慢性肾病早期病人自我管理行为与生活质量的关系研究

发布时间：2018-03-17 17:06

本文选题：慢性肾病　切入点：自我管理　出处：《护理研究》2016年35期 　论文类型：期刊论文

【摘要】：[目的]探讨慢性肾病早期(1期~3期)病人自我管理行为与生活质量现状与关系。[方法]采用一般资料调查表、慢性肾病早期病人自我管理量表、肾病病人生活质量简明量表对348例1期~3期慢性肾病病人进行问卷调查。[结果]自我管理行为总分为(78.99±17.23)分,各维度从高到低排序依次为:自我调节、遵医行为、解决问题和寻求社会支持;生活质量各维度得分从高到低依次为:肾脏疾病的症状、肾脏疾病的影响、心理领域健康、生理领域健康和肾脏疾病的负担。多元线性回归分析显示:解决问题是生理领域健康的正性预测因子(P=0.008),遵医行为是肾脏疾病的负担的正性预测因子(P=0.030),解决问题、遵医行为和自我管理行为总分均是肾脏疾病症状的正性预测因子(P=0.000),遵医行为是肾脏疾病影响的负性预测因子(P=0.000)。[结论]早期慢性肾病病人自我管理行为及生活质量均处于中等偏上水平,有针对性地改善其自我管理行为,有助于提高病人的生活质量。
[Abstract]:[objective] to study the relationship between self-management behavior and quality of life of patients with chronic nephropathy. [methods] General information questionnaire was used to measure self-management of patients with chronic nephropathy. A questionnaire survey was conducted in 348 patients with chronic nephropathy at stage 1 and stage 3 with the brief quality of life scale. [results] the total score of self-management behavior was 78.99 卤17.23. The order of each dimension was self-regulation and compliance. Solving problems and seeking social support, the scores of quality of life from high to low are: symptoms of kidney disease, influence of kidney disease, mental health, Multiple linear regression analysis showed that problem-solving was a positive predictor of physiological health, and compliance was a positive predictor of kidney disease. The total scores of compliance behavior and self-management behavior are positive predictors of renal disease symptoms, and compliance behavior is a negative predictor of renal disease. [conclusion] Self-management behavior and quality of life of patients with early chronic nephropathy are negative predictors. [conclusion]. Are at the upper middle level, Improving self-management behavior is helpful to improve the quality of life of patients.
【作者单位】：四川大学华西医院;四川大学华西护理学院;四川大学华西公共卫生学院;
【基金】：四川省科技计划项目,编号:2014SZ0095
【分类号】：R473.5

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