维持性血液透析患者自我调节疲劳的潜在类别及与自我管理的关系  

Potential categories of self-regulatory fatigue in maintenance hemodialysis patients and their relationships with self-management

作　　者：陶玉秀 画妍[1] 俞会会 黄美 孙沛[1] 尼春萍[1] TAO Yuxiu;HUA Yan;YU Huihui;HUANG Mei;SUN Pei;NI Chunping(Department of Nursing,Air Force Medical University of the People's Liberation Army,Xi'an,Shaanxi,710032;Department of Joint Surgery,Joint Logistics Support Force 940th Hospital of the People's Liberation Army,Lanzhou,Gansu,730050)

机构地区：[1]中国人民解放军空军军医大学护理系,陕西西安710032 [2]中国人民解放军联勤保障部队第九四〇医院关节外科,甘肃兰州730050

出　　处：《实用临床医药杂志》2024年第18期111-116,共6页Journal of Clinical Medicine in Practice

基　　金：陕西省重点研发计划一般项目(2022SF-077,2024SF-YBXM-191)。

摘　　要：目的 探讨维持性血液透析患者自我调节疲劳的潜在类别及其与自我管理的关系。方法 采用一般资料调查表、自我调节疲劳量表、血液透析患者自我管理量表对兰州市502例维持性血液透析患者进行调查,对自我调节疲劳进行潜在剖面分析并探讨其与自我管理的关系。结果 维持性血液透析患者根据自我调节疲劳状况可分为低自我调节疲劳组(5.0%)、中自我调节疲劳组(49.2%)、高自我调节疲劳组(13.9%)和高认知调节疲劳组(31.9%)4个潜在类别;性别、文化程度、家庭人均月收入是自我调节疲劳潜在类别的影响因素;不同自我调节疲劳潜在类别患者的自我管理总分比较,差异有统计学意义(F=50.617,P<0.001)。结论 维持性血液透析患者自我调节疲劳可分为4个潜在类别,其中低自我调节疲劳组患者的自我管理水平更高,降低自我调节疲劳水平有助于提高患者的自我管理水平。Objective To explore the potential categories of self-regulatory fatigue among maintenance hemodialysis patients and their relationships with self-management.Methods A total of 502 maintenance hemodialysis patients in Lanzhou were surveyed using a general information questionnaire,a Self-Regulatory Fatigue Scale,and a Self-Management Scale for Hemodialysis Patients.Potential profile analysis was conducted on self-regulatory fatigue,and its relationship with self-management was explored.Results Based on their self-regulatory fatigue status,maintenance hemodialysis patients could be categorized into four potential groups:low self-regulatory fatigue group(5.0%),moderate self-regulatory fatigue group(49.2%),high self-regulatory fatigue group(13.9%),and high cognitive regulatory fatiguegroup(31.9%).Gender,education level,and monthly per capita family income were identified as influencing factors for the potential categories of self-regulatory fatigue.Significant differences were observed in the total self-management scores among patients belonging to different potential categories of self-regulatory fatigue(F=50.617,P<0.001).Conclusion Maintenance hemodialysis patients can be classified into four potential categories of self-regulatory fatigue,with patients in the low self-regulatory fatigue group demonstrating higher levels of self-management.Reducing the level of self-regulatory fatigue can contribute to enhancing patients' self-management capabilities.

关 键 词：血液透析 自我调节疲劳 自我管理 潜在剖面分析 影响因素 心理护理 

分 类 号：R473.5[医药卫生—护理学] R395.1[医药卫生—临床医学] R459.5[哲学宗教—心理学]