青光眼日间手术患者自我管理行为现状及相关因素分析  

Influence factor of self-management among glaucoma patients undergoing day surgery

作　　者：徐晓叶[1] 邓诗裔 杨春艳[1] 张宇 姚抒予 黄文敏[1] XU Xiaoye;DENG Shiyi;YANG Chunyan;ZHANG Yu;YAO Shuyu;HUANG Wenmin(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology Visual Science,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州510060

出　　处：《眼科学报》2024年第3期129-136,共8页Eye Science

基　　金：广东省医学科学技术研究基金(A2022301)。

摘　　要：目的:探讨青光眼日间手术患者的自我管理行为现状及影响因素分析。方法:采用便利抽样法选取2021年9月—2022年5月于广州市某三级甲等眼科专科医院就诊的223例青光眼日间手术患者。采用一般资料调查表、青光眼自我管理行为量表、慢性疾病自我效能量表和青光眼知识学习问卷进行问卷调查。结果:青光眼日间手术患者的自我管理行为得分为(54.03±6.95)分,其中生活调整维度得分最低。慢性病自我效能与自我管理行为呈正相关(r=0.368,P<0.001)。疾病知识与自我管理行为无显著相关性(r=0.077,P=0.252)。多因素线性回归分析结果显示,患者的文化程度(P<0.001)和自我效能(P=0.028)是自我管理行为的影响因素,可解释自我管理行为总变异的12.4%。结论:青光眼日间手术患者具有良好的自我管理行为,较低的自我效能和文化程度是自我管理行为的危险因素,因此应优先提高患者的自我效能,并提供个性化教育。Objective:To determine self-management and its association with self-efficacy and knowledge among glaucoma patients undergoing day surgery.Methods:A total of 223 glaucoma patients were recruited from September 2021 to May 2022and they were investigated with the Glaucoma Self Management Questionnaire(GSMQ),The Self-Efficacy in Chronic Disease Scale(SECD-6),and the glaucoma knowledge questionnaire.Results:Of the 223 study participants,the study population had a total GSMQ score of 54.03±6.95 with the lowest score found in the life adjustment dimension.The total SECD-6 score was showing a significantly positive correlation with the total GSMQ score(r=0.368,P<0.001).The total score of disease knowledge was without significant correlation with the total GSMQ score(r=0.077,P=0.252).Multivariate linear regression analysis showed that self-efficacy(P<0.001)and education level was independently associated with self-management(P=0.028).Conclusions:Glaucoma patients undergoing daytime surgery demonstrated good overall self-management,yet further improvement was required in terms of life adjustment.Low self-efficacy and educational level were identified as risk factors for self-management.Therefore,self-management programs should prioritize enhancing patients'self-efficacy and delivering individualized education.

关 键 词：青光眼 日间手术 自我管理 

分 类 号：R775[医药卫生—眼科] R779.6[医药卫生—临床医学] R473.2