CAJ | 학술논문

目的了解目前国内腹膜透析(PD)患者自我管理行为的状况,探讨影响腹膜透析患者自我管理行为的相关因素,为进一步提高腹膜透析患者自我管理行为提供依据.方法对151例腹膜透析患者的自我管理行为、腹膜透析相关知识、自我效能和社会支持等方面进行问卷调查,并对可能影响患者自我管理行为的因素进行单因素和多因素分析.结果从总体水平分析,腹膜透析患者自我管理行为处于中等水平:总体自我管理行为的得分为(6.51±1.12)分(满分10分).其中自我管理行为达到良好(≥8分)的例数占9.9%,中等者(6～8分)占57.0%,差者(＜6分)占33.1%;单因素分析显示,年龄、透析时间、腹膜透析相关知识、自我效能和社会支持与患者自我管理行为均呈正相关;多元回归分析显示,患者人口社会学资料包括年龄、透析时间、腹膜透析的相关知识、自我效能及社会支持等对自我管理行为均有不同程度的影响.结论腹膜透析患者的自我管理行为有待进一步提高.影响其自我管理行为的相关因素涉及人口社会学因素(包括年龄、透析时间)、腹膜透析的相关知识、自我效能、社会支持等.
목적 료해목전국내복막투석(PD)환자자아관리행위적상황,탐토영향복막투석환자자아관리행위적상관인소,위진일보제고복막투석환자자아관리행위제공의거.방법 대151례복막투석환자적자아관리행위、복막투석상관지식、자아효능화사회지지등방면진행문권조사,병대가능영향환자자아관리행위적인소진행단인소화다인소분석.결과 종총체수평분석,복막투석환자자아관리행위처우중등수평:총체자아관리행위적득분위(6.51±1.12)분(만분10분).기중자아관리행위체도량호(≥8분)적례수점9.9%,중등자(6～8분)점57.0%,차자(＜6분)점33.1%;단인소분석현시,년령、투석시간、복막투석상관지식、자아효능화사회지지여환자자아관리행위균정정상관;다원회귀분석현시,환자인구사회학자료포괄년령、투석시간、복막투석적상관지식、자아효능급사회지지등대자아관리행위균유불동정도적영향.결론 복막투석환자적자아관리행위유대진일보제고.영향기자아관리행위적상관인소섭급인구사회학인소(포괄년령、투석시간)、복막투석적상관지식、자아효능、사회지지등.
Objective To find out the status of self-management behaviors of peritoneal dialysis(PD)patients,to explore factors that influencing these behaviors and provide basis for improving self-management behaviors in PD patients. Methods 151 patients were involved in this research. A questionnaire was used to investigate the current state of self-management behaviors,PD related knowledge,self-efficacy and social support among PD patients. Correlative and regression analysis were used to study the factors that influenced patients'self-management behaviors. Results In general,the score of self-management behaviors of PD patients was(6.51 ± 1.12),which was on the moderate level. Score of 9. 9% PD patients' self-management behavior was good and 57.0% was moderate while 33.1% was worst. Correlative analysis showed that age,time,PD-related knowledge,self-efficacy and social support were positively correlated with self-management behavior. Multiple regression results showed factors influencing seff-management behavior,including demographic sociology factors such as age and time of PD,PD related knowledge,self-efficacy,social support et al. Conclusions The level of self-management behavior of PD patients is generally low. Factors associated with self-management behavior include demographic sociology factor such as age and time,PD related-knowledge,self-efficacy,social support and so on.