探索慢性病患者的患者延迟:一个横截面研究
Jie Zheng1, Ao-Han Guo1, Bo-Wen Xue2
1Nursing College of Shanxi Medical University, Shanxi, China.
Medicine
|February 16, 2024
概括
慢性病 (CKD) 的患者延迟影响35.4%的个人. 关键因素包括低CKD知识,教育和社会支持,突出了针对性干预的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 健康心理学 心理健康心理学
背景情况:
- 慢性病 (CKD) 构成了全球健康的重大负担.
- 患者延迟寻求CKD医疗护理可能会加剧疾病的进展并复杂化管理.
- 了解患者延迟的多因素性质对于及时干预至关重要.
研究的目的:
- 鉴定和分析诊断为慢性病 (CKD) 的个体中患者延迟的促成因素.
- 为制定有针对性的风险管理策略提供见解,以减轻患者慢性脏病的延迟.
- 研究各种人口,临床和心理社会因素对患者延迟的影响.
主要方法:
- 在2021年9月至2022年4月期间进行了一项横截面研究.
- 在山西省一家3级A级医院招募了245名患有CKD的患者,采用了方便的抽样.
- 用社会人口调查问卷,医疗行为评估,社会支持量表,应对风格问卷和一般自我有效性量表收集数据,随后进行多因素后勤回归分析.
主要成果:
- 35.4%的CKD患者经历了患者延迟 (定义为在症状出现后≥3个月寻求医疗护理).
- 多因素后勤回归确定了患者延迟的显著独立预测因素:CKD知识水平,教育程度,体检频率,初始症状严重程度,社会支持,自我有效性,积极应对和消极应对.
结论:
- 患者慢性瘤的延迟受到知识,社会经济,临床和心理社会因素的复杂相互作用的影响.
- 旨在提高CKD意识和应对机制的干预措施对于高风险人群至关重要.
- 在整个患者的旅程中,需要持续的,有针对性的干预措施,以改善慢性病患者及时寻求医疗的行为.
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