2020年某大型三甲医院就诊慢性肾病患者的自我管理现状分析  

Status of self-management of chronic kidney disease in a large grade A hospital in 2020

作　　者：王珊[1] 赵淑珍[1] 冯尘尘[1] 王皖琳 罗秋平[1] 何晓俐[1] WANG Shan;ZHAO Shu-zhen;FENG Chen-chen;WANG Wan-lin;LUO Qiu-ping;HE Xiao-li(Outpatient Department of West China Hospital of Sichuan University,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川大学华西医院门诊部,成都610041

出　　处：《预防医学情报杂志》2022年第5期650-655,共6页Journal of Preventive Medicine Information

基　　金：四川大学华西护理学院发展专项基金项目(项目编号:HXHL19013)。

摘　　要：目的了解慢性肾病患者的自我管理现状及影响因素,探索患者自我管理能力水平提升干预策略。方法2020-08-09采用问卷抽样调查方法调查某大型三甲医院肾内科门诊就诊的慢性肾病患者,调查内容包括治疗管理、运动行为、饮食行为、情绪管理、疾病认知、自我保健知识、总体评价6个方面并采用Likert五级量表法进行评分,检验水准α=0.05。结果本次共调查的131例慢性肾病患者,自我管理综合得分(4.27±0.74)分,其中自我管理总体评价得分为(4.24±0.73)分;运动管理维度得分(4.05±0.74)分;情绪管理维度得分(4.18±1.05)分;疾病认知维度得分(4.29±0.69)分;饮食管理维度得分(4.33±0.68)分;治疗管理维度得分(4.37±0.62)分;自我保健知识维度得分(4.43±0.65)分。结论运动和情绪管理2项均值得分小于平均水平(<4.2分);年龄越小、疾病负担越重的患者,自我管理得分越低;是否在职在治疗、运动、饮食、疾病认知等维度及总体得分上都存在差异。Objective To explore the self-management status and influencing factors in patients with chronic kidney diseases so as to explore intervention strategies of improving patient self-management ability.Methods From August to September in 2020,patients with chronic kidney diseases in renal outpatient department of a large third-class hospital were investigated.The participants were asked to fill out the questionnaire including six aspects of treatment management,movement behaviors,diet behaviors,emotion management,disease cognition and self-health knowledge,with a Likert fivelevel scale.The inspection level is set asα=0.05.Results A total of 131 patients with chronic kidney disease were investigated.The score of total scale,movement behavior,emotion management,disease cognitive,diet management,treatment management,self-health knowledge is4.24±0.73,4.05±0.74,4.18±1.05,4.29±0.69,4.33±0.68,4.37±0.62,and 4.43±0.65,respectively.Conclusions The score of movement and emotion management is below the average level(<4.2).Patients with younger age and greater the burden of disease have lower self-management score.In addition,there are differences in the overall scores of treatment,movement,diet and disease cognition in among patients with different occupation.

关 键 词：慢性肾病 自我管理 影响因素 

分 类 号：R692[医药卫生—泌尿科学]