在接受血液透析的患者中,自我管理行为的预测因素
1College of Nursing, Korea University, 145 Anam-Ro, Seongbuk-Gu, Seoul, Republic of Korea.
Scientific reports
|April 22, 2025
概括
接受血液透析的患者需要有效的自我管理策略. 健康素养,自我效能,自我调节和社会支持显著影响他们管理病情的能力,这是个人和家庭自我管理理论所支持的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 健康心理学 心理健康心理学
- 护理科学 护理科学
背景情况:
- 不充分的自我管理显著增加了血液透析患者的死亡率和发病率.
- 自主管理能力受到人口,临床,心理和认知因素的影响,家庭支持和社会互动起着关键作用.
- 个人和家庭自我管理理论 (IFSMT) 为理解家庭背景下的综合自我管理提供了一个框架.
研究的目的:
- 通过使用IFSMT框架,调查影响血液透析患者自我管理的因素.
- 识别特定的背景和过程因素,预测自我管理行为.
- 为制定有针对性的干预措施提供信息,以改善患者的治疗结果.
主要方法:
- 一项涉及140名韩国三所三级医院的血液透析患者的横截面研究.
- 通过结构化自我报告问卷收集的数据评估了一般特征,疾病管理复杂性,医疗保健获取,健康素养,家庭功能,自我有效性,自我调节,社会支持和自我管理行为.
- 统计分析包括描述性统计,t测试,ANOVA,皮尔森相关性和等级多重回归.
主要成果:
- 健康素养 (上下文因素) 和自我效能,自我调节和社会支持 (过程因素) 是自我管理的重要预测因素.
- 这些已识别的因素解释了血液透析患者自我管理行为的45.0%的差异.
- IFSMT框架有效地预测了这种患者群体的自我管理.
结论:
- 这项研究强调了健康素养,自我效能,自我调节和社会支持在血液透析自我管理中的重要性.
- 干预措施应整合这些因素,特别是在家庭环境中,以加强患者的自我管理.
- 需要进一步的研究来评估这种综合性干预措施的有效性.
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