非酒精性脂肪性肝病患者自我管理现状及影响因素分析  

Research on self-management status quo and influencing factors of patients with non-alcoholic fatty liver disease

作　　者：梁海莉[1,2] 王晖[1,2] 汪婷[1,2] 陶军秀[1,2] 周琼[1,2] 张楚华[1,2] LIANG Haili;WANG Hui;WANG Ting;TAO Junxiu;ZHOU Qiong;ZHANG Chuhua(Department of Hepatology,Hubei Provincial Hospital of Traditional Chinese Medicine,Hubei Province,Wuhan430061,China;Hubei Provincial Institute of Traditional Chinese Medicine,Hubei Province,Wuhan430074,China)

机构地区：[1]湖北省中医院肝病科,湖北武汉430061 [2]湖北省中医药研究院,湖北武汉430074

出　　处：《中国医药导报》2020年第20期46-49,53,共5页China Medical Herald

基　　金：湖北省卫生和计划生育委员会科研项目(WJ2017M147)。

摘　　要：目的调查非酒精性脂肪性肝病(NAFLD)患者自我管理现状并分析其影响因素。方法采用方便抽样法,选取2019年3~8月在武汉市某三甲医院慢性肝病研究型门诊确诊的217例NAFLD患者为研究对象,应用自我管理调查量表、慢性病资源调查量表及一般自我效能量表对NAFLD患者进行问卷调查。结果NAFLD患者自我管理中,日常生活管理得分为(32.36±4.72)分。不同性别、学历、年收入NAFLD患者的自我管理得分比较,差异有统计学意义(P<0.05)。NAFLD患者自我管理水平与慢性病资源利用各维度、一般自我效能呈正相关(r>0,P<0.05)。年收入、性别、工作场所、组织机构、医护团队及媒体政策、一般自我效能是影响NAFLD自我管理的主要因素(P<0.05)。结论NAFLD患者自我管理水平受多方面因素影响,护理人员应针对可控因素,实施有针对性的干预措施,促进患者提高自我管理水平。Objective To investigate the self-management situation and influencing factors of patients with nonalcoholic fatty liver disease(NAFLD).Methods Using the convenient sampling method,a total of 217 patients with NAFLD were recruited from the hepatology research clinic of a top three hospital in Wuhan from March to August 2017.The self-management scale,the chronic illness resources survey(CIRS)and general self-efficacy scale(GSES)were used to investigated the patients.Results In self-management of NAFLD patients,the scores of daily life management were(32.36±4.72)points.There were statistically significant differences in the self-management scores of patients with NAFLD in different genders,education degrees and annual income(P<0.05).The self-management level of patients with NAFLD was positively correlated with various dimensions of chronic disease resource utilization and general selfefficacy(r>0,P<0.05).Annual income,gender,workplace,organizational structure,health care team and media policies,and general self-efficacy were the main factors affecting NAFLD self-management(P<0.05).Conclusion The self-management level of patients with NAFLD is affected by many factors.Nursing staff should implement targeted interventions against controllable factors to promote patient enhancing the level of self-management.

关 键 词：非酒精性脂肪性肝病 自我管理 慢性病资源 一般自我效能 

分 类 号：R473.5[医药卫生—护理学]