青年难治性部分性癫痫患者自我管理行为现状及影响因素分析  

Status quo and influencing factors of self-management in young patients with refractory partial epilepsy

作　　者：施晓庆 田鑫 遇涛[1] 纪凡[1] Shi Xiaoqing;Tian Xin;Yu Tao;Ji Fan(Department of Functional Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院功能神经外科,北京100053

出　　处：《中华现代护理杂志》2023年第11期1483-1488,共6页Chinese Journal of Modern Nursing

摘　　要：目的调查青年难治性部分性癫痫(RPE)患者自我管理行为现状并分析影响因素。方法采用便利抽样法,选取2018年5月—2021年4月首都医科大学宣武医院收治的226例青年RPE患者为研究对象,采用一般资料调查表、癫痫自我管理行为量表(ESMS)、一般自我效能感量表、自我概念量表和医学应对方式量表对患者进行问卷调查。采用Pearson相关分析法分析自我概念、自我效能、应对方式与自我管理的相关性。采用分层线性回归分析探讨青年RPE患者自我管理行为的影响因素。共发放问卷226份,回收214份,回收率为94.69%,剔除规律作答和漏项超过10%的问卷,回收有效问卷208份,问卷有效率为97.20%(208/214)。结果208例青年RPE患者ESMS总分为(110.64±12.56)分;性别、文化程度、工作情况、家庭月收入、自我效能、自我概念、医学应对方式是青年RPE患者自我管理行为的影响因素(P<0.05)。结论医务工作者应当根据个人情况,结合自我效能、自我概念等,实施个体化、系统化的青年RPE患者自我管理教育方案,提升青年RPE患者的自我管理水平。Objective To explore the status of self-management in young patients with refractory partial epilepsy(RPE)and analyze its influencing factors.Methods From May 2018 to April 2021,convenient sampling was used to select 226 young patients with RPE admitted to Xuanwu Hospital of Capital Medical University as the study subject.The patients were investigated using the General Information Questionnaire,the Epilepsy Self-Management Scale(ESMS),the General Self-Efficacy Scale(GSES),the Self-Concept Scale,and the medical coping modes questionnaire(MCMQ).Pearson correlation was used to analyze the correlation between self-concept,self-efficacy,coping style,and self-management.Linear hierarchical regression was used to explore the influencing factors of self-management in young patients with RPE.A total of 226 questionnaires were distributed and 214 were recovered,with a recovery rate of 94.69%.Excluding questionnaires with regular responses and omissions exceeding 10%,208 valid questionnaires were recovered,with a valid recovery rate of 97.20%(208/214).Results Among 208 young patients with RPE,the total ESMS score was(110.64±12.56).Gender,education level,work situation,monthly family income,self-efficacy,self-concept and medical coping modes were the influencing factors of self-management in young patients with RPE(P<0.05).Conclusions Medical and nursing staffs should implement individualized and systematic self-management education programs for young patients with RPE based on their personal circumstances,combined with self-efficacy and self-concept,to improve the self-management of young patients with RPE.

关 键 词：青年 难治性部分性癫痫 自我管理行为 自我概念 自我效能 应对方式 

分 类 号：R473.74[医药卫生—护理学]