目的 探讨中青年脑卒中患者重返工作自我效能（return-to-work self-efficacy，RTW-SE）的潜在分型并分析不同类别中青年脑卒中患者的特征差异。方法 2020年11月至2021年4月，选取郑州市两个社区中共350例中青年脑卒中患者为研究对象，采用一般资料调查表、改良版Rankin量表、RTW-SE量表、疲劳严重程度量表、患者健康问卷-9、广泛性焦虑量表对其进行调查。采用潜在剖面分析患者RTW-SE的潜在分型，采用多元Logistic回归分析评估各种因素对不同分型的影响。结果 中青年脑卒中患者RTW-SE分为3个类别：高内在应对-低工作应对组（19.9%）；高工作应对-低内在应对组（55.8%）；广泛中等水平组（24.3%）。婚姻状况、家庭人均月收入、职业类型、患病前是否为家庭主要经济支持、卒中后疲劳程度、功能障碍是影响中青年脑卒中患者RTW-SE潜在剖面分类的预测因素（均P＜0.05）。结论 中青年脑卒中患者RTW-SE具有3个潜在类别，医护人员应注意不同患者的RTW-SE特征，实施有针对性的干预措施，帮助其尽快重返社会。

Objective To explore the latent classification of return-to-work self-efficacy among young and middle-aged patients with stroke and to analyze the differences in the characteristics of different classes of young and middle-aged patients with stroke．Methods 350 young and middle-aged patients with stroke in two communities in Zhengzhou were selected as the research objects from November 2020 to April 2021.The general information questionnaire,modified Rankin Scale,Return-To-Work Self-Efficacy Scale,Fatigue Severity Scale,Patient Health Questionnaire 9-item Scale,and Generalized Anxiety Disorder-7 were used for investigation.Latent profile analysis was used to analyze the latent classification of patients’ return-to-work self-efficacy and multivariable logistic regression analysis was used to evaluate the effect of different factors on different classes.Results RTW-SE of young and middle-aged patients with stroke was divided into three classes, including high intrinsic coping-low work coping group (19.9%),high work coping-low intrinsic coping group (55.8%),and broad intermediate group (24.3%).Marital status,monthly household income per person,occupation type,whether the patient provided the main financial support for the family before stroke,fatigue after stroke and physical dysfunction were predictors of the latent classification of return-to-work self-efficacy among young and middle-aged patients with stroke(all P＜0.05).Conclusions There are three latent classes of return-to-work self-efficacy among young and middle-aged patients with stroke.Medical staff should pay attention to the characteristics of return-to-work self-efficacy and implement targeted interventions to help them return to society as soon as possible.

R473.74

国家自然科学基金面上项目（72174184）