慢性伤口患者自我管理水平与生活质量的相关性分析  

Correlation analysis of self-management level and quality of life in chronic wound patients

作　　者：张露 陈奕[2] 陈小康 赵雪花 吴林珠 王珣[4] 陆艳[4] 顾兰[4] ZHANG Lu;CHEN Yi;CHEN Xiaokang;ZHAO Xuehua;WU Linzhu;WANG Xun;LU Yan;GU Lan(Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou,450000,China)

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院),河南省郑州市450000 [2]苏州大学苏州医学护理学院 [3]苏州市卫生健康委员会 [4]苏州大学附属医院

出　　处：《护理实践与研究》2022年第21期3198-3204,共7页Nursing Practice and Research

基　　金：苏州市民生科技项目(编号:SYSD2020099)。

摘　　要：目的调查慢性伤口患者自我管理水平及生活质量现状,并探讨两者之间的相关性。方法对2020年12月—2021年3月苏州市某三级甲等医院伤口护理门诊就诊的217例患者进行问卷调查,内容包括患者一般情况、慢性伤口患者自我管理行为量表和伤口患者生活质量量表,应用SPSS 25.0统计软件进行数据统计分析。结果慢性伤口患者自我管理总分为30~130分,平均94.39±15.62分;生活质量总分为17~85分,平均39.93±12.36分;自我管理水平与生活质量呈负相关(P<0.05),但关系较弱(r=-0.288)。多元线性逐步回归分析结果显示,在控制了年龄、居住地等其他因素后,自我管理与生活质量仍然呈负相关关系(P<0.05),且关系在诸多因素中最为密切。结论慢性伤口患者自我管理能力处于中等水平,患者的自我管理水平与生活质量呈负相关,提示患者的自我管理得分越高,生活质量得分越低,生活质量较好。提升患者的自我管理水平有助于提高患者生活质量,伤口专科护士在为患者治疗过程中,要以患者为中心,根据不同患者的特点提供不同形式的健康教育方法,来强化患者伤口相关知识的掌握程度,以提高患者自我管理水平,进而提高其生活质量。Objective To investigate the status quo of self-management and quality of life in patients with chronic wounds,and to explore the correlation between them.Methods From December 2020 to March 2021,217 patients in the wound care outpatient department of a ClassⅢGrade A hospital in Suzhou were investigated by a questionnaire,including the general situation of patients,self-management behavior scale for chronic wound patients and quality of life scale for wound patients.SPSS 25.0 software was used for data statistical analysis.Results The total score of self-management of chronic wound patients was 30-130 points,with an average of 94.39±15.62 points.The total score of quality of life was 17-85 points,the average score was 39.93±12.36 points.Selfmanagement level was negatively correlated with quality of life(P<0.05),but the correlation was weak(r=-0.288).The results of multiple linear stepwise regression analysis showed that,after controlling for other factors such as age and residence,self-management was still negatively correlated with quality of life(P<0.05),and the correlation was the closest among many factors.Conclusion The self-management ability of patients with chronic wounds was at medium level,and the self-management level of patients was negatively correlated with the quality of life,suggesting that the higher the score of self-management,the lower the score of quality of life,and the better the quality of life.Improve the patient’s self-managemen level to improve the quality of life of patients,the wound specialist nurses in the treatment process for patients,focus on the patients,according to the characteristics of dif ferent patients with dif ferent forms of health education methods,to strengthen the knowledge mastering of the wound patients,in order to improve patients self management level,improve the quality of life.

关 键 词：慢性伤口 自我管理 生活质量 相关性分析 健康教育 伤口护理 

分 类 号：R471[医药卫生—护理学]