differences in general information, self-efficacy, social support, and sleep quality among different latent profile groups were compared. Multinomial logistic regression analysis was used to identify factors influencing the latent profile classification of postoperative rehabilitation characteristics in CSR patients.Results The RES-CSR score for the 271 CSR patients was (75.18±10.64) points. Further latent profile analysis revealed three subtypes of postoperative rehabilitation characteristics in CSR patients: high physical self-care ability-psychosocial adaptation type (131 cases, 48.34%), moderate physical self-care ability-low psychosocial adaptation type (83 cases, 30.63%), and low physical self-care ability-low psychosocial adaptation type (57 cases, 21.03%). Univariate analysis showed significant differences among the three groups in age, prolonged desk work, compressed segment, GSES, SSRS, and PSQI scores (P＜0.05). Multinomial logistic regression analysis indicated that compared to the high physical self-care ability-psychosocial adaptation type group, age, long-term desk work, compressed segments, GSES scores, SSRS scores, and PSQI scores were influencing factors for the low physical self-care ability-low psychosocial adaptation type group (P＜0.05); age, compressed segments, GSES scores, SSRS scores, and PSQI scores were influencing factors for the moderate physical self-care ability-low psychosocial adaptation type group (P＜0.05).Conclusion Postoperative rehabilitation characteristics of CSR patients exhibit group heterogeneity and are associated with multiple factors. Clinical nurses should conduct targeted assessments and interventions based on the characteristics of different groups to improve postoperative rehabilitation in CSR patients.
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