CAJ | 학술논문

目的评价早中期慢性肾病患者自我管理行为水平并了解其影响因素.方法 2011年3～6月选择在某三甲医院门诊就诊的符合纳入排除标准的80例慢性肾病患者为研究对象,采用自行编制的慢性肾病患者自我管理行为问卷进行调查,并对调查的结果进行分析.结果 80例患者自我管理行为总分为(69.10±5.63)分,1.25％的患者自我管理能力较差,88.75％的患者自我管理水平处于中等,10.00％的患者自我管理能力良好.患者的年龄与其自我管理能力呈负相关,文化程度与之呈正相关.参加过讲座和曾因此病住院的患者,其自我管理能力较好.付费方式对患者自我管理行为也有显著影响.结论医护工作者在对慢性肾病患者的管理过程中,应结合实际情况向不同层次的患者提供疾病相关信息,重点关注年龄较大的、文化程度较低、未参加过相关知识讲座和未住过院的患者,以提高其自我管理能力,改善健康状况.
목적 평개조중기만성신병환자자아관리행위수평병료해기영향인소.방법 2011년3～6월선택재모삼갑의원문진취진적부합납입배제표준적80례만성신병환자위연구대상,채용자행편제적만성신병환자자아관리행위문권진행조사,병대조사적결과진행분석.결과 80례환자자아관리행위총분위(69.10±5.63)분,1.25％적환자자아관리능력교차,88.75％적환자자아관리수평처우중등,10.00％적환자자아관리능력량호.환자적년령여기자아관리능력정부상관,문화정도여지정정상관.삼가과강좌화증인차병주원적환자,기자아관리능력교호.부비방식대환자자아관리행위야유현저영향.결론 의호공작자재대만성신병환자적관리과정중,응결합실제정황향불동층차적환자제공질병상관신식,중점관주년령교대적、문화정도교저、미삼가과상관지식강좌화미주과원적환자,이제고기자아관리능력,개선건강상황.
Objective To investigate the current status of self-management action of patients with chronic kidney disease (CKD) during early-mid stage and its influencing factors. Methods 80 patients were recruited in a tertiary hospital in Beijing from March to June 2011.They were surveyed with a self-designed self-management action questionnaire of patients with CKD. Results The total score of self-management action in patients with CKD was(69.10±5.63 ).1.25％ patients with CKD had bad self-management ability and 88.75％ patients had moderate self-management ability,only 10.00％ patients had good self-management ability.Patients of younger age,with higher education level,ever attending lectures or having inpatient experience had better self-management ability.And the methods of payment also had significant influence on the self-management of patients with CKD. Conclusions When taking care of patients with CKD,health care providers should be more individual case-based,especially paying more attention to those who are older,with low education degree,never have attended health education lectures and do not have inpatient experience,in order to increase patients' self-management ability and help them improve their health status.