【摘要】 目的 分析中年急性主动脉夹层术后患者家庭复原力轨迹及其影响因素，为临床及时采取措施提供指导。方法 选取2022年1月至2024年1月郑州大学第一附属医院收治的236例中年主动脉夹层术后患者为研究对象，分别于术后1周和术后1、3、6个月（T₀、T₁、T₂、T₃）采用家庭复原力评定量表（FRAS）评定中年急性主动脉夹层术后患者家庭复原力变化轨迹，运用潜变量增长模型（LCGM）识别轨迹类别，采用多因素logistic回归分析家庭复原力变化轨迹的影响因素。结果 LCGM分析显示，中年急性主动脉夹层术后患者家庭复原力轨迹类型为高家庭复原力下降、低家庭复原力升高、中家庭复原力平稳，分别占21.68%、23.89%、54.42%。单因素分析显示，3组患者受教育程度、家庭月收入、照护者心理弹性、家庭关怀度、照护者照护负担、社会参与度比较，差异有统计学意义（P<0.05）。logistic分析显示，受教育程度、家庭月收入、照护者心理弹性、家庭关怀度、社会参与度是中年急性主动脉夹层术后患者家庭复原力轨迹的保护因素，照护者照护负担是其危险因素（P<0.05）。结论 中年急性主动脉夹层患者从术后1周至术后6个月家庭复原力呈不同的变化轨迹，且受教育程度、家庭月收入、照护者心理弹性及照护负担、家庭关怀度、社会参与度是其影响因素，可以此为依据将家庭复原力应用于中年急性主动脉夹层患者的管理，通过挖掘家庭力量，促进家庭成功适应疾病挑战，为改善其预后奠定基础。更多还原

【Abstract】 Objective To analyze the trajectory of family resilience of middle-aged patients after acute aortic dissection and its influencing factors, and to provide guidance for clinical measures in time. Methods A total of 236 middle-aged patients after aortic dissection admitted to the First Affiliated Hospital of Zhengzhou University from January 2022 to January 2024 were selected as the study objects. Family resilience assessment scale（FRAS） was used to assess the trajectory of family resilience of middle-aged patients after acute aortic dissection at 1 week, 1, 3 and 6 months after surgery（T₀, T₁, T₂ and T₃）, and latent variable growth model（LCGM） was used to identify the trajectory categories. Multivariate logistic regression was used to analyze the influencing factors of family resilience. Results LCGM analysis showed that the trace types of family resilience were high family resilience decreased, low family resilience increased and middle family resilience stable, accounting for 21.68%, 23.89% and 54.42%, respectively. There were statistically significant differences in education background, monthly family income, mental resilience of caregivers, degree of family care, caregiver care burden and social participation among the 3 groups（P<0.05）. Logistic analysis showed that education background, monthly family income, mental resilience of caregivers, family caring degree and social participation were protective factors for family resilience trajectory of patients after acute aortic dissection, and caregiver care burden was the risk factor（P<0.05）. Conclusion The family resilience of middle-aged patients with acute aortic dissection showed different change paths from 1 week to 6 months after surgery, and education background, monthly family income, caregiver’s mental resilience and care burden, family caring degree, and social participation were the influencing factors. This could be the basis for applying family resilience to the management of middle-aged patients with acute aortic dissection, by tapping into the power of family, promoting successful adaptation of families to disease challenges, and laying the foundation for improving their prognosis.更多还原