强直性脊柱炎患者自我管理效能的影响因素分析及护理干预  

Analysis of influencing factors and nursing intervention of self-management efficacy in patients with ankylosing spondylitis

作　　者：董玉梅[1] 田晶晶[2] 李宗燕 Dong Yumei;Tian Jingjing;Li Zongyan(Intravenous Drug Dispensing Center,the Second Hospital of Lanzhou University,730030,China;Department of Rheumatology and Immunology,the Second Hospital of Lanzhou University,730030,China;Neonatology Department,Gulang County Health Center,Wuwei City,733100,China)

机构地区：[1]兰州大学第二医院静脉用药调配中心,730030 [2]兰州大学第二医院风湿免疫科,730030 [3]武威市古浪县卫生院新生儿科,733100

出　　处：《国际护理学杂志》2021年第15期2720-2724,共5页international journal of nursing

摘　　要：目的探讨强直性脊柱炎患者自我管理效能的影响因素分析及护理干预。方法回顾性选择2017年5月至2019年5月在兰州大学第二医院收治强直性脊柱炎患者480例为研究对象,采用自制调查问卷表、自我效能量表对研究对象自我管理效能情况与相关影响因素进行收集汇总。利用单因素方差分析和多因素回归分析法对强直性脊柱炎患者自我管理效能的相关影响因素进行分析和并探讨其护理干预。结果480例强直性脊柱炎患者自我管理效能总评分为(107.87±13.34)分,总体水平呈中等偏下水平;单因素结果分析显示,年龄、家庭收入、疾病认知、疼痛程度、BASDAI评分、BASFI评分、BASMI评分、焦虑抑郁情况、社会支持均为影响强直性脊柱炎患者自我管理效能的相关因素(均P<0.05);多因素回归分析结果显示,疾病认知、焦虑抑郁情况、BASFI评分均为影响强直性脊柱炎患者自我管理效能的独立因素(均P<0.05)。结论疾病认知、焦虑抑郁情况、BASFI评分均为影响强直性脊柱炎患者自我管理效能的主要因素。Objective To explore the influencing factors of self-management efficacy and nursing intervention in patients with ankylosing spondylitis.Methods Retrospectively,480 patients with ankylosing spondylitis admitted to the Second Hospital of Lanzhou University from May 2017 to May 2019 were selected as the research subjects.Self-efficacy questionnaire and self-efficacy scale were used to collect and summarize the self-management efficacy and related influencing factors of the research subjects.Single factor analysis of variance and multivariate regression analysis were used to analyze the influencing factors of self-management efficacy in patients with ankylosing spondylitis and to explore the nursing intervention.Results The total evaluation of self-management efficacy in 480 patients with ankylosing spondylitis was(107.87±13.34)points,and the overall level was below the medium level.The univariate outcome analysis showed that age,family income,disease perception,pain degree,Bath Ankylosing Spondylitis Disease Activity Index(BASDAI)score,Bath Ankylosing Spondlitis Functional Index(BASFI)score,Bath Ankylosing Spondylitis Metroloty Index(BASMI)score,anxiety and depression status,and social support were all related factors affecting self-management efficacy of patients with ankylosing spondylitis(P<0.05).Multivariate regression analysis showed that disease cognition,anxiety and depression,and BASFI score were all independent factors affecting self-management efficacy of patients with ankylosing spondylitis(P<0.05).Conclusions Disease cognition,anxiety and depression,and BASFI score were the main factors affecting the self-management efficacy of patients with ankylosing spondylitis.

关 键 词：强直性脊柱炎 自我管理效能 影响因素分析 护理干预 

分 类 号：R473.5[医药卫生—护理学]