维持性血液透析患者自我管理行为状况及相关因素分析  

Analysis of factors influencing self-management behaviors in patients receiving maintenance hemodialysis

作　　者：夏琳娟 曹文媚[2] 王彤[2] 王丽君[2] 赵岳[1] 

机构地区：[1]天津医科大学护理学院,300070 [2]天津市第一中心医院

出　　处：《中国实用护理杂志》2013年第32期68-71,共4页Chinese Journal of Practical Nursing

摘　　要：目的 描述维持性血液透析患者的自我管理行为状况,并探讨其影响因素.方法 采用血液透析患者自我管理行为问卷、慢性病自我效能量表、一般资料调查表对天津市某医院的维持性血液透析患者125例进行调查,并对结果进行分析.结果 维持性血液透析患者的自我管理行为平均得分为（65.420±9.897）分,性别、文化程度、自我效能是维持性血液透析患者自我管理行为的影响因素.结论 维持性血液透析患者的自我管理行为不太理想,临床护理工作中可结合自我管理行为的影响因素制订健康教育策略,进而提高患者的自我管理行为.Objective To assess patients＇ self-management behaviors and examine factors influencing self-management behaviors in patients undergoing maintenance hemodialysis.Methods This research was conducted as a descriptive survey by 125 patients from a hemodialysis clinic in Tianjin.The data were collected with self-management behaviors questionnaire of hemodialysis patients and self-efficacy scale for managing chronic disease.Results Regression analysis revealed sex,educational level and selfefficacy were independent predictors for self-management behaviors.Conclusions Hemodialysis patients＇ self-management behaviors need to be improved in the future.Healthcare professionals should recognize the factors hindering self-management behaviors from the patients＇ perspective while assisting them with appropriate skills in making behaviors changes possible.

关 键 词：血液透析 自我管理行为 相关因素 

分 类 号：R473.5[医药卫生—护理学]